Examinando por Materia "Recycling"

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Conditions of dialyzer reuse associated with hepatitis B and C infections in a private renal clinic in Lima, 2017
(Universidad Privada Norbert Wiener, 2018-03-22) Fuentes Chuchon, Claribel; Montes Orosco, Martha Maritza; Borda Izquierdo, Alejandro
Objective: Determine the conditions of dialyzer reuse, associated with hepatitis B and C infections in the private renal clinic in 2017. Materials and Methods: The study was quantitative, descriptive, correlational. The population is 50 hemodialyzed patients with a comprehensive health, the instruments used were the checklist for the two variables, it was evaluated with logistic regression models. Results: Through the analysis it was possible to determine the conditions of reuse of hepatitis infection, no significant relationships were found and in relation to hepatitis infection, 12% had HBV, 32% had HCV and 34% had at least one of these infections. In relation to the conditions of reuse, none of them are significantly related to the diagnosis of hepatitis B or C. Pyrogenic reactions are not associated with the diagnosis of hepatitis (p value = 0.914), which is also verified in the odd ratio equal to 0. .94 (0.29-3.03) which shows that there is no relationship since the confidence interval includes the value one. Similarly, the variables: risk of infection is not associated with the diagnosis of hepatitis (p value = 0.955), it was concluded that the conditions of dialyzer reuse are not associated with Hepatitis B and C infections.
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Coping factors of the patient in the post-anesthetic recovery unit after undergoing surgery, at the Ate hospital, Lima – 2020.
(Universidad Privada Norbert Wiener, 2020-10-18) Villacorta Vassi, Diana del Pilar; Mori Castro, Jaime Alberto
When a patient undergoes surgery, they may experience personal characteristics related to their thoughts, feelings, and self-esteem in the need to adapt to the new situation. The patient's mental health can be affected in the surgical environment, leading them to use psychological resources that impact their behavior. A person who has undergone surgery remains in a stress situation due to multiple factors.
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Critical review: effect of Zinc and/or vitamin C supplementation as a treatment in the recovery of patients with Covid-19
(Universidad Privada Norbert Wiener, 2022-11-21) Galarza Martel, Ronny Raúl Omar; Bohórquez Medina, Andrea Lisbet
The present work is a secondary research of critical review, which aimed to determine the effect of supplementation with zinc and/or vitamin C as a treatment for the recovery of patients with COVID-19. Evidence-Based Nutrition was used as a methodology. (NuBE), likewise, the systematic search of articles was carried out using Pubmed, Science Direct, Springer Open, Scopus and MDPI as scientific databases, where 55 articles were found, of which 17 were selected to be evaluated by the CASPe tool and in this way a randomized clinical trial titled: “Effect of high-dose zinc and ascorbic acid supplementation vs usual care on symptom length and reduction among ambulatory patients with SARS-CoV-2 infection: The COVID A to Z” was selected. randomized clinical trial", which obtained a level of evidence "I" and a grade of recommendation "Strong" based on the researcher's evaluation in accordance with the application of the CASPe tool, concluding that zinc supplementation and/or vitamin C generates a positive effect in the treatment for the recovery of patients with COVID-19, but it is not statistically significant; Therefore, larger clinical trials must be carried out to demonstrate the importance of said supplementation.
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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 laparoscopic surgery versus conventional surgery to promote recovery of patients after appendicitis surgery
(Universidad Privada Norbert Wiener, 1905-07-09) Mego Guevara, Alidia; Remuzgo Artezano, Anika
Objective: Determine the effectiveness of laparoscopic surgery versus conventional surgery to promote the recovery of patients after appendicitis surgery. 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, using the Jover evaluation to identify their degree of evidence. Results: in the final selection, 15 articles were chosen, most of which are of a quasi-experimental quantitative type where it is evident that laparoscopic surgery has multiple advantages in patient recovery. When small incisions are made, the patient's recovery is faster, there is less pain and the disability is shorter, they can resume their normal activities quickly, they can walk, go up and down stairs, leave their house, shortly after be intervened. Conclusions. It was evident in the research reviewed that laparascopic surgery has more advantages and benefits the patient compared to conventional surgery.
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Effectiveness of prophylaxis with drainage versus without drainage in abdominal surgery in preventing complications
(Universidad Privada Norbert Wiener, 2019-08-18) Halire Paredes, Ana Maria; Hurtado Quintanilla, Karolina Lourdes; Calsin Pacompia, Wilmer
Objective: Systematize the evidence about the effectiveness of prophylaxis with drainage versus without drainage in abdominal surgery in the prevention of complications. Materials and Methods: The type of research was quantitative, the study design was a systematic review, the population was 23 articles and the sample was 10 articles published in the following databases: Scielo, Pubmed, Elvesier and Medline, using the GRADE system which evaluated the quality of evidence and the strength of recommendation. Results: In the present study it is evident that 100% of the articles reviewed systematically indicate the effectiveness of prophylaxis of the use of drainage in abdominal surgeries in the prevention of complications Conclusions: 10 out of 10 of the studies show the effectiveness of prophylaxis with drainage in abdominal surgeries in the prevention of complications, it is effective because: 50% demonstrate its effectiveness in anastomotic leak, the most serious postoperative complication, 30% demonstrate its effectiveness because it reduces the rate of patient mortality during the postoperative period and 20%, there is a better postoperative recovery, it is a useful procedure and reduces complications in the patient.
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Effectiveness of tympanoplasty in patients with otitis media
(Universidad Privada Norbert Wiener, 2018-12-02) Esteban Molina, Suly Brenda; García Chávez, Geraldine Nadir Elizabeth; Calsin Pacompia, Wilmer
Objective: analyze and systematize evidence on the effectiveness of tympanoplasty in patients with otitis media. Materials and methods: the research was quantitative, its design being a systematic review whose population was made up of 15 scientific articles having as a sample 10 studies that were published in different scientific databases: Mediciego, Sciencedirect, Scielo, Pubmed, Elsevier, Epistemónikos, Ebsco and for its analysis the grade method was used where the quality of evidence and the strength of recommendation was evaluated. Results: we have that of 100% of the scientific articles, 20% correspond to Chile, 10% Colombia, 10% USA, 10% Mexico, 10% Cuba, 10% Qatar, 10% Cyprus, 10% to the United Kingdom and finally 10% to China respectively. Regarding the study designs, we can mention that 70% correspond to retrospective, 10% meta-analysis, 10% prospective and 10% cohort respectively. Conclusions: it was concluded that 100% of the studies show the effectiveness of tympanoplasty in patients with otitis media; the correction of tympanic perforations in both children and adults caused by this pathology, reduction in postoperative morbidity, hearing improvement, anatomical recovery, comfort for the patient and their self-esteem.
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Efficacy of conventional surgery versus laparoscopic surgery in patients with appendectomy
(Universidad Privada Norbert Wiener, 2017-11-12) Guerrero Macha, Patricia Mabel; Paredes Ursula, Cecilia Margaret; Calsin Pacompia, Wilmer
Materials and methods: 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, using the Grade evaluation to identify their level of evidence. In the final selection, 10 articles were chosen, the majority having been analyzed according to research design: longitudinal studies with 50%, systematic review with 20%, descriptive studies with 20% and cohort studies with 10%. Results: It was evident in the research reviewed that 70% of the effectiveness of laparoscopic surgery is greater than conventional surgery, since the results presented benefits in terms of decreased hospital stay (60%), less pain in the recovery (40%) and prompt reintegration to daily activities (30%), on the other hand, 30% of the studies reveal that both procedures are effective, and that although the laparoscopic approach presents fewer alterations in the surgical wound It still presents a higher economic cost compared to the conventional one, and in terms of the other variables, no major difference was found in both procedures. Conclusion: It is concluded that laparoscopic surgery is more effective compared to conventional surgery since it presents greater benefits.
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Efficacy of manual washing versus automatic washing in the disinfection of surgical instruments
(Universidad Privada Norbert Wiener, 1905-07-09) Gonzaga Ramírez, Gladys Marlene; Yancul Carrillo, Elva Rosa; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of manual washing versus automatic washing in the disinfection of surgical instruments. Material and methods: Systematic review that synthesizes the results of primary research. Like all systematic reviews, it is an essential part of evidence-based nursing due to its rigorous methodology, identifying relevant studies to answer specific questions in articles. Results: It was found that 50% of the articles consider that automated washing is more effective than manual washing; 16.67% of the articles found effectiveness in the sterilization of surgical instruments, when manual and automatic washing are combined; 16.67% found that one of the contributing effects to produce adverse effects is incorrect cleaning and/or disinfection and a similar percentage found that it is necessary to improve the quality of cleaning and disinfection in surgery rooms and measure the biological load by photoluminometry in instruments. reuse surgical Conclusions: Automatic washing is more effective than manual washing.
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Immediate post-operative patient satisfaction level regarding nursing care in the post-anesthetic recovery unit of the II Essalud Huánuco 2021 hospital
(Universidad Privada Norbert Wiener, 2022-10-09) Solis Carrillo, Carlos Hugo; Mori Castro, Jaime Alberto
Determine the level of satisfaction of the immediate post-operative patient about nursing care in the post-anesthetic recovery unit of Hospital II EsSalud Huánuco 2021. Method: This research has a quantitative approach, because data collection is used to demonstrate the hypothesis supported by the statistical analysis and the analysis of the described qualities or attributes to determine the results of the behavioral models in a population. Quantitative research refers to the statistical field, this is what this approach is based on, analyzing an objective reality based on numerical measurements and statistical analysis to determine predictions or patterns of behavior of the phenomenon or problem posed.
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Needs of the family of the critical patient in the intensive care unit of the Hipólito Unanue national hospital, Lima 2020
(Universidad Privada Norbert Wiener, 2020-10-11) Villegas Pariona, Sonia Cristina; Bonilla Asalde, César Antonio
This work has a quantitative approach, descriptive level, cross-sectional; It will be carried out in order to determine the needs of the family of the critical patient in the Intensive Care Unit of the Hipólito Unanue National Hospital, regarding the degree of importance. The sample will consist of 50 relatives of patients admitted to the service, who meet the inclusion criteria. The instrument will be used: the Inventory of Needs and Stressors of Family Members in Intensive Care (INEFCI) questionnaire, which is valid (0.74) and reliable (0.77) according to Spearman Brown. The instrument evaluates what the needs are according to four dimensions: Information, Security, Proximity/Social Support and Comfort. The information obtained will allow the implementation of a care protocol aimed at family members, since according to the new approaches they have needs that demand attention; Proposing an open-door ICU could be considered by some to be of little benefit to health personnel, but this measure, on the contrary, provides benefits to the patient and their family. The family plays an important role in the recovery and reintegration of the patient into society.
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Nursing care and its influence on the patient's recovery process in the intensive care unit of the Dos de Mayo national hospital, Lima – 2020
(Universidad Privada Norbert Wiener, 2021-09-05) Daga Espinoza, Maggaly Estefani; Arevalo Marcos, Rodolfo Amado
This research work studies: Nursing care and its influence on the patient's recovery process in the Intensive Care Unit of the Dos de Mayo National Hospital, Lima - 2020. The research approach was quantitative, the research design was non-experimental cross-sectional correlational, the study method used was the scientific method, that is, the researcher meditated in a reasoned manner, using the deductive method, to respond to the problems. raised and its main support is observation, that is, it formulates provisional working hypotheses, to be accepted or rejected at the stage of execution or development of the research, becoming a scientific hypothesis, when verified with the application of the data collection instrument. data, surveying in a determined population, the techniques used in this research were unstructured observation, structured survey and documentary sources with each of their instruments, to collect the information a questionnaire was constructed, with questions to measure the study variables, Then the instrument is applied to collect data, the information is statistically processed using the SPSS25.0 statistical package, for the analysis and interpretation of data, statistical tables and figures are taken into account and finally the general conclusion is reached that nursing care significantly influences the patient's recovery process from the ICU of the Dos de Mayo National Hospital, Lima-2020. The study has been structured in an organized body of contents of three chapters with their respective subchapters or components, thus demonstrating the research with sufficient statistical evidence.
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Nursing knowledge and practice in the cleaning and disinfection process of surgical material, Huacho Regional Hospital 2020
(Universidad Privada Norbert Wiener, 2020-11-29) Pichilingue Curioso, Lili Imelda; Fernández Rengifo, Werther Fernando
When asepsis, antisepsis, cleaning, and disinfection were introduced, morbidity and mortality rates decreased considerably from 80% to 10%, but population demand and the current state of health of the population, lifestyles, and the failure of Health systems with respect to the resource of surgical materials increase the morbidity and mortality rate by a large percentage. Also, it is necessary to evaluate if the clinical practice guidelines respond to the needs of the population, or if it is the health personnel who fails in the cleaning and disinfection procedure of the material to be used in surgery. Researchers from all over the world have been interested in the cleaning and disinfection procedure, so they mention that cleaning surgical material is equally effective in reducing germs with an alcoholic solution or with an aqueous solution, referring to the enzymatic detergent. It is necessary to mention that the reuse of surgical instruments carries with it the risk of cross infection, in addition to the fact that the cleaning and disinfection procedure is very cumbersome, takes a lot of time, expensive and prone to error.
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Patient safety culture of the surgical center of the San Juan de Lurigancho hospital, Lima 2020
(Universidad Privada Norbert Wiener, 2021-07-04) Ñacari Ormeño, Keny Eder; Bastidas Solis, Miriam Cecilia
Aim. It will be determined the level of patient safety culture of the surgical center of the Hospital San Juan de Lurigancho, Lima 2020. Materials and method. The following research work will have a quantitative approach, descriptive type, in terms of the methodological design it is a non-experimental cross-sectional research. The population is made up of 30 nurses and they were selected according to a non-probabilistic sampling because it is a finite population and having the inclusion and exclusion criteria set out in the research, an inclusion criterion is that the Nurses have a work relationship with the Hospital San Juan de Lurigancho in the operating and recovery room area. The technique to be used in the research is the survey in which relevant data for the study will be obtained, the data collection instrument "Questionnaire on patient safety in hospitals version 2.0" from AHRQ (Agency for Health and Safety) will be used. Research and Quality) which is made up of 40 questions and one open question which are grouped into 8 dimensions and the vast majority of the questions are formulated for responses on a Likert measurement scale.
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Personality and alcoholism in outpatient patients of the Ñana rehabilitation center, 2021
(Universidad Privada Norbert Wiener, 2021-10-03) Acosta Quispe, Mayra Yasmina; Basurto Santillán, Ivan Javier
This research work will be developed within the Mental Health and Psychiatry research line, focusing on collecting information that allows the nursing work to be enhanced, with the desire to contribute to the treatment and recovery of patients treated for alcoholism problems. at the Ñaña Rehabilitation Center. Likewise, it seeks to demonstrate the situation that these people are experiencing, so that the nursing professionals who work in this institution can take it as a reference to improve their practice and the humanized care that every professional in this field must exercise. Objective : determine the relationship between personality and alcoholism in outpatient patients of the Ñaña Rehabilitation Center, 2021. MATERIALS AND METHODS: the approach that will be followed is quantitative, basic, with design descriptive-correlational, non-experimental, cross-sectional and hypothetical-deductive method. The study sample will be made up of 40 male patients from the Ñaña Rehabilitation Center and the technique will be the survey, which will be applied using the Eysenck Personality Inventory and a questionnaire to measure the alcoholism variable.