Examinando por Materia "Reference Standards"

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Characterization of the variation in the physiological parameters of the newborn during music therapy in the neonatology service, neonatal intensive care area, central hospital of the Peruvian air force, period February - September 2021
(Universidad Privada Norbert Wiener, 2021-09-26) Peña Hernández, Zaira; Cárdenas de Fernández, María Hilda
This work aims to: Characterize the variation of the physiological parameters of the newborn during music therapy in the neonatology service, neonatal intensive care area of the Central Hospital of the Air Force of Peru, period February-September 2021. The study is observational. , transversal descriptive. The sample population size will consist of approximately 18 neonates, which is the average number of neonates in the last five months according to the statistics evaluated, of neonates between 34 weeks and 37 weeks with gestational age, in the Neonatal Intensive Care area of the Central Hospital. of the Peruvian Air Force, which have the selection criteria. The instrument will be the collection of information, which will be carried out through observation on a sheet with the physiological parameters of the newborn observed on a multiparameter monitor. Data collection will be by observing the physiological parameters before and after the musical intervention. The collection of these parameters will be recorded in a data sheet by the researcher, the data will be analyzed using descriptive statistics (the mean, the average, the sum, the standard deviation, the variance of vital functions).
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Criteria and standards for nursing staffing
(Universidad Privada Norbert Wiener, 1905-07-09) Aranda Tuanama, Jessica Mercedes; Rodríguez Porras, Betsy Yvonne; Gómez Gonzales, Walter Edgar
Objective: Establish the criteria and standards for the provision of nursing staff. Materials and Methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: 7 scientific articles were reviewed, whose main topic was the criteria and standards for the provision of nursing staff. Of all the articles that were found, the most relevant articles were included according to the level and quality of evidence, evaluating the agreement. and the discrepancy between the articles, and the least relevant ones were excluded. The articles were located in the databases: Scielo, Lilacs Lipecs, Medline. Conclusions: There are several diversified criteria and standards in Peru for the provision of nursing staff, which make coordinated work necessary at the level of the representative entities of Peruvian nurses. Health care companies or institutions do not apply a standardized model in the human resources management process. Said management is conditioned by the type of organizational system used, applied technology, action policy, work philosophy and existing human resources policy, purpose and functions of the personnel.
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Critical review: carnitine supplementation for the improvement of cardiometabolic parameters in patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 2022-06-28) Mariños Cotrina, Brian Wally; Dávila Córdova, Jennifer Estefania
Cardiometabolic parameters in patients with chronic kidney disease (CKD) are altered with the progression of their clinical condition. Various interventions have been studied, with carnitine supplementation considered one of the most strategic. This secondary research, titled 'Critical Review: Carnitine Supplementation for Improving Cardiometabolic Parameters in Chronic Kidney Disease Patients,' aimed to provide a professional critical commentary based on the review of scientific articles related to carnitine supplementation for improving cardiometabolic parameters. The clinical question was: 'Will carnitine supplementation improve cardiometabolic parameters in adults with chronic kidney disease?' The Evidence-Based Nutrition (NuBE) methodology was used. Information was searched in PUBMED, SCIENCE DIRECT, and REDALYC, finding 32 articles, with 13 selected and evaluated using the critical reading tool CASPE, ultimately selecting the randomized clinical trial titled 'Study on effects of L-carnitine supplementation on anaemia with erythropoietin hyporesponsiveness and lipid profile in chronic kidney disease patients on maintenance hemodialysis,' which has an evidence level of 'AI' and a Strong Recommendation grade, according to the researcher's expertise. The critical commentary concluded that there is sufficient evidence to determine the effect of L-carnitine supplementation on improving cardiometabolic parameters such as hemoglobin, erythropoietin resistance, total cholesterol, triglycerides, HDL, LDL, and VLDL lipoproteins.
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Critical review: effect of supplementation with Omega 3 fatty acids on clinical and nutritional parameters in patients diagnosed with pancreatic cancer
(Universidad Privada Norbert Wiener, 2022-08-25) Huarcaya Zavaleta, Alexsandra Pilar; Espinoza Rado, Erika Paola
The effect of supplementation with omega-3 polyunsaturated fatty acids in patients diagnosed with pancreatic cancer disease has already been demonstrated to have an antitumor impact in vivo and in vitro on the pancreatic cancer cell chain. The present secondary research titled as a critical review: EFFECT OF SUPPLEMENTATION WITH OMEGA 3 FATTY ACIDS ON CLINICAL AND NUTRITIONAL PARAMETERS IN PATIENTS DIAGNOSED WITH PANCREAS CANCER aimed to provide a professional critical commentary on the topic of the effect of oral supplementation enriched with omega 3 EPA and to help with the clinical and nutritional parameters of patients diagnosed with pancreatic cancer.
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Effectiveness of dietary interventions to improve biochemical parameters in adult patients with chronic renal failure
(Universidad Privada Norbert Wiener, 2020-02-29) García Rodríguez, Milagritos Lucía; Vargas Alburqueque, Mercedes Ines; Matta Solis, Eduardo Percy
Objective: To systematize the evidence found on the effectiveness of dietary interventions to improve biochemical parameters in adult patients with chronic kidney failure. Material and Method: The design used was a systematic review. The population consisted of 20 articles, from which selection criteria were applied, resulting in a sample of 10 articles found in the following databases: Cochrane, Data Base, Scielo, Pubmed. By country of origin, 50% (5/10) are from Spain, 20% (2/10) are from Australia, 20% (2/10) are from China, and 10% (1/10) is from Iran. According to the research design obtained from the systematic review, 60% (6/10) belong to quasi-experimental studies, 30% (3/10) to systematic reviews, and 10% (1/10) to a controlled clinical trial. Results: According to the evidence found, 80% (n=8/10) demonstrate the effectiveness of dietary interventions in improving biochemical parameters in adult patients with chronic kidney failure, while 20% (n=2/10) showed no effectiveness. Conclusions: Dietary interventions are effective in improving biochemical parameters in adult patients with chronic kidney disease.
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Effectiveness of group education vs. individual education to improve the quality of life of patients with Diabetes Mellitus
(Universidad Privada Norbert Wiener, 1905-07-09) Silva Valencia, Teresa Isabel; Wong Valerio, Miryam Luisa; Remuzgo Artezano, Anika
Objective: Determine the effectiveness of group health education compared to individual education in improving the quality of life of patients with Diabetes Mellitus. Material and method: Retrospective systematic bibliographic search and review. The search was restricted to articles with full text and with a time limit of 10 years, and was carried out in the databases PudMed, Index de Enfermería, Scielo, Evidentia, Cochrane during the month of February 2016. Results: They were chosen 10 articles obtaining the following data: the application of group education has a great impact on the level of knowledge about the disease, as demonstrated in 100% of the articles reviewed, improving adherence to the treatment (66.6%), raising self-care levels (83.3%), achieving behavioral changes in relation to diet and physical activity (50%), therefore controlling biochemical parameters such as glucose (83.3%), and physical such as weight and BMI (33.3%) also shows other indicators such as: no diabetic complications (16.6%) which translate into a decrease in emergency care due to hyper or hypo glycemia. Conclusions: In this bibliographic review, group education is highlighted as the most effective method for the transmission of important knowledge. It also shows us the impact it causes as a means for socialization and the exchange of experiences. Structured group education as a complement to individual education appears necessary and extremely important to improve the quality of life and metabolic control of people with diabetes.
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Effectiveness of nutritional intervention in improving anthropometric parameters of patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 2020-12-02) Vicuña Arredondo, Litzia Zoila; León Cáceres, Johanna del Carmen
Material and Methods: Observational and retrospective systematic review, of all the articles found, those of greatest importance were included according to level and quality of evidence and some of lesser relevance were excluded. Results: 21 publications have been analyzed. It is evident that 70% of the reviewed publications demonstrate the effectiveness of nutritional intervention in improving anthropometric parameters. In the case of patients undergoing dialysis treatment, there was an improvement in BMI values, a decrease in % weight loss and an improvement in fat mass and lean mass. With respect to those patients who were without renal replacement treatment: the values of BMI, % weight gain, fat mass and muscle mass improved. Conclusions: 70% of the reviewed publications agree that a nutritional intervention is effective to improve the anthropometric parameters of patients with chronic kidney disease.
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Effectiveness of the Ramsay agitation-sedation rating scale versus the Richmond scale (rass) in critically ill patients
(Universidad Privada Norbert Wiener, 2019-09-22) Sarabia Ramos, Katherine Tania; Solis Valverde, Trinidad Rosario; Calsin Pacompia, Wilmer
Objective: Systematize the evidence on the effectiveness of the Ramsay agitation-sedation rating scale versus the Richmond scale (RASS) in critically ill patients. Materials and Methods: The study was quantitative, design: systematic, retrospective review, which synthesizes the results of different investigations, being the essence of nursing based on evidence for its methodology, identifying relevant studies of clinical practice, the System was used Grade to assign recommendation strength. Results: 10 scientific articles were compiled using the Pudmed, ElSevier, Scielo, Medline database. The majority agreed that the Richmond scale is more valid, reliable and effective because it includes a greater number of descriptors to assess levels of sedation and agitation, due to its high correlation with physiological parameters. Conclusions: It was evidenced that there is 60% effectiveness of the Richmond agitation-sedation assessment scale (RASS) to monitor agitation and sedation in critically ill patients in the intensive care unit. 20% of the articles reviewed confirm that the Ramsay sedation assessment scale is more reliable and valid and the other 20% conclude that both scales correlate and are effective in monitoring agitation and sedation in critically ill patients.
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Efficacy of anthropometric parameters as a predictor of cardiovascular risk profile in adults
(Universidad Privada Norbert Wiener, 1905-07-09) Acosta González, Ysabel Dolores; Gómez Gonzales, Walter Edgar
Objectives: Determine the effectiveness of anthropometric parameters as predictors of cardiovascular risk profile in adults. Materials and Methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: Of the total of ten articles analyzed, 90% affirm that anthropometric parameters predict cardiovascular risk. These articles were found in the following databases Pubmed, Medline, Elsevier, Scielo and Lilacs. Conclusions: The Anthropometric Parameters predicted the existence of three or more cardiovascular risk factors, both for adult men and adult women (elevated lipid profile, diabetes mellitus, arterial hypertension, smoking, among others).
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Efficacy of early extubation vs. conventional intubation in reducing the hospital stay of older adults undergoing cardiac surgery
(Universidad Privada Norbert Wiener, 1905-07-09) Cruzado Garay, Liliana Margot; Espinoza Ramirez, Rosa Guadalupe; Gómez Gonzales, Walter Edgar
Objective: To establish the effectiveness of early extubation vs. conventional extubation in reducing the hospital stay of older adults undergoing cardiac surgery. Materials and Methods: The systematic bibliographic review is Observational and retrospective in Spanish, with a history of no more than 5 years, the search has been restricted to full-text articles and which have been selected through critical reading. Results: In the final selection, 10 articles were chosen, 10% being Chile and 90% of other Latin American countries, no attempt was made to calculate the sample sizes required to determine if the mortality rates and major morbidities after cardiac surgery They change depending on the moment chosen to perform the extubation. 30% are Quasi-experimental studies, another 30% are Random Studies applying conventional extubation with early extubation and prospective studies of the study criteria considering risk factors and patient age in search of evaluating the morbidity and mortality of the patients. patients undergoing cardiac surgery. Conclusions: It was evident in scientific research and systematic reviews of the different types of randomized, quasi-randomized and prospective studies that consider Early Extubation effective in cardiac surgery patients, which reduces the risk of infection and the hospital stay of the post-surgery patient. cardiac surgery, therefore, reduces institutional costs. In addition, the nurse plays important roles in standardizing the care of the intubated patient through timely care in the patency of secretions, position of the patient, well-being and maintenance of the physical and mental comfort of the patient undergoing cardiac surgery.
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Knowledge about healthy eating and nutritional status of the patient undergoing hemodialysis at the Cayetano Heredia hospital, Lima – 2021
(Universidad Privada Norbert Wiener, 2021-10-17) Solis Roman, Iris Rocio; Cárdenas de Fernández, María Hilda
Chronic kidney disease is one of the most rapidly increasing non-communicable pathologies in the world and is already considered a public health problem due to the complications and impacts it causes and which is closely linked to poor diet and nutrition as a result of a series of factors in which the lack of knowledge is indicated. Objective: Establish the relationship between knowledge about healthy eating and the nutritional status of patients undergoing hemodialysis at the Cayetano Heredia hospital, Lima - 2021. Methods: the research is quantitative, non-experimental, descriptive, correlational and transectional. A non-probabilistic sample will be taken for convenience or intentionally from 80 patients who are receiving hemodialysis treatment, 3 times a week for 3 to 4 hours a day in the Hemodialysis area of the Cayetano Heredia Hospital. Through the survey, a validated and reliable instrument will be applied to determine the level of knowledge and through documentary analysis of the medical records, the different clinical parameters of the patient's nutritional status will be taken. The data collected will be analyzed using parametric and non-parametric correlation tests such as Pearson's coefficient, Kendall's Tau B and Spearman to analyze the relationships in each of the dimensions of nutritional status.
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Relación entre alteraciones en parámetros plaquetarios y presentación de signos de alarma en pacientes infectados con dengue Hospital Regional Lambayeque, 2025
(Universidad Privada Norbert Wiener, 2025-06-22) Vilchez Salcedo, Jose Luis Emanuel; Navarrete Mejía, Pedro Javier
Esta investigación tiene como objetivo analizar la relación entre alteraciones en parámetros plaquetarios y presentación de signos de alarma en pacientes infectados con dengue del Hospital Regional Lambayeque, durante el año 2025. Este estudio tiene un enfoque cuantitativo, correlacional, no experimental, en el cual se revisarán los resultados hematológicos de pacientes que presenten un diagnóstico de dengue con signos de alarma o dengue grave. Se recolectarán los resultados de la medición de los parámetros: Recuento plaquetario (PLT), volumen plaquetario medio (VPM), ancho de distribución plaquetaria (RDW), fracción de plaquetas inmaduras (IPF) y el cociente plaquetas-células grandes (P-LCR), para la cual se utilizará una ficha de recolección identificada con un código numérico para cada paciente. Los datos recolectados serán anonimizados, almacenados y protegidos a través de contraseñas, garantizando la seguridad de los pacientes. Los resultados serán analizados a través de regresión lineal simple con un intervalo de confianza del 95%. Esta investigación será de utilidad para combatir la problemática del dengue en la región de Lambayeque, y en todo el país, ya que podría llevar a obtener un método sencillo, asequible y rápido que permita predecir y tratar oportunamente los casos de dengue con signos de alarma y dengue grave.
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Revisión crítica: efectos de la suplementación con canela (Cinnamomum spp) sobre los parámetros de control en pacientes con diabetes tipo 2
(Universidad Privada Norbert Wiener, 2024-04-10) Torres Calderón, Cintia; Bohórquez Medina, Andrea Lisbet
Una adecuada intervención nutricional contribuye a la mejora de esta enfermedad metabólica. Actualmente existe evidencia científica de que la canela se puede utilizar como suplemento dietético en conjunto con medicamentos apropiados y cambios en los hábitos de vida pueden ayudar a controlar la diabetes. La presente investigación secundaria titulada como revisión crítica: EFECTOS DE LA SUPLEMENTACIÓN DE CANELA (Cinnamomum spp) SOBRE LOS PARÁMETROS DE CONTROL EN PACIENTE CON DIABETES TIPO 2, el objetivo fue determinar los beneficios de la suplementación de canela en pacientes con diabetes tipo 2. La pregunta clínica fue: ¿Los suplementos de canela mejorará los parámetros de control (glucosa, hemoglobina glicosilada, resistencia a la insulina y lípidos) en adultos diagnosticados con diabetes tipo 2?. Para ello se utilizó un enfoque de nutrición basado en evidencias (NuBE). Se realizaron búsquedas en base datos como SCOPUS, EMBASE, PUBMED, SCIENCE DIRECT, SCIELO y se encontraron un total de 88 artículos de las cuales se seleccionaron y evaluaron 19 mediante la herramienta de lectura crítica CASPE, entre ellas se eligió “Eficacia de la suplementación con canela sobre el metabolismo de los glucolípidos en diabetes tipo 2: Metanálisis y revisión sistemática” el cual posee un nivel de evidencia AI y Grado de Recomendación Fuerte.