Examinando por Materia "Time-to-Treatment"
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Ítem Acceso abierto Effectiveness of early administration of antibiotic therapy to decrease mortality in patients with severe sepsis in emergency.(Universidad Privada Norbert Wiener, 2021-03-07) Causillas Acevedo, Fraxides; Medina Julon, Luz Anita; Uturunco Vera, Milagros LizbethIntroduction: According to the World Health Organization (WHO), approximately 31 million people suffer from an episode of sepsis each year. Of these, approximately 6 million people die from sepsis. In low- and middle-income countries, the burden of sepsis is higher and represents one of the main causes of maternal and neonatal death. (5) In Peru, there are no systematized national epidemiological data on morbidity and mortality associated with sepsis. In primary studies carried out in different hospitals in Peru, it was determined that the mortality rate associated with sepsis varies from 25.3% to 40%, increasing according to the risk factors associated with each population studied.(6)Ítem Acceso abierto Efficiency of descending conductivity and ultrafiltration profiles in renal patients(Universidad Privada Norbert Wiener, 1905-07-09) Medina Rujel, Blanca Esmidia; Casanotán Ayay, Nadia Bernabita; Mendigure Fernández, JulioObjective: Systematize the available evidence on the efficiency of descending conductivity and ultrafiltration profiles in renal patients on hemodialysis. Methodology: This is a Systematic Review of 10 articles in the MEDLINE, PUBMED, LILACS, SCIELO database, whose search has been restricted to articles with full text, and the selected articles were subjected to critical reading, using the Sackett evaluation. to identify its level of evidence. Results: With the use of descending conductivity and ultrafiltration profiles, renal patients on hemodialysis have better tolerance to the treatment, their application reduces intradialytic complications such as hypotension, cramps, nausea, vomiting and headaches, and also allows the patient to complete in a stable manner. its treatment time and helps it maintain an adequate dry weight since it is possible to sequester all the accumulated volume. All of this leads to the patient reaching their ideal dialysis dose goal, making hemodialysis a safe and effective treatment that benefits their quality of life. Conclusion: In light of the evidence, the effectiveness of descending conductivity and ultrafiltration profiles in improving the care of renal patients is concluded by verifying that they reduce intradialytic complications, help maintain the patient's dry weight and improve morbidity and mortality rates. in hemodialysis treatment, improving their quality of life.Ítem Acceso abierto Factors associated with peritonitis in patients at the peritoneal dialysis unit Hospital Guillermo Almenara Essalud, Lima, 2020(Universidad Privada Norbert Wiener, 2020-12-06) Sanabria Bazán, Esmeralda Lita; Mori Castro, Jaime AlbertoGeneral Objective: To analyze the factors associated with peritonitis in patients in the Peritoneal Dialysis Unit of the Guillermo Almenara Essalud Hospital. Material, Methods: Quantitative approach, non-experimental correlational methodological design, cross-sectional. Simple random probability sampling. Population: Population 242 patients, period January - December 2019. Inclusion criterion over 18 years of age, exclusion criterion under 18 years of age. Conceptual definition of the main variable factors associated with peritonitis: Risk factors such as diabetes, race, obesity, climates, nose infections and stress. Cloudy peritoneal fluids assumed to be peritonitis, due to inflammation of the peritoneum due to the entry of microorganisms into the peritoneal cavity, through intraluminal, transmural and hematogenous routes. Operational definition of the main variable factors associated with peritonitis: Response obtained by instrument Sociodemographic Variables: Age, Sex, Education, person responsible for care, origin. Clinics: Treatment time, Disease causing chronic renal failure, Therapy modality: CAPD and DPA, Related to the occurrence of Peritonitis: Causal Germ, Number of episodes. Data collection technique You will use a data collection form, you will use SPSS 25 for analysis, preparation of tables and graphs. Statistical analysis methods You will apply descriptive statistics, frequency tables for sociodemographic data, and measures of central tendency.Ítem Acceso abierto Factors associated with peritonitis in patients with peritoneal dialysis(Universidad Privada Norbert Wiener, 1905-07-09) Tinoco Vargas, Yanina Sadit; Yupanqui Valladares, Bianca Ivanoa; Remuzgo Artezano, AnikaObjective: Systematize the evidence on the factors associated with peritonitis in patients with peritoneal dialysis. Materials and Methods: Observational and retrospective systematic review, consisting of 10 articles that synthesize 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, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading. using the grade system to assign the strength of recommendation. Results: In the final selection of 10 articles, we found that 30% correspond to China, and 10% (01) Colombia, Turkey, Ukraine, Istanbul, Brazil, Spain and Australia They have been studied in mostly Cohort studies at 60%, mainly in the countries of China(03), Colombia, Spain and Ukraine; and 30% Cases and controls belonging to Türkiye, Taiwan and Australia; finally 10% cross-sectional study corresponding to Brazil. Where of the total number of articles analyzed, 50% affirm that hypoalbuminemia is a factor associated with peritonitis in patients with peritoneal dialysis. Conclusions: It was evident in the reviewed research that hypoalbuminemia, advanced age and treatment time are the factors associated with peritonitis in peritoneal dialysis.
