Examinando por Materia "Upper Extremity"

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Acceso abierto
Effectiveness of peripherally inserted central catheter in lower limbs compared to insertion in upper limbs for reducing mechanical complications and infection in neonates in intensive care
(Universidad Privada Norbert Wiener, 2020-02-08) Catanaima Ramírez, Yumaris Valentina; Avila Vargas Machuca, Jeannette Giselle
Objective: Systematize the evidence on the effectiveness of the PICC in MS compared to insertion in MI in reducing complications in neonates hospitalized in the NICU. Method: The Systematic Review design was used, the search was limited to articles with full text, submitted to a critical reading, using Jover's evaluation to identify its level of evidence. Results: 10 articles were selected corresponding to China 20%, Canada 30%, Australia 10%, Sweden 10% and USA 30% comparatively. 40% of the studies stated that they did not find significant differences in complications that require removal of the PICC, 40% stated that the non-central position is a risk factor for complications and elimination, the tendency for which increases in MS, and 20% stated that the PICC placement in MI is associated with significantly increased risk of complications. Conclusions: Of the 10 articles systematically reviewed, 6/10 showed mechanical complications and infection depending on the insertion site, adding that the location center of the PICC tip can have a significant impact on complications. Only 4/10 articles did not find any difference in complications according to the insertion zone. Recommendations: Greater knowledge about the types of PICC complications according to insertion site: MS or MI, can help focus location-based prevention and surveillance efforts to improve safety and minimize PICC complications in patients. patient in the NICU.
Acceso abierto
Sobrecarga del cuidador y funcionalidad de la extremidad superior en niños con parálisis cerebral que asisten al Instituto Nacional de Salud del Niño de San Borja – Lima, 2024
(Universidad Privada Norbert Wiener, 2025-05-07) Córdova Chávez, Anya Marlyn; Melgarejo Valverde, José Antonio
La parálisis cerebral puede conllevar a diversos grados de limitación funcional en el niño, por lo que se requiere que alguien le preste asistencia de manera frecuente, a fin de que cumpla con sus actividades diarias, este rol es generalmente asumido por la madre quien, al no recibir remuneración alguna, recibe el nombre de cuidador primario informal. Es el cuidador primario informal quien asume la responsabilidad de la salud del niño, esto genera situaciones de desgaste físico y mental, que, al verse acumulados, terminan generando signos y síntomas que afectan su salud y su calidad de vida y por consecuente del niño a su lado.