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Estudios Clínicos

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https://www.readbyqxmd.com/read/28032871/debate-multidisciplinar-de-expertos-asma-no-controlada-causas-consecuencias-y-posibles-soluciones
#1
V Plaza Moral, T Carrillo, J Delgado, L M Entrenas, E Martinez Moragón, J M Olaguibel, L Pérez de Llano, M Perpiñá, J Sastre, A Valero, S Quirce
  Fundamento. Numerosos estudios constatan que aproximadamente la mitad de la población asmática no está bien controlada. El objetivo de este trabajo fue analizar entre expertos las causas, consecuencias y las posibles soluciones del asma no controlada (ANC).  Material y métodos. Debate entre expertos en asma de las especialidades de Neumología, Alergología y Atención Primaria, estructurado en tres fases 1) Cuestionario para pulsar la opinión de los participantes en los diferentes elementos implicados del ANC; 2) Reunión presencial de los expertos, en la que se discutieron los resultados de la encuesta y se presentaron y debatieron ponencias sobre el diagnóstico, tratamiento y seguimiento del ANC; 3) Formulación de 83 ítems que fueron sometidos a consenso entre todos los participantes mediante el método Delphi...
November 21, 2016: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/27992027/music-listening-for-anxiety-relief-in-children-in-the-preoperative-period-a-randomized-clinical-trial
#2
Mariana André Honorato Franzoi, Cristina Bretas Goulart, Elizabete Oliveira Lara, Gisele Martins
Objective: to investigate the effects of music listening, for 15 minutes, on the preoperative anxiety levels in children undergoing elective surgery in comparison with conventional pediatric surgical care. Method: randomized controlled clinical trial pilot study with 52 children in the preoperative period, aged 3 to 12 years, undergoing elective surgery and randomly allocated in the experimental group (n = 26) and control group (n = 26). Anxiety was assessed in both groups by the application of the modified Yale Preoperative Anxiety Scale and measurement of the physiological variables, upon arrival and 15 minutes after the first measurement...
December 19, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27982310/correlation-between-classification-in-risk-categories-and-clinical-aspects-and-outcomes
#3
Gabriella Novelli Oliveira, Cássia Regina Vancini-Campanharo, Maria Carolina Barbosa Teixeira Lopes, Dulce Aparecida Barbosa, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista
Objective: to correlate classification in risk categories with the clinical profiles, outcomes and origins of patients. Method: analytical cross-sectional study conducted with 697 medical forms of adult patients. The variables included: age, sex, origin, signs and symptoms, exams, personal antecedents, classification in risk categories, medical specialties, and outcome. The Chi-square and likelihood ratio tests were used to associate classifications in risk categories with origin, signs and symptoms, exams, personal antecedents, medical specialty, and outcome...
December 8, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27982306/epinephrine-in-cardiac-arrest-systematic-review-and-meta-analysis
#4
Ignacio Morales-Cané, María Del Rocío Valverde-León, María Aurora Rodríguez-Borrego
Objective: evaluate the effectiveness of epinephrine used during cardiac arrest and its effect on the survival rates and neurological condition. Method: systematic review of scientific literature with meta-analysis, using a random effects model. The following databases were used to research clinical trials and observational studies: Medline, Embase and Cochrane, from 2005 to 2015. Results: when the Return of Spontaneous Circulation (ROSC) with administration of epinephrine was compared with ROSC without administration, increased rates were found with administration (OR 2...
December 8, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27901219/massage-and-reiki-used-to-reduce-stress-and-anxiety-randomized-clinical-trial
#5
Leonice Fumiko Sato Kurebayashi, Ruth Natalia Teresa Turrini, Talita Pavarini Borges de Souza, Raymond Sehiji Takiguchi, Gisele Kuba, Marisa Toshi Nagumo
Objective: to evaluate the effectiveness of massage and reiki in the reduction of stress and anxiety in clients at the Institute for Integrated and Oriental Therapy in Sao Paulo (Brazil). Method: clinical tests randomly done in parallel with an initial sample of 122 people divided into three groups: Massage + Rest (G1), Massage + Reiki (G2) and a Control group without intervention (G3). The Stress Systems list and the Trace State Anxiety Inventory were used to evaluate the groups at the start and after 8 sessions (1 month), during 2015...
November 28, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27878224/potential-drug-interactions-in-patients-given-antiretroviral-therapy
#6
Wendel Mombaque Dos Santos, Silvia Regina Secoli, Stela Maris de Mello Padoin
Objective: to investigate potential drug-drug interactions (PDDI) in patients with HIV infection on antiretroviral therapy. Methods: a cross-sectional study was conducted on 161 adults with HIV infection. Clinical, socio demographic, and antiretroviral treatment data were collected. To analyze the potential drug interactions, we used the software Micromedex(r). Statistical analysis was performed by binary logistic regression, with a p-value of ≤0.05 considered statistically significant...
November 21, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27759994/efectividad-de-la-suplementaci%C3%A3-n-de-calcio-en-la-dismunici%C3%A3-n-de-grasa-corporal-en-personas-obesas-un-overviewde-revisiones-sistem%C3%A3-ticas
#7
Raúl Aguilera Eguía, Paula Jessica Jorquera Pino, Claudia Jaqueline Salgado, Cherie Flores
Introducción: actualmente la obesidad es considerada un problema de salud pública, y en la mayor parte de los países ha evolucionado como una pandemia, presentando un incremento en su prevalencia y severidad.Objetivo:resumir las revisiones sistemáticas Cochrane y no Cochrane que evalúen el efecto de la suplementación de calcio en la disminución de grasa corporal en personas obesas.Materiales y métodos: se realizó una búsqueda en la base de datos Medline (1980-septiembre 2015), Metabuscador TripDatabase y Epistemonikos (hasta septiembre 2015), Cochrane BVS (hasta septiembre 2015), se buscó de forma manual en revistas relacionadas con el tema de interés, en actas de congresos, se realizó seguimiento de referencias relevantes y se contactó con expertos en el área...
September 20, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27695684/chronic-respiratory-disease-in-adults-treated-for-tuberculosis-in-khartoum-sudan
#8
R K Osman, K Mortimer, G Bjune, A I El Sony
Background: Chronic respiratory disease (CRD) causes substantial morbidity and mortality. Although the global CRD epidemic collides with the tuberculosis (TB) epidemic in many low- and middle-income country settings, the risk of TB-associated CRD is not well described in countries with a high burden of TB. Methods: We recruited 136 patients with a history of sputum smear-positive pulmonary TB (PTB) from the TB clinic at Omdurman Teaching Hospital in Khartoum, Sudan, and 136 age- and sex-matched community controls, between 28 July 2013 and 30 December 2013...
September 2016: Public Health Action
https://www.readbyqxmd.com/read/27627124/factors-associated-to-clinical-learning-in-nursing-students-in-primary-health-care-an-analytical-cross-sectional-study
#9
Pilar Serrano-Gallardo, Mercedes Martínez-Marcos, Flora Espejo-Matorrales, Tiemi Arakawa, Gabriela Tavares Magnabosco, Ione Carvalho Pinto
OBJECTIVE: to identify the students' perception about the quality of clinical placements and asses the influence of the different tutoring processes in clinical learning. METHODS: analytical cross-sectional study on second and third year nursing students (n=122) about clinical learning in primary health care. The Clinical Placement Evaluation Tool and a synthetic index of attitudes and skills were computed to give scores to the clinical learning (scale 0-10). Univariate, bivariate and multivariate (multiple linear regression) analyses were performed...
September 9, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27627122/strengths-of-primary-healthcare-regarding-care-provided-for-chronic-kidney-disease
#10
Elaine Amaral de Paula, Mônica Barros Costa, Fernando Antonio Basile Colugnati, Rita Maria Rodrigues Bastos, Chislene Pereira Vanelli, Christiane Chaves Augusto Leite, Márcio Santos Caminhas, Rogério Baumgratz de Paula
OBJECTIVE: to assess the structure and results obtained by the "Chronic Renal Patients Care Program" in a Brazilian city. METHOD: epidemiological, cross-sectional study conducted in 14 PHC units and a secondary center from 2010 to 2013. The Donabedian Model was the methodological framework used. A total of 14 physicians, 13 supervisors, and 11 community health agents from primary healthcare were interviewed for the assessment of structure and process and 1,534 medical files from primary healthcare and 282 from secondary care were consulted to assess outcomes...
September 9, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27598376/critical-thinking-concept-analysis-from-the-perspective-of-rodger-s-evolutionary-method-of-concept-analysis
#11
Fábio da Costa Carbogim, Larissa Bertacchini de Oliveira, Vilanice Alves de Araújo Püschel
OBJECTIVE: to analyze the concept of critical thinking (CT) in Rodger's evolutionary perspective. METHOD: documentary research undertaken in the Cinahl, Lilacs, Bdenf and Dedalus databases, using the keywords of 'critical thinking' and 'Nursing', without limitation based on year of publication. The data were analyzed in accordance with the stages of Rodger's conceptual model. The following were included: books and articles in full, published in Portuguese, English or Spanish, which addressed CT in the teaching and practice of Nursing; articles which did not address aspects related to the concept of CT were excluded...
September 1, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27571868/-not-available
#12
Elena Rodríguez-Rodríguez, Paula Rodríguez-Rodríguez, Liliana Guadalupe González Rodríguez, Ana María López Sobaler
El asma es una enfermedad crónica caracterizada por una obstrucción reversible de las vías aéreas debido a una inflamación de las mismas. Existen diferentes factores que pueden favorecer este proceso, pero el papel de la dieta es especialmente importante. De esta manera, una dieta incorrecta y la situación inadecuada en algunos nutrientes produce alteraciones de la función inmunitaria y de los mecanismos de defensa antioxidante que pueden facilitar la aparición de procesos inflamatorios en el árbol bronquial...
July 12, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27571863/-not-available
#13
Antonio Fuertes García
La dieta, junto con el ejercicio físico, es el factor determinante en la prevención primaria -y secundaria- de las enfermedades cardiovasculares (ECV), que continúan siendo la principal causa de muerte tanto en nuestro país como en los de nuestro entorno. Tras la publicación de los resultados del Estudio de los Siete Países en 1980, se desaconsejó el consumo de huevos al equiparar falsamente su efecto nocivo con el de las grasas saturadas, por la creencia de que aumentaban el riesgo de padecer ECV. Esta idea, que se demostraría equivocada, fue generalmente aceptada tanto por la clase médica como por la población general...
July 12, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27571857/-not-available
#14
Aránzazu Perales-García, Isabel Estévez-Martínez, Rafael Urrialde
Introducción: la hidratación se define como el aporte de agua proveniente de alimentos y bebidas. Su estudio constituye desde hace unos años un área en sí misma dentro de la nutrición, que ha supuesto que en 2010 la European Food Safety Authority (EFSA) aprobara las recomendaciones de ingesta de agua; pero el estudio del estado de hidratación implica un elevado nivel metodológico que presenta ciertos desafíos. Objetivo: ofrecer una visión general de los principales problemas metodológicos en estudios sobre el estado de hidratación...
July 12, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27571676/-not-available
#15
Raúl Aguilera Eguía, Paula Jessica Jorquera Pino, Claudia Jaqueline Salgado, Cherie Flores
Introducción: según la Organización Mundial de la Salud, la obesidad se puede definir como una acumulación anormal o excesiva de grasa que puede ser yatrogénica para la salud.Objetivo: resumir las revisiones sistemáticas Cochrane y no Cochrane que evalúen el efecto de la suplementación de calcio para la disminución del Índice de masa corporal en personas obesas.Materiales y métodos: se realizó una búsqueda en la base de datos Medline (1980 - septiembre de 2015), Metabuscador TripDatabase y Epistemonikos (hasta septiembre de 2015), Cochrane BVS (hasta septiembre de 2015); se buscó de forma manual en revistas relacionadas con el tema de interés; se buscaron actas de congresos y se realizaron seguimientos de referencias relevantes y se contactó con expertos en el área...
July 19, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27571675/-not-available
#16
Rosa Burgos Peláez, María Cristina Cuerda Compes, Pedro P García-Luna, Ceferino Martínez Faedo, Sílvia Mauri Roca, José Manuel Moreno Villares, M Nuria Virgili Casas, Carmina Wanden-Berghe
Introducción:la nutrición parenteral (NP) a largo plazo puede asociarse a complicaciones graves, con un deterioro importante de la calidad de vida de los pacientes con síndrome de intestino corto (SIC). Teduglutida, un análogo del péptido-2 similar al glucagón, pertenece a una nueva familia terapéutica y representa el primer abordaje no sintomático del SIC. Objetivos: revisar los datos preclínicos y clínicos en cuanto a eficacia y seguridad de teduglutida. Resultados: la aprobación de teduglutida se basó en los resultados de un estudio en fase III de 24 semanas, doble ciego, controlado con placebo (STEPS)...
July 19, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27571646/-not-available
#17
Daniela Angulo, Edson Bustos, Andrés Sánchez, Salesa Barja
Introducción: la rehabilitación de la alimentación por vía oral (RVO) es compleja en pacientes que han recibido nutrición enteral (NE) prolongada. Objetivo: describir este proceso en niños con enfermedades respiratorias crónicas y sonda nasoenteral (SNE) o gastrostomía (GT).Pacientes y métodos: estudio retrospectivo con revisión de registros clínicos de niños con NE mayor a dos meses, ingresados entre 2005 y 2014 al Hospital Josefina Martínez.Resultados: Se incluyeron 116 pacientes, con mediana de edad 10 meses (Rango: 3 a 101), 56% hombres...
July 19, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27533275/cultural-adaptation-and-validation-of-the-portuguese-version-of-the-nursing-clinical-facilitators-questionnaire
#18
Maria Manuela Frederico-Ferreira, Ana Paula Forte Camarneiro, Cândida Rosalinda Exposto da Costa Loureiro, Maria Clara Amado Apóstolo Ventura
OBJECTIVE: to perform the cultural adaptation to Portuguese of the Nursing Clinical Facilitators Questionnaire (NCFQ), which was designed by the Centre for Learning and Teaching at the University of Technology of Sydney, and to validate this instrument. METHODS: this methodological study involved the cultural adaptation of the questionnaire by using translation, back-translation, semantic comparison, idiomatic and conceptual equivalence, and validation through validity and reliability analyses and used a sample of 767 students in their second year of the Nursing Program...
August 15, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27533274/nursing-diagnoses-in-patients-with-immune-bullous-dermatosis
#19
Euzeli da Silva Brandão, Iraci Dos Santos, Regina Serrão Lanzillotti, Adriano Menis Ferreira, Mônica Antar Gamba, Luna Azulay-Abulafia
OBJECTIVE: identify nursing diagnoses in patients with immune-bullous dermatosis. METHOD: a quantitative and descriptive research, carried out in three institutions located in Rio de Janeiro and Mato Grosso do Sul, Brazil, using the Client Assessment Protocol in Dermatology during a nursing consultation. Simple descriptive statistics was used for data analysis. RESULTS: 14 subjects participated in the study, nine with a diagnosis of pemphigus vulgaris, pemphigus two and three of bullous pemphigoid...
August 15, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27533272/infusion-pumps-and-red-blood-cell-damage-in-transfusion-therapy-an-integrative-revision-of-the-academic-literature
#20
Ana Maria Miranda Martins Wilson, Maria Angélica Sorgini Peterlini, Mavilde da Luz Gonçalves Pedreira
OBJECTIVES: to obtain information from scientific literature concerning infusion pumps used in administering erythrocyte (red blood cells) and to evaluate the implications in the practical use of this equipment by nurses when conducting transfusions. METHOD: an integrative revision of the following scientific databases: Pubmed/Medline, Scopus, the Virtual Library for Health, SciELO, Web of Science and Cochrane. The following descriptors were used: "infusion pumps", "blood transfusion", "transfused erythrocyte" and "hemolyis"...
August 15, 2016: Revista Latino-americana de Enfermagem
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