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https://purl.org/pe-repo/ocde/ford#3.03.03
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ODS 3: Salud y bienestar. Garantizar una vida sana y promover el bienestar de todos a todas las edades
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surgical processes » surgical procedures (Expander búsqueda), judicial processes (Expander búsqueda), chemical processes (Expander búsqueda)
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1
artículo
Publicado 2013
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Efficiency evaluation is a useful tool for making right decisions at health care institutions. This includes knowing the variability and reliability of registered medical and surgical procedures times. Objectives: To determine variability and confidence of registered cesarean deliveries surgical processes times. Design: Cross-sectional study. Institution: Clinica Centenario Peruano Japonesa. Participants: Patients’ cesarean deliveries registries. Interventions: Medical and surgical times data were obtained from the surgical registry and clinical records' registry, 2011. Main outcome measures: Dispersion measures of all indicators and intraclass correlation coefficients (ICCs) from the studied registries. Results: Operating room patient transfer time showed the greatest variability and the ICCs between studied registries for starting and ending time of cesarean delivery were 0.902 and 0...
2
tesis de grado
Publicado 2018
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El presente estudio tiene como objetivo determinar la influencia de los métodos de procesamiento y control de esterilización en la prevención de los factores de riesgo de complicaciones de la herida quirúrgica post Cesárea Hospital María Auxiliadora 2017. Como variables se menciona los Métodos de Control proceso esterilización que se dividió en dimensiones tales como la limpieza, el empaque, el proceso de esterilización y el almacenaje y distribución, también como variable se presenta la prevención de complicaciones de la herida quirúrgica post cesárea con dimensiones como lo relacionado al huésped y lo relacionado con la intervención. Luego de la recolección de datos serán procesados utilizando para ello el programa estadístico Excel y el paquete estadístico SPSS 23.0.
3
artículo
A crucial point in the management of pelvic inflammatory disease (PID) is to determine the most appropriate treatment for each case. Usually the initial management is outpatient. But depending of the severity hospitalization might be required. Taking into account the polimicrobial nature of this entity, antibiotic therapy will be broad spectrum and the election will be directed to the most frequent microbes. Treatment should not only be directed to the acute process eradication but to the prevention of its complications, such as chronic pelvic pain, infertility and ectopic pregnancy, which can be avoided or minimized if a precocious, aggressive and broad coverage is done. The most severe forms of pelvic inflammatory disease presentation are tubo-ovarian abscess and pelvic abscess. Treatment of these pathologies has varied on time from a very radical conduct in the pre-antibiotic era to a...
4
artículo
A crucial point in the management of pelvic inflammatory disease (PID) is to determine the most appropriate treatment for each case. Usually the initial management is outpatient. But depending of the severity hospitalization might be required. Taking into account the polimicrobial nature of this entity, antibiotic therapy will be broad spectrum and the election will be directed to the most frequent microbes. Treatment should not only be directed to the acute process eradication but to the prevention of its complications, such as chronic pelvic pain, infertility and ectopic pregnancy, which can be avoided or minimized if a precocious, aggressive and broad coverage is done. The most severe forms of pelvic inflammatory disease presentation are tubo-ovarian abscess and pelvic abscess. Treatment of these pathologies has varied on time from a very radical conduct in the pre-antibiotic era to a...
5
artículo
Publicado 2025
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Soft tissue sarcoma (STS) is a group of highly heterogeneous tumors of mesenchymal origin that have variable primary site locations and clinical behavior. Despite the broad diversity of STS, the standard of care involves surgical resection with or without radiation therapy (RT) to control local recurrence and systemic treatment in select cases. The complexities of STS require a critical understanding of the preoperative work-up process, surgical treatment, and postoperative management. Advanced imaging plays a vital role in the characterization of the soft tissue mass, preoperative biopsy planning, and disease staging. Surgical treatment prioritizes wide resection with negative margins, supported by newer margin classification systems for better prognosis. Further, advancements in surgical technique have enabled limb-salvage surgery to largely replace amputation in the management of thes...
6
artículo
Publicado 2018
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Education through the use of simulators has become a method for teaching and assessment that provides systematic training to participants with the aim of improving patient safety. Simulators were initially used for the training of aviation pilots. The first simulators portrayed some patients’ conditions, then they incorporated heart and respiratory sounds, and were used for training in certain emergencies. Currently, simulators contain various third and fourth generation computerized systems that include tactile, auditory and visual sensation, and are used in initial tests and in formative evaluation processes. Their main feature is the development of competencies through an increase in difficulty and subsequent feedback to identify the impact of the experience and improve performance. Simulation can be incorporated in the development of a course or within a curriculum and its inclusio...
7
artículo
Publicado 2020
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The present case is about a 25-year-old male patient, with no relevant medical history, who attended the SERODU dental clinic. On clinical examination, it is observed that the patient presents sensitivity when making a light tapping of the lateral wall of the left maxillary sinus externally on the cheekbones and intraoral palpation on the lateral surface of the maxilla between the canine and zygomatic fossa. In the tomographic study, a hypodense image compatible with an infectious process and a hyperdense image related to a root remnant belonging to a dental organ No. 2.6 is observed. The objective of this study is to describe the clinical case of a patient with sinusitis of odontogenic origin due to displacement of a radicular remainder towards the left maxillary sinus, in which clinical and surgical procedures were performed through trepanation in the post maxilla, which obtained gre...
8
artículo
Publicado 2023
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Objective: To describe and analyze the connotations on the vulnerability of the physical intimacy of the surgical patient, from the nursing perspective. Method: Qualitative research, with descriptive approach. The subjects of the study were 6 nursing professionals from the Surgical Center of a public hospital in Lambayeque, the sample achieved by saturation had non-probabilistic and convenience sampling. The data collection used a semi-structured interview with virtual modality, validated by expert judgment and pilot study. The data were processed by content analysis. The ethical principles and criteria of scientific rigor were taken into account in the development of the research. Main results: Three categories were obtained: 1) Unavoidable bodily nudity due to surgical intervention. 2) Uncomfortable reactions due to nudity in the act of preparing the surgical area and 3) Situations of ...
9
tesis de grado
Publicado 2024
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This paper seeks to implement a soft robotic solution for guiding endoscopic cameras. These soft robots are constructed using pliable materials, granting them the ability to conform to irregular contours and dynamic environments. This intrinsic flexibility renders them particularly adept at navigating through constrained spaces within the human body during minimally invasive procedures. Presently, the manipulation of endoscopes can lead to inadvertent injuries due to the challenges posed by their maneuverability. In response, a novel approach has been proposed: employing a soft robot to guide the endoscopic camera during surgical interventions. To achieve this, the design methodologies of VDI 2225 and VDI 2206 were incorporated, ensuring a systematic and robust development process. Central to this implementation isthe integration of a movement control system, synergistically functioning ...
10
artículo
Publicado 2023
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Background: Periodontitis is potentially harmful in the perioperative period due to biofilm generating a environment for bacteria to spread and colonize other anatomical areas, which can generate a potential risk of infection, delayed healing, increased morbidity, and even induce avulsion in intubated patients, and subsequent aspiration or ingestion of teeth with increased mobility. Objective: Associate the presence of periodontitis and postoperative complications in patients who underwent an in-hospital medical surgical procedure. Methods: A systematic review based on studies extracted from PubMed and Scopus was carried out on June 10, 2020, based on the Population, Intervention, Comparison and Result search strategy. As inclusion criteria, the studies had to include all the disaggregated terms of the research question, have a publication date of less than 15 years, and the target popul...
11
artículo
Publicado 2021
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The present case concerns a 22-year-old male patient with no relevant medical history who attended the SERODU dental clinic requesting the exodontics of his lower third molars. The clinical examination shows no pain to percussion, presents discomfort in the region of the third molars at the level of the gum versus palpation. In the radiographic and tomographic examination, dental organ 37 in transverse position, 38 inverted and 48 included are identified. The treatment of choice was to perform the complex extraction of the dental organs and after that, place fibrin-rich plasma in the alveolus of organ 48 and fibrin-rich plasma with xenograft in the contralateral alveolus. Clinical and radiographic controls were performed every 30 days to demonstrate the efficacy of the use of plasma rich in fibrin and xenograft in the quality of bone regeneration and its prognosis after extraction. I...
12
artículo
Publicado 2023
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The effect of two surgical field antisepsis protocols on the reduction of the number of skin bacteria in bovines subjected to field reproductive surgeries was determined. Samples were taken before (M1), and after antisepsis (M2) and at the end of the surgical procedure (M3) in 12 crossbred bovines aged 12 to 24 months. Trichotomy of the operating field was performed prior to the two antisepsis protocols: 7.5% povidone-iodine and 2% Chlorhexidine Gluconate (both with 3-min contact time and 2-min contact clearance with isopropyl alcohol) and later embrocation with 1% povidone-iodine solution and 0.5% chlorhexidine solution, respectively. The skin swabs were processed by the count technique of colony forming units (CFU/ml). The bacterial load of the two protocols was analysed with the Mann-Whitney-Wilcoxon test for independent samples, without finding significant differences between protoco...
13
artículo
Publicado 2019
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Surgical Engineering Society realizó una investigación, la primera revisión como pioneros en LATAM, desde el año 2015, que desarrolla el tema de las últimas tecnologías de robótica médica creadas en América del Norte, Europa y Asia, que se importan para aplicarlas en el sistema de salud de Perú y América Latina Los sistemas robóticos para cirugía, rehabilitación y asistencia se presentan cubriendo la descripción del diseño del control y las especificaciones técnicas. Además, el manejo del paciente mediante robots se analiza con herramientas de diagnóstico, pronóstico y tratamiento. El proceso para evaluar los nuevos inventos de los dispositivos robóticos y llevarlo al mercado se introduce donde en las tres etapas que se muestran a continuación: innovación, asuntos regulatorios y aplicación biomédica. Además, hay un alto porcentaje de población con discapacidad ...
14
artículo
Publicado 2019
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Surgical Engineering Society conducted a research, the First Review as the pioneers in LATAM, since year 2015, which develops the topic of the latest Medical Robotics technologies created in North América, Europe and Asia, which are imported to apply in the Healthcare System of Peru and Latin America. The robotic systems for surgery, rehabilitation and assistance are presented covering the description of control design and technical specifications. Besides, the patient management using robots is analyzed with diagnosis, prognosis and treatment tools. The process to evaluate the new inventions of robotic devices and bring to the market is introduced where three stages are shown as the following: innovation, regulatory affairs and biomedical application. Moreover, there is a high percentage of population with disability in Latin America, therefore, it is necessary that more biomedical sci...
15
tesis de grado
Publicado 2021
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El presente proyecto de investigación tiene como objetivo principal el de determinar la viabilidad técnica, social, económica y financiera de la instalación de una clínica dirigida exclusivamente a la ejecución de cirugías ambulatorias en el área de Lima metropolitana. La investigación utilizará las herramientas y metodologías necesarias para obtener los indicadores relevantes que permitan cuantificar la viabilidad del proyecto. En el Perú, muchas veces es necesario que un paciente pase por un prolongado proceso para poder conseguir internarse en un hospital o clínica con el propósito de ser intervenido quirúrgicamente. Estas intervenciones son, en considerables cantidades, intervenciones de carácter menor y ambulatorio, en las cuales el paciente es intervenido y dado de alta el mismo día. El servicio de una clínica ambulatoria mejora la calidad de salud de los potencia...
16
artículo
Publicado 2022
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Introduction: Acute appendicitis is the most frequent pathology in surgical emergency. The timeliness and effectiveness of the diagnosis is a parameter for evaluating the quality of care. Objective: To determine the concordance between clinical, surgical and pathological diagnoses in patients with acute appendicitis, “José Casimiro Ulloa” Emergency Hospital, Lima - Peru, 2018. Materials and methods: Observational, cross-sectional, retrospective, analytical study. Medical records of 222 patients diagnosed with acute appendicitis in 2018 were reviewed. Sample calculation with known population (1200), probability sampling. Patients> 18 years of age diagnosed with acute appendicitis, who had undergone surgery, had a pathological study, excluding pregnant women and patients with comorbidities. Data were processed and analyzed with SPSS v.25, descriptive statistics and kappa coefficien...
17
tesis de grado
Publicado 2025
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Objetivo: determinar el nivel de conocimiento sobre seguridad del paciente en enfermeras del Centro Quirúrgico del Hospital Regional de Huacho, 2025. Materiales y métodos: un estudio de enfoque cuantitativo, diseño no experimental, transversal, de alcance descriptivo; con una muestra representada por 52 enfermeras(os) del área quirúrgica; la información será recogida utilizando un cuestionario validado. Resultados: los datos serán procesados utilizando el software estadístico SPSS versión 26. Se aplicará estadística descriptiva para analizar las frecuencias absolutas y relativas (porcentajes) de cada nivel de conocimiento (alto, medio o bajo), tanto a nivel general como por dimensión. Los resultados se presentarán en tablas y gráficos que permitirán visualizar el comportamiento de la variable en estudio. Conclusión: los niveles de conocimiento identificados servirán com...
18
tesis de grado
Publicado 2019
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La columna vertebral posee tres características fundamentales que permiten una correcta funcionabilidad; dotar de rigidez para soportar cargas, proteger las estructuras del sistema nervioso central y otorgar una adecuada movilidad y flexibilidad para los principales movimientos del tronco. Si se produce una alteración en cualquiera de los elementos que forman la unidad funcional de la columna vertebral, puede aparecer dolor y es fácil que las posturas y movimientos efectuados en las actividades de la vida diaria y en las actividades deportivas empiecen a actuar de manera perjudicial. Entre un 60 y 80% de la población general sufre de dolor lumbar en algún momento de su vida. La mayoría de estos individuos se recuperan antes de transcurridas las 6 semanas, pero entre un 5 y 15% no responden al tratamiento y tienen una incapacidad continuada. La cirugía tiene claramente su lugar en ...
19
artículo
Publicado 2025
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Objetivo. Describir el proceso de implementación de una base de datos para cirugía cardíaca en pacientes con cardiopatías congénitas en el Instituto Nacional Cardiovascular (INCOR) en Perú, adaptada a la nomenclatura estandarizada de la Society of Thoracic Surgeons y presentar los resultados clínicoquirúrgicos en morbilidad y mortalidad, en el marco de una atención multidisciplinaria integral. Materiales y métodos. Estudio observacional, prospectivo desarrollado en tres fases: viabilidad, construcción de la base de datos y recopilación prospectiva. Se adaptaron variables al contexto institucional; el proceso incluyó prueba piloto, planificación estratégica, capacitación multidisciplinaria, asignación de roles, monitoreo y análisis estadístico periódico. Resultados. Se registraron 500 pacientes consecutivos entre mayo de 2022 y julio de 2023. Los defectos septales fuer...
20
tesis de grado
La articulación temporo mandibular o complejo articular cráneo mandibular, está situada delante de los oídos y es una de las articulaciones más complejas del cuerpo, clasificada como ginglimoartroidal o diartrosis bicondílea. Está compuesta por un conjunto de estructuras anatómicas que, con la ayuda de grupos musculares específicos, permiten a la mandíbula ejecutar variados movimientos asociados a la función masticatoria como apertura, cierre, protrusión, retrusión y lateralidad. Esta articulación puede ser afectada por alteraciones que comprometan su morfología y fisiología normal, la etiología puede ser diversa debido a procesos inflamatorios, traumáticos, neoplásicos, mal formativos, infecciosos, degenerativos y disfuncionales. La patología de la ATM, es compleja y compete a diversas especialidades médicas y odontológicas involucradas en su manejo. Una de estas p...
