Campus Azogues
URI permanente para esta comunidadhttps://dspace.ucacue.edu.ec/handle/ucacue/77
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Examinando Campus Azogues por Asesores "Medina Arias, Anita Lorena"
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Ítem Acceso Abierto Eficacia del Arnés de Pavlik versus Férula Milgram en el tratamiento de displasia del desarrollo de cadera en lactantes de 1 mes a 12 meses de edad: revisión sistemática(Universidad Católica de Cuenca., 2025) Alvarez Zari, Daniel Alexander; Medina Arias, Anita Lorena; 0106786056Background: Developmental hip dysplasia (DHD) is the most common hip disorder in pediatric orthopedics. Its complications or sequelae include dysplasia, osteonecrosis, and osteoarthritis. Various treatments exist, including the Pavlik Harness and the Milgram Splint. Objective: To establish the effectiveness of the Pavlik Harness versus the Milgram Splint in the treatment of hip dysplasia in infants. Methods: Systematic review was conducted in the databases PubMed, Science Direct, and SciELO, among others, through documents in English and Spanish, using keywords, such as dysplasia, hip, infants, Pavlik Harness, Milgram Splint. Results: After reviewing a total of six articles, it was found that developmental hip dysplasia is a high-complexity perinatal bone condition. A commonly used procedure is the Pavlik Harness, indicated as a first-line treatment for children with DHD due to its high efficacy. Insufficient studies confirm the effectiveness of the Milgram Splint. The use of the Pavlik Harness yields proven results regarding its efficacy. Conclusions: The Pavlik Harness is the first-line treatment for children with early diagnosis of DHD due to its high effectiveness. There is insufficient documentary evidence to support the level of efficacy of the Milgram Splint. Keywords: dysplasia, hip, infants, Pavlik Harness, Milgram SplintÍtem Acceso Abierto Factores de riesgo de la somnolencia diurna excesiva en estudiantes de educación secundaria y superior. Revisión sistemática(Universidad Católica de Cuenca., 2024) Carrión Aguilar, Melissa Gissel; Medina Arias, Anita Lorena; 0750407967Title: Risk Factors for Excessive Daytime Sleepiness in Secondary and Higher Education Students. A Systematic Review Objective: To identify risk factors associated with excessive daytime sleepiness in high school and higher education students. Methodology: This systematic review included peer-reviewed studies on the topic published in the last five years in English or Spanish. Exclusion criteria included studies that did not specifically address the topic, non-peer-reviewed publications, and studies with populations other than students. Databases used for this review included Springer Link, Taylor & Francis, Elsevier, SciELO, Wiley Online Library, PubMed, and Google Scholar, focusing on studies from the past five years. The risk of bias was assessed using the NHLBI tool for observational studies, emphasizing the clarity of the research question. Results were synthesized quantitatively using odds ratios and correlation coefficients. Results: Excessive daytime sleepiness was significantly associated with poor sleep quality, electronic device use before sleep, academic stress, and substance use, negatively impacting academic performance and emotional well-being. Discussion: Evidence from multiple studies indicates that daytime sleepiness in students is linked to factors such as poor sleep quality, electronic device use, academic stress, and substance use. Conclusions and Relevance: Daytime sleepiness in students is influenced by multiple factors that affect their academic performance and well-being. Health and education professionals are encouraged to implement interventions that improve sleep quality and manage academic stress. Keywords: sleep quality, students, associated factors, systematic review, daytime sleepiness
