ABSTRACT
Objetivo: Determinar la efectividad de la acupuntura en el tratamiento de la hipogalactia y de la inflamación mamaria; mapear los puntos de aplicación y las técnicas utilizadas. Metodología: Revisión bibliográfica efectuada en las bases de datos PubMed, Cinahl, Cuiden, Scielo, Lilacs, Dialnet, Latindex, Cuidatge, WorldCat y Google Académico. Resultados: Se incluyeron 10 estudios; 7 observaron una mayor producción láctea o una prolongación en el tiempo de la lactancia; 2 evaluaron la efectividad de la acupuntura en la inflamación mamaria, y constataron un rápido alivio sintomático y un menor uso de antibióticos. No se ha encontrado unanimidad en la selección de la técnica y de los puntos para los diferentes tratamientos con acupuntura. Conclusión: La acupuntura parece ser efectiva para aumentar la producción láctea y mejorar los síntomas mamarios. Dada la falta de consenso en la selección de puntos y en las técnicas empleadas para los diferentes tratamientos con acupuntura, se requieren más estudios para poder generalizar estos tratamientos en la práctica clínica
Objective: To determine the effectiveness of acupuncture in the treatment of hypogalactia and breast inflammation; to map the application points and the techniques used. Methodology: A literature review was conducted by searching on PubMed, Cinahl, Cuiden, Scielo, Lilacs, Dialnet, Latindex, Cuidatge, WorldCat and Google Scholar. Results: A total of ten studies were included. A higher milk production or an extension in the time of lactation was observed in seven studies. The efficacy of acupuncture in the breast inflammation was evaluated in two studies and a quick relief of the symptoms and a lower use of antibiotics were observed. No agreement was found neither for the technique used nor for the acupuncture points used between the treatments. Conclusion: Acupuncture seems to be effective in increasing milk production and improving breast symptoms. The lack of consensus in the selection of points and in the techniques used for the different treatments with acupuncture means that more studies are required in order to generalize these treatments in clinical practice
Subject(s)
Humans , Acupuncture Therapy/instrumentation , Mastitis/therapy , Treatment Outcome , Lactation Disorders/therapy , Review Literature as Topic , Acupuncture Points , Prolactin/bloodABSTRACT
A large number of alarm sounds triggered by biomedical equipment occur frequently in the noisy environment of a neonatal intensive care unit (NICU) and play a key role in providing healthcare. In this paper, our work on the development of an automatic system for detection of acoustic alarms in that difficult environment is presented. Such automatic detection system is needed for the investigation of how a preterm infant reacts to auditory stimuli of the NICU environment and for an improved real-time patient monitoring. The approach presented in this paper consists of using the available knowledge about each alarm class in the design of the detection system. The information about the frequency structure is used in the feature extraction stage, and the time structure knowledge is incorporated at the post-processing stage. Several alternative methods are compared for feature extraction, modeling, and post-processing. The detection performance is evaluated with real data recorded in the NICU of the hospital, and by using both frame-level and period-level metrics. The experimental results show that the inclusion of both spectral and temporal information allows to improve the baseline detection performance by more than 60%.
ABSTRACT
OBJETIVO: cuantificar y comparar la intensidad de ruido en dos salas UCIN tras la incorporación de medidas de control del ruido efectuadas en una de ellas. MÉTODO: estudio longitudinal, observacional y prospectivo, realizado en el segundo semestre de 2014 en el Departamento de Neonatología del Hospital Sant Joan de Déu (HSJD) mediante el cual se compararon dos salas: la sala A de 70 m2 destinada a 10 RN a término y la sala B de 35 m2 para cuatro RN prematuros donde en2007 se aplicaron medidas reductoras de ruido. Las medidas de ruido (dB) se efectuaron simultáneamente en las salas mediante sensores inalámbricos. Se obtuvo una medición cada 50 milisegundos durante 24 h en cuatro días no consecutivos. Se trabajó con medias para intervalos de 5 min obteniéndose288 valores de ruido por día y sala comparando las salas basándose en los valores promediados por franjas horarias. RESULTADOS: las fluctuaciones del ruido continuo variable para cada sala fueron inferiores a 5 dB. Las medias de ruido fueron significativamente más altas en la sala A durante la tarde. Los valores de noche fueron los inferiores. En la sala B las medias de ruido fueron menores en la franja nocturna. En ambas salas los máximos de ruido transitorio se produjeron por la noche. CONCLUSIONES: las modificaciones incorporadas para el control del ruido en la sala B tienen efectos positivos sobre la reducción de la contaminación acústica. Se hace necesario insistir en las medidas de control del ruido ambiental, en particular en la conducta del personal, para lograr así niveles acústicos dentro de los rangos internacional mente recomendados
OBJECTIVE: to quantify and compare sound intensity in two NICU areas following the implementation of a noise reduction measures in one area. METHOD: longitudinal, observational and prospective study, carried out during the second half of 2014 in the Neonatology Department of the HSJD (Hospital Sant Joan de Déu) comparing two areas: room A, 70 m2, for use by 10 full term infants and room B, 35 m2 for use by 4 premature infants in which noise reduction measures were implemented in 2007.The noise measurements (dB) were performed simultaneously in the two rooms using wireless sensors. A measurement was obtained every 50 millisecond over 24 h on 4 non-consecutive days. 5 minute interval averages were used, obtaining 288 noise values per day and room, comparing the rooms at base to the average values by time zone. RESULTS: the fluctuations in variable continuous sound in each room were below 5 dB. The average noise levels were significantly higher in room A during the afternoon. The nighttime values were the lowest. In room B, the average noise levels were lower during the nighttime hours. In both rooms, the transitory sound peakstook place at night. CONCLUSIONS: the modifications added to control noise in room Bhave had positive effects on the reduction of noise pollution. It is important to insist on ambient noise control measures, particularly in terms of staff behaviour, so as to achieve sound levels within internationally recommended ranges
