Caracterización psicosocial del cuidador familiar del paciente con padecimientos oncológicos

Fundamento: dentro de las problemáticas que afrontan los cuidadores familiares de pacientes con padecimientos oncológicos está el hecho, que estos asumen el cuidado de sus familiares sin los conocimientos específicos, ni las habilidades requeridas para el ejercicio del cuidado, lo que genera una sobrecarga en ellos. Objetivo: identificar las principales características psicosociales del cuidador familiar del paciente con padecimientos oncológicos en la zona urbana de Niquero, durante el período de noviembre de 2019 a marzo del 2022. Métodos: se realizó un estudio descriptivo en el período comprendido de noviembre 2019 a marzo 2022 en el municipio Niquero en la provincia Granma. El universo de estudio quedó conformado por 305 cuidadores familiares de pacientes con padecimientos oncológicos, escogiéndose una muestra de 255 de ellos por medio de los criterios establecidos. Las variables analizadas fueron: edad, sexo, nivel de escolaridad, factores psicosociales presentes. Se realizó un muestreo intencional y probabilístico. Resultados: prevaleció el grupo de 50-59 años, el sexo femenino y como nivel de escolaridad, predominó el de secundaria básica, el miedo fue el estado emocional más referido por ellos. En los antecedentes sociales la situación económica desfavorable fue la que prevaleció, así como el nivel de afrontamiento familiar inadecuado ante el rol de cuidador. Conclusión: el miedo, la situación económica desfavorable y el nivel de afrontamiento inadecuado ante el rol de cuidador, fueron las principales características psicosociales que predominaron.

Background: among the problems faced by family caregivers of patients with oncological diseases is the fact that they take care of their relatives without the specific knowledge or skills required for the exercise of care, which generates an overload in them. Objective: to identify the main psychosocial characteristics of the family caregiver of the patient with oncological conditions in the urban area of ​​Niquero, during the period from November 2019 to March 2022. Methods: a descriptive study was carried out in the period from November 2019 to March 2022 in the Niquero municipality in the Granma province. The universe of study was made up of 305 family caregivers of patients with oncological conditions, choosing a sample of 255 of them by means of the established criteria. The variables analyzed were: age, sex, level of education, psychosocial factors present. An intentional and probabilistic sampling was carried out. Results: the age group prevailed in the family caregivers of cancer patients aged 50-59 years, the female sex and as level of education, the basic secondary predominated, fear was the emotional state most referred to by them. In the social background, the unfavorable economic situation was the one that prevailed, as well as the level of inadequate family coping with the role of caregiver. Conclusion: fear, the unfavorable economic situation and the inadequate level of coping with the role of caregiver, were the main psychosocial characteristics that prevailed.

Adaptation of the SAGEFS scale on attitudes toward gender equality in football in the international school context.

The objective of the present study is to evaluate the psychometric properties of the Scale of Attitudes toward Gender Equality in Football in the Context of Schools (SAGEFS) in the international context. This sample was formed by N = 6,101 students. The study was conducted by applying the SAGEFS. The model of the three factors correlated in the complete sample and for each country was correlated using AFC. The structural model was appraised by employing eight indices: the relative Chi-squared index; the goodness of fit index and its adjusted formula; the normal fit index; the comparative fit index; the standardized Quadratic Mean; and the Quadratic Mean Error of Approximation. To conclude, the results evidence the presence of psychometric properties that are indispensable for the measurement of attitudes toward gender equality in the context of schools.

Impact of a mobile integrated healthcare and community paramedicine program on improving medication adherence in patients with heart failure and chronic obstructive pulmonary disease after hospital discharge: A pilot study.

Background: The mobile integrated health-community paramedicine (MIH-CP) program affiliated with the University of Maryland Medical Center focuses on improving patient transitions from hospital to home by addressing both medical and social determinants of health. Until recently, only self-contained health systems could integrate inpatient and outpatient medication data. Without some means to track patients in transition, there is a significant risk of medication-related problems and errors. Objective: To evaluate the impact of the MIH-CP program on medication adherence among patients with congestive heart failure (CHF) and/or chronic obstructive pulmonary disease (COPD). Methods: This is a pilot observational study designed to compare adherence to drug regimens prescribed at hospital discharge (measured by the proportion of days covered [PDC]) between patients enrolled in the MIH-CP program and a propensity-matched control group. Propensity scores were calculated using 11 demographic, diagnostic, third-party payer, and patient care-associated variables. Discharge medication details were obtained from electronic medical records. PDC for each of the medications were calculated from pharmacy claims data. Results: Eighty-three patients were included in the study; forty-three patients were placed in the intervention group and 40 were propensity-matched controls. After adjusting for age, sex, and third-party payer, findings indicated that medication adherence was higher among patients enrolled in the MIH-CP program compared with control during the first 30 days post-discharge, specifically among patients diagnosed with CHF (8% difference in PDC, 95% confidence interval [CI], -0.12-0.28%) and COPD (14% difference, 95% CI, -0.15-0.43%), although neither result achieved statistical significance. The differences in medication adherence between patients who were enrolled and those who were not enrolled in the MIH-CP program diminished after 30 days post-discharge. Conclusion: This pilot study demonstrated a trend toward improved medication adherence among patients enrolled in the MIH-CP program. Future research involving a larger patient cohort will be required to confirm these preliminary findings.

Attitudes Towards Gender Equality in Soccer in the School Context in Spain (EAIGFU): design and evaluation of its psychometric properties

Even though the number of women playing soccer in Europe has expanded tremendously, the conception of soccer as an essentially masculine activity is still under investigation. Despite the importance, a study on the development and validation of a scale focusing on gender equality has not yet been reported. This study validates the Attitudes Towards Gender Equality Scale for School Football Soccer (EAIGFU). We utilized a non-experimental, cross-sectional design and a non-probabilistic sampling technique. The scale was applied to a sample of 883 Spanish students majoring in physical education. The average age of the students who participated in the study was 10.68 years (SD = .74). The sample was divided randomly into two groups to perform the analysis in two steps: a) exploratory factor analysis in Group 1 and b) confirmatory factor analysis in Group 2. The results showed that the three correlated factors model fitted the data in a good way [χ2/df = 2.09, GFI = .97, CFI = .93, NFI = .87, RMSEA = .05 CI 90% (.04, .06), and SRMR = .06]. Reliability by Cronbach's alpha was acceptable to good (.70 to .81). On the other hand, the links between the level of competence and egalitarian attitudes in soccer were reviewed and the beliefs and attitudes based on gender. It is concluded that EAIGFU is reliable, shows evidence of validity among Spaniard students of physical education, and the three correlated factors model is adequate to represent the equality between gender in football soccer.(AU)

Factores de riesgo asociados al riesgo reproductivo preconcepcional. Niquero. Granma / Risk factors associated with preconceptional reproductive risk. Niquero. Granma / Fatores de risco associados ao risco reprodutivo pré-concepção. Níquero. Granma

RESUMEN Introducción: el riesgo reproductivo es la probabilidad que tiene una mujer o su producto, de sufrir daño, lesión o muerte durante el proceso de la reproducción. Se aplica a mujeres en edad reproductiva, entre 15 y 49 años. Objetivo: identificar los factores biosipcosociales asociados al riesgo reproductivo preconcepcional en el consultorio 18 de Niquero en el período de Septiembre 2018 a Febrero 2019. Método: se realizó un estudio descriptivo de corte transversal con una muestra de 126 mujeres dispenzarisadas como riesgo preconcepcional, escogida de manera intencional. La obtención de la información se realizó a través la encuesta y de las historias clínicas individuales de las pacientes. Los datos se procesaron en números y porciento. Resultados: predominaron las mujeres menores de 20 años, alta presencia de hábitos tóxicos siendo el consumo del café el más frecuente, los antecedentes patológicos personales más referidos fueron el asma bronquial seguida de la hipertensión arterial y dentro de los antecedentes obstétricos desfavorables la hipertensión arterial gravídica y el bajo peso al nacer constituyeron los más frecuentes. Conclusiones: se lograron identificar los riesgos más frecuentes asociados al riesgo reproductivo preconcepcional, lo que permitirá trazar estrategias de salud para lograr disminuir la morbimortalidad materno infantil.

ABSTRACT Introduction: the reproductive risk is the probability that a woman or her product has, of suffering damage, injury or death during the process of reproduction. It applies to women of reproductive age, between 15 and 49 years. Objective: to identify the biosipcosocial factors associated with preconceptional reproductive risk in the Niquero 18 office during the period from September 2018 to February 2019. Method: a descriptive cross-sectional study was carried out with a sample of 126 dispenzarisadas women as a preconceptional risk, chosen intentionally. The information was obtained through the survey and the individual medical records of the patients. The data was processed in numbers and percent. Results: predominantly women under 20 years, high presence of toxic habits with coffee consumption being the most frequent, the personal pathological background most referred were bronchial asthma followed by arterial hypertension and within the unfavorable obstetric history gravidarum hypertension and low birth weight constituted the most frequent. Conclusions: the most frequent risks associated with preconceptional reproductive risk were identified, which will allow us to draw up health strategies to reduce maternal and infant morbidity and mortality.

RESUMO Introdução: o risco reprodutivo é a probabilidade de uma mulher ou seu produto sofrer danos, ferimentos ou morte durante o processo de reprodução. Aplica-se a mulheres em idade reprodutiva, entre 15 e 49 anos. Objetivo: identificar os fatores biossocossociais associados ao risco reprodutivo pré-conceitual no escritório de Niquero 18 no período de setembro de 2018 a fevereiro de 2019. Método: foi realizado um estudo descritivo transversal com amostra de 126 mulheres dispersas como risco de preconceito, escolhidas intencionalmente. As informações foram obtidas por meio da pesquisa e dos prontuários individuais dos pacientes. Os dados foram processados em números e por cento. Resultados: predominaram mulheres com menos de 20 anos de idade, alta presença de hábitos tóxicos, sendo o consumo de café o mais frequente, a história patológica pessoal mais referida foi asma brônquica seguida de hipertensão arterial e, dentro da história obstétrica desfavorável, hipertensão gravídica e baixo peso ao nascer foram os mais frequentes. Conclusões: foi possível identificar os riscos mais frequentes associados ao risco reprodutivo preconceito, o que permitirá o desenvolvimento de estratégias de saúde para reduzir a morbimortalidade materna e infantil.

Factores de riesgo asociados al riesgo reproductivo preconcepcional. Niquero. Granma / Risk factors associated with preconceptional reproductive risk. Niquero. Granma

Introducción: el riesgo reproductivo es la probabilidad que tiene una mujer o su producto, de sufrir daño, lesión o muerte durante el proceso de la reproducción. Se aplica a mujeres en edad reproductiva, entre 15 y 49 años. Objetivo: identificar los factores biosipcosociales asociados al riesgo reproductivo preconcepcional en el consultorio 18 de Niquero en el período de Septiembre 2018 a Febrero 2019. Método: se realizó un estudio descriptivo de corte transversal con una muestra de 126 mujeres dispenzarisadas como riesgo preconcepcional, escogida de manera intencional. La obtención de la información se realizó a través de la encuesta y de las historias clínicas individuales de las pacientes. Los datos se procesaron en números y porciento. Resultados: predominaron las mujeres menores de 20 años, alta presencia de hábitos tóxicos siendo el consumo del café el más frecuente, los antecedentes patológicos personales más referidos fueron el asma bronquial seguida de la hipertensión arterial y dentro de los antecedentes obstétricos desfavorables la hipertensión arterial gravídica y el bajo peso al nacer constituyeron los más frecuentes. Conclusiones: se lograron identificar los riesgos más frecuentes asociados al riesgo reproductivo preconcepcional, lo que permitirá trazar estrategias de salud para lograr disminuir la morbimortalidad maternoinfantil(AU)

Introduction: the reproductive risk is the probability that a woman or her product has, of suffering damage, injury or death during the process of reproduction. It applies to women of reproductive age, between 15 and 49 years. Objective: to identify the biosipcosocial factors associated with preconceptional reproductive risk in the Niquero 18 office during the period from September 2018 to February 2019. Method: a descriptive cross-sectional study was carried out with a sample of 126 dispenzarisadas women as a preconceptional risk, chosen intentionally. The information was obtained through the survey and the individual medical records of the patients. The data was processed in numbers and percent. Results: predominantly women under 20 years, high presence of toxic habits with coffee consumption being the most frequent, the personal pathological background most referred were bronchial asthma followed by arterial hypertension and within the unfavorable obstetric history gravidarum hypertension and low birth weight constituted the most frequent. Conclusiones: the most frequent risks associated with preconceptional reproductive risk were identified, which will allow us to draw up health strategies to reduce maternal and infant morbidity and mortality(EU)

Intervencion educativa sobre embarazo en la adolescencia. CMF # 37. Niquero / Educational intervention on teenage pregnancy. CMF # 37. Niquero / Intervenção educativa na gravidez na adolescência. CMF # 37. Niquero

RESUMEN Introducción: la adolescencia suele ser la edad de las contradicciones e incomprensiones, todo esto unido a la desinformación y falta de educación sexual, posibilita que las adolescentes se crean aptas para concebir. Objetivo: elevar el nivel de conocimientos en las adolescentes con la implementación de un programa educativo sobre embarazo en la adolescencia en el CMF # 37, municipio Niquero, durante el período de Noviembre 2016 a Mayo 2018. Método: se realizó un estudio cuasiexperiemental (intervención educativa). Muestra de 32 adolescentes del sexo femenino Se aplica una encuesta antes y después de la intervención. Los datos son procesados en porciento y se aplica el test no paramétrico de la prueba de los signos para evaluar las modificaciones en el conocimiento de las adolescentes antes y después de la intervención. Resultados: predominan los adolescentes de 15 a 19 años. Antes de la intervención las adolescentes tenían un conocimiento inadecuado en cuanto a: edad adecuada para tener el primer hijo, conocimiento sobre métodos anticonceptivos, consecuencias del embarazo para las adolescentes y el futuro bebé .Luego de diseñado el programa educativo, implementado y evaluado se logran elevar el nivel de conocimiento sobre el tema, lográndose la efectividad de la intervención. Conclusiones: quedó probada la hipótesis que al aplicar un programa educativo en adolescentes sobre embarazo en la adolescencia se modificó positivamente el nivel de conocimientos.

ABSTRACT Introduction: adolescence tends to be the age of contradictions and misunderstandings, all this coupled with misinformation and lack of sexual education, makes it possible for adolescents to believe themselves capable of conceiving. Objective: to raise the level of knowledge in adolescents with the implementation of an educational program on adolescent pregnancy in the CMF # 37, municipality of Niquero, during the period from November 2016 to May 2018. Method: a quasi-experimental study (educational intervention) was carried out. Sample of 32 female adolescents A survey is applied before and after the intervention. The data are processed in percent and the nonparametric test of the signs test is applied to evaluate the changes in the knowledge of the adolescents before and after the intervention. Results: adolescents aged 15 to 19 predominate. Prior to the intervention, the adolescents had inadequate knowledge regarding: adequate age for having the first child, knowledge about contraceptive methods, consequences of pregnancy for the adolescents and the future baby. After the educational program was designed, implemented and evaluated, they were achieved raise the level of knowledge on the subject, achieving the effectiveness of the intervention. Conclusions: the hypothesis was confirmed that by applying an educational program in adolescents about adolescent pregnancy, the level of knowledge was positively modified.

RESUMO Introdução: a adolescência é geralmente a idade das contradições e mal-entendidos, tudo isso junto com a desinformação e a falta de educação sexual, possibilita que os adolescentes possam conceber. Objetivo: elevar o nível de conhecimento em adolescentes com a implementação de um programa educacional sobre gravidez na adolescência no CMF # 37, município de Niquero, no período de novembro de 2016 a maio de 2018. Método: um estudo quase experimental (intervenção educativa) foi realizado. Amostra de 32 adolescentes do sexo feminino Uma pesquisa é aplicada antes e depois da intervenção. Os dados são processados ​​em porcentagem e o teste não-paramétrico do teste dos sinais é aplicado para avaliar as mudanças no conhecimento dos adolescentes antes e após a intervenção. Resultados: predominam adolescentes de 15 a 19 anos. Antes da intervenção, os adolescentes tinham conhecimento inadequado sobre: ​​idade adequada para ter o primeiro filho, conhecimento sobre métodos contraceptivos, consequências da gravidez para o adolescente e o futuro bebê, após o programa educacional ter sido planejado, implementado e avaliado; elevar o nível de conhecimento sobre o assunto, alcançando a efetividade da intervenção. Conclusões: confirmou-se a hipótese de que, ao aplicar um programa educacional em adolescentes sobre a gravidez na adolescência, o nível de conhecimento foi modificado positivamente.

Intervencion educativa sobre embarazo en la adolescencia. CMF # 37. Niquero / Educational intervention on teenage pregnancy. CMF # 37. Niquero

Introducción: la adolescencia suele ser la edad de las contradicciones e incomprensiones, todo esto unido a la desinformación y falta de educación sexual, posibilita que las adolescentes se crean aptas para concebir. Objetivo: elevar el nivel de conocimientos en las adolescentes con la implementación de un programa educativo sobre embarazo en la adolescencia en el CMF # 37, municipio Níquero, durante el período de Noviembre 2016 a Mayo 2018. Método: se realizó un estudio cuasiexperiemental (intervención educativa). Muestra de 32 adolescentes del sexo femenino. Se aplica una encuesta antes y después de la intervención. Los datos son procesados en porciento y se aplica el test no paramétrico de la prueba de los signos para evaluar las modificaciones en el conocimiento de las adolescentes antes y después de la intervención. Resultados: predominan los adolescentes de 15 a 19 años. Antes de la intervención las adolescentes tenían un conocimiento inadecuado en cuanto a: edad adecuada para tener el primer hijo, conocimiento sobre métodos anticonceptivos, consecuencias del embarazo para las adolescentes y el futuro bebé. Luego de diseñado el programa educativo, implementado y evaluado se logran elevar el nivel de conocimiento sobre el tema, lográndose la efectividad de la intervención. Conclusiones: quedó probada la hipótesis que al aplicar un programa educativo en adolescentes sobre embarazo en la adolescencia se modificó positivamente el nivel de conocimientos(AU)

Introduction: adolescence tends to be the age of contradictions and misunderstandings, all this coupled with misinformation and lack of sexual education, makes it possible for adolescents to believe themselves capable of conceiving.Objective: to raise the level of knowledge in adolescents with the implementation of an educational program on adolescent pregnancy in the CMF # 37, municipality of Niquero, during the period from November 2016 to May 2018. Method: a quasi-experimental study (educational intervention) was carried out. Sample of 32 female adolescents A survey is applied before and after the intervention. The data are processed in percent and the nonparametric test of the signs test is applied to evaluate the changes in the knowledge of the adolescents before and after the intervention. Results: adolescents aged 15 to 19 predominate. Prior to the intervention, the adolescents had inadequate knowledge regarding: adequate age for having the first child, knowledge about contraceptive methods, consequences of pregnancy for the adolescents and the future baby. After the educational program was designed, implemented and evaluated, they were achieved raise the level of knowledge on the subject, achieving the effectiveness of the intervention (EU)

Development and Validation of a Copro-Enzyme-Linked Immunosorbent Assay Sandwich for Detection of Echinococcus granulosus-Soluble Membrane Antigens in Dogs.

Cystic echinococcosis (CE) is a parasitic zoonosis caused by the larval stage of the tapeworm Echinococcus granulosus. Detection of the adult stage in the canine definitive host is essential for estimating infection rates, surveillance and monitoring of CE control programs. This study sought to develop and validate a coproantigen sandwich enzyme-linked immunosorbent assay (copro-ELISA), based on antibodies against E. granulosus-soluble membrane antigens (EGMA), that is capable of distinguishing infected and noninfected dogs. Anti-E. granulosus polyclonal immunoglobulin G antibodies were obtained from rabbit antiserum against EGMA. Optimization of the test was performed with 51 positive and 56 negative stool samples of canine echinococcosis. Specificity, sensitivity, cross-reactivity, intra- and inter-assay precision, and over time detection were evaluated. According to the receiver operating characteristic analysis, the diagnostic sensitivity and specificity were 96.1% (CI: 85.9-99.6) and 98.2% (CI: 89.5-100), respectively. Negative and positive predictive values were 96.5% (CI: 91.7-100) and 98% (CI: 94.1-100), respectively. No cross-reactivity with Taenia hydatigena, Dipylidium caninum, or Toxocara canis was observed. Intra- and inter-assay repeatability showed values of less than 15% of the variation coefficient. The over time detection was from 20 to 27 days postinfection with E. granulosus. The copro-ELISA based on EGMA detection offers a simplified in-house development of diagnostic testing. This assay showed high specificity and sensitivity and had no cross-reactivity with other parasites. Further studies and development of this test in a kit format may be useful for the detection of active infection in dogs living in CE endemic regions.

Estudio multicéntrico sobre la epidemiologia de la Esofagitis Eosinofílica Pediátrica en América Latina / Multicenter study on the epidemiology of pediatric eosinophilic esophagitis in latinamerica

Objetivo: Evaluar las características epidemiológicas de un grupo de pacientes pediátricos con esofagitis eosinofílica (EEo) y las modalidades de tratamiento empleadas en Latinoamérica. Pacientes y métodos: Estudio multicéntrico, observacional, transversal. Se aplicó una encuesta a 36 Centros de Gastroenterología y Endoscopia Pediátrica de 10 países latinoamericanos con la finalidad de obtener información socio-demográfica y datos sobre el tratamiento utilizado para el manejo de los casos evaluados durante el periodo 2014-2016. Resultados: 372 casos de EEo pediátrica fueron evaluados durante el periodo 2014-2016 y 108 casos (29%) correspondieron al trimestre Abril-Junio 2016. 46,72% de los casos pertenecían al grupo de edad escolar y 71,8% consultaron por disfagia. 87,2% de los pacientes fueron manejados con dieta, 55,3% esteroides deglutidos (12,8% en monoterapia) y 6% recibió montelukast. No hubo reporte de pacientes en terapia con agentes biológicos. Conclusiones: los resultados sugieren un predominio del sexo masculino con una mayor incidencia de la enfermedad en la edad escolar y la adolescencia. Las manifestaciones clínicas más frecuentes son disfagia, vómitos y síntomas de reflujo gastroesofágico. El tratamiento más indicado por los especialistas en América Latina es la dieta seguido del uso de esteroides deglutidos. Los IBP también son ampliamente utilizados como terapia coadyuvante. Un estudio de prevalencia a nivel continental es necesario para evaluar el comportamiento de la enfermedad en diferentes regiones de América Latina.

Aims: To evaluate epidemiological features of pediatric patients with eosinophilic esophagitis in Latinamerica and therapeutical options indicated by pediatric gastroenterologists in our continent. Patients and methods: multicenter, observational, transversal study. 36 Centers of Pediatric Gastroenterology and Endoscopy from 10 latinamerican countries participated giving clinical and sociodemographic information about pediatric patients with EoE diagnosed and treated during the last two years (study period). Results: 372 cases of pediatric EoE were evaluated during period 2014-2016 (108 cases were evaluated during trimester April-June 2016). 46,72% of cases were school age children, with dysphagia been the main clinical symptom in 71,8% of patients. 87,2% of patients received diet as a main indication of treatment, 55,3% received swallowed steroids (12,8% as monotherapy) and 6% were treated with montelukast among others. There were no reports of patients under treatment with biological drugs. Conclusions: epidemiological features of our study group suggest a higher prevalence of pediatric EoE in male school age children and adolescents. Most frecuent clinical symptoms are dysphagia, vomiting and gastroesophageal reflux symptoms. Treatment is based mainly on diet and swallowed steroids. A continental prevalence study is necessary to evaluate the behavior of the disease in different regions of Latinamerica.

Comportamiento de infecciones cérvico-vaginales y alteraciones citocolposcópicas en mujeres infectadas con VIH/sida / Behavior of cervical-vaginal infections taking into account colposcopy and changes in women infected with HIV/AIDS

Se realizó un estudio donde se estudiaron 33 pacientes, de sexo femenino portadoras de VIH/sida atendidas en las consultas de patología de cuello del Hospital Ginecobstétrico provincial Ana Betancourt de Mora y del Policlínico Principal de urgencias Ignacio Agramonte, Camagüey, en el período comprendido entre abril del 2011 y mayo de 2012. El 24,3 por ciento de las mujeres en estudio padecieron vaginosis bacteriana. Las citologías fueron negativas de células neoplásicas en el 96,97 por ciento, en cambio se encontró que el 9,09 por ciento de las féminas(AU)

An observational study is done in 33 patients of females with HIV / AIDS that were treated in neck pathology consultations at the Gynecobstetric provincial Hospital Ana Betancourt de Mora and the Main Polyclinic Ignacio Agramonte from April 2011 to May 2012. The 24,3 percent of women in the study suffered from bacterial vaginosis. The cytology was negative for neoplastic cells in the 96,97 percent ; however it was found that 9,09 per centet of females showed high-grade lesions in colposcopy and 6,06 percentt low grade lesions. 35, 2 percent of the women with positive microbiological diagnosis and those who had abnormal colposcopy showed lymphocyte numbers below 500 cell/mm³

Influencia de la sepsis vaginal endógena sobre la calidad del moco cervical en mujeres infértiles / Influence of endogenous vaginal sepsis on the quality of the cervical mucus in sterile women

Se realizó un estudio descriptivo y observacional de 150 mujeres infértiles atendidas en el Hospital Universitario Ginecoobstétrico Provincial "Ana Betancourt de Mora" de Camagüey, desde el 1 de junio de 2012 hasta el 31 de mayo de 2013, con vistas a determinar la influencia de la sepsis vaginal endógena sobre la calidad del moco cervical en estas pacientes, para lo cual se confeccionó un modelo de registro que recogía los aspectos siguientes: datos personales, antecedentes de infecciones vaginales, evaluación del moco cervical, hallazgos microbiológicos y técnicas de aseo genital; también se aplicó una encuesta para verificar los conocimientos que poseían al respecto. En la serie predominaron las féminas de piel blanca, las mayores de 35 años, los resultados microbiológicos positivos, así como la levadura y la vaginosis como diagnósticos más comunes; asimismo, el moco cervical resultó no adecuado en todos los casos y fue evidente el nivel de desconocimiento de las pacientes acerca del tema.

A descriptive and observational study of 150 sterile women assisted in "Ana Betancourt de Mora" University Gynecoobstetrical Provincial Hospital in Camagüey was carried out from June 1, 2012 to May 31, 2013, with the objective of determining the influence of the endogenous vaginal sepsis on the quality of the cervical mucus in these patients, for which a registration model was made which included the following aspects: personal data, history of vaginal infections, evaluation of the cervical mucus, microbiological findings and techniques for genital washing; a survey was also applied to verify the knowledge they had in this respect. White skin females, those older than 35 years, positive microbiological results, as well as yeast and vaginosis as the most common diagnosis prevailed in the series; also, the cervical mucus was not adequate in all the cases, and the ignorance level of the patients about the topic was evident.

Influencia de la sepsis vaginal endógena sobre la calidad del moco cervical en mujeres infértiles / Influence of endogenous vaginal sepsis on the quality of the cervical mucus in sterile women

Se realizó un estudio descriptivo y observacional de 150 mujeres infértiles atendidas en el Hospital Universitario Ginecoobstétrico Provincial Ana Betancourt de Mora de Camagüey, desde el 1 de junio de 2012 hasta el 31 de mayo de 2013, con vistas a determinar la influencia de la sepsis vaginal endógena sobre la calidad del moco cervical en estas pacientes, para lo cual se confeccionó un modelo de registro que recogía los aspectos siguientes: datos personales, antecedentes de infecciones vaginales, evaluación del moco cervical, hallazgos microbiológicos y técnicas de aseo genital; también se aplicó una encuesta para verificar los conocimientos que poseían al respecto. En la serie predominaron las féminas de piel blanca, las mayores de 35 años, los resultados microbiológicos positivos, así como la levadura y la vaginosis como diagnósticos más comunes; asimismo, el moco cervical resultó no adecuado en todos los casos y fue evidente el nivel de desconocimiento de las pacientes acerca del tema(AU)

A descriptive and observational study of 150 sterile women assisted in Ana Betancourt de Mora University Gynecoobstetrical Provincial Hospital in Camagüey was carried out from June 1, 2012 to May 31, 2013, with the objective of determining the influence of the endogenous vaginal sepsis on the quality of the cervical mucus in these patients, for which a registration model was made which included the following aspects: personal data, history of vaginal infections, evaluation of the cervical mucus, microbiological findings and techniques for genital washing; a survey was also applied to verify the knowledge they had in this respect. White skin females, those older than 35 years, positive microbiological results, as well as yeast and vaginosis as the most common diagnosis prevailed in the series; also, the cervical mucus was not adequate in all the cases, and the ignorance level of the patients about the topic was evident(AU)

Aislamientos virales en niños y adultos con infecciones respiratorias agudas / Viral isolations in children and adults with acute respiratory infections

Introducción: las infecciones respiratorias agudas constituyen un grupo de enfermedades que varían desde un catarro común hasta procesos broncopulmonares graves. Entre los agentes causales figuran los virus, los cuales se diseminan por las secreciones respiratorias. Objetivos: mostrar la positividad de aislamientos virales en niños y adultos, vivos o fallecidos, con infecciones respiratorias agudas. Métodos: se efectuó un estudio descriptivo y observacional de 364 pacientes de la provincia de Camagüey, ingresados con el diagnóstico de infecciones respiratorias agudas, desde enero de 2011 hasta diciembre de 2012. A cada enfermo se le llenó una encuesta epidemiológica y se le tomó muestra de exudado nasofaríngeo o biopsia del tejido pulmonar en el caso de los fallecidos. Estas se inocularon en medio de transporte y fueron remitidas a centros especializados para realizar el diagnóstico virológico. Resultados: del total de pacientes con positividad viral, 221 eran niños (30,3 %) y 143 adultos (36,3 %). Entre los virus predominantes figuraron: rinovirus, sincitial respiratorio de tipo A e influenza A (H1N1) pdm09. Conclusiones: más de la cuarta parte de los pacientes tuvieron virus respiratorios. La población infantil fue la más dañada, la de mayor letalidad y coinfecciones de rinovirus con otros virus respiratorios.

Introduction: the acute respiratory infections constitute a group of diseases which vary from a common cold to serious bronchopulmonary processes. Among the causal agents there are the viruses, which are disseminated by the respiratory secretions. Objectives: to show the positivity of viral isolations in children and adults, alive or dead, with acute respiratory infections. Methods: a descriptive and observational study of 364 patients in Camagüey province admitted with the diagnosis of acute respiratory infections was carried out from January, 2011 to December, 2012. An epidemiological survey was filled and samples of nasopharyngeal exudates were taken from each sick person, or lung tissue biopsy were obtained in cases of deads. These were inoculated in transport media and they were referred to specialized centers to carry out the virological diagnosis. Results: of the total of patients with viral positivity, 221 were children (30.3%) and 143 adults (36.3%). Among the predominant viruses there were: rhinovirus, respiratory syncytial type A and influenza A (H1N1) pdm09. Conclusions: more than the fourth part of patients had respiratory virus and the child population was the most affected, with higher lethality and rhinovirus coinfections with other respiratory viruses.

Aislamientos virales en niños y adultos con infecciones respiratorias agudas / Viral isolations in children and adults with acute respiratory infections

Introducción: las infecciones respiratorias agudas constituyen un grupo de enfermedades que varían desde un catarro común hasta procesos broncopulmonares graves. Entre los agentes causales figuran los virus, los cuales se diseminan por las secreciones respiratorias. Objetivos: mostrar la positividad de aislamientos virales en niños y adultos, vivos o fallecidos, con infecciones respiratorias agudas.Métodos: se efectuó un estudio descriptivo y observacional de 364 pacientes de la provincia de Camagüey, ingresados con el diagnóstico de infecciones respiratorias agudas, desde enero de 2011 hasta diciembre de 2012. A cada enfermo se le llenó una encuesta epidemiológica y se le tomó muestra de exudado nasofaríngeo o biopsia del tejido pulmonar en el caso de los fallecidos. Estas se inocularon en medio de transporte y fueron remitidas a centros especializados para realizar el diagnóstico virológico. Resultados: del total de pacientes con positividad viral, 221 eran niños (30,3 por ciento) y 143 adultos (36,3 por ciento). Entre los virus predominantes figuraron: rinovirus, sincitial respiratorio de tipo A e influenza A (H1N1) pdm09. Conclusiones: más de la cuarta parte de los pacientes tuvieron virus respiratorios. La población infantil fue la más dañada, la de mayor letalidad y coinfecciones de rinovirus con otros virus respiratorios(AU)

Introduction: the acute respiratory infections constitute a group of diseases which vary from a common cold to serious bronchopulmonary processes. Among the causal agents there are the viruses, which are disseminated by the respiratory secretions. Objectives: to show the positivity of viral isolations in children and adults, alive or dead, with acute respiratory infections. Methods: a descriptive and observational study of 364 patients in Camagüey province admitted with the diagnosis of acute respiratory infections was carried out from January, 2011 to December, 2012. An epidemiological survey was filled and samples of nasopharyngeal exudates were taken from each sick person, or lung tissue biopsy were obtained in cases of deads. These were inoculated in transport media and they were referred to specialized centers to carry out the virological diagnosis.Results: of the total of patients with viral positivity, 221 were children (30.3 percent) and 143 adults (36.3 percent). Among the predominant viruses there were: rhinovirus, respiratory syncytial type A and influenza A (H1N1) pdm09.Conclusions: more than the fourth part of patients had respiratory virus and the child population was the most affected, with higher lethality and rhinovirus coinfections with other respiratory viruses(AU)

Frecuencia de enterovirus en niños con meningoencefalitis viral / Enterovirus frequency in children with viral meningoencephalitis

Introducción: el enterovirus es uno de los agentes causales que suelen afectar el sistema nervioso central. Objetivos: determinar la frecuencia de enterovirus en niños hospitalizados con meningoencefalitis. Métodos: se efectuó un estudio descriptivo-observacional de 66 infantes con meningoencefalitis viral, ingresados en el Hospital Pediátrico Provincial "Dr. Eduardo Agramonte Piña" de la provincia de Camagüey, desde enero de 2011 hasta julio de 2012. Resultados: 26,6 % de los afectados fueron aislados por enterovirus en el año 2011 y 84,3 % en el 2012. El agente diagnosticado fue ECHO virus 30, el cual afectó todas las edades con positividad entre 63,0 y 100,0 %. Prevaleció el sexo masculino (78,4 %) procedentes de 11 municipios, con positividades superiores a 70 % en Florida y Camagüey. Los síntomas predominantes fueron cefaleas, fiebre, vómitos y malestar general. A la mayoría de los pacientes se le realizó estudio citoquímico del líquido cefaloraquídeo entre 10 y 199 células por 10(6)/L con predominio linfocitario. Conclusiones: gran parte de los afectados evolucionaron satisfactoriamente con hospitalización de solo 4 días.

Introduction: the enterovirus is one of the causal agents usually affecting the central nervous system. Objectives: to determine the enterovirus frequency in children hospitalized with meningoencephalitis. Methods: a descriptive-observational study of 66 infants with viral meningoencephalitis admitted in "Dr. Eduardo Agramonte Piña" Provincial Pediatric Hospital was carried out in Camagüey province from January, 2011 to July, 2012. Results: 26.6% of the affected ones were isolated due to enterovirus in the year 2011 and 84.3% in 2012. The diagnosed agent was ECHO virus 30, which affected all the ages with positivity between 63.0 and 100.0%. The male sex prevailed (78.4%) coming from 11 municipalities, with positivities higher than 70% in Florida and Camagüey. The predominant symptoms were migraines, fever, vomits and general uneasiness. Most of the patients had a cytochemical study of the cerebrospinal fluid from 10 and 199 cells per 106/L with lymphocytes prevalence. Conclusions: great number of the affected patients had a satisfactory clinical course with hospital stay of just 4 days.

Frecuencia de enterovirus en niños con meningoencefalitis viral / Enterovirus frequency in children with viral meningoencephalitis

Introducción: el enterovirus es uno de los agentes causales que suelen afectar el sistema nervioso central. Objetivos: determinar la frecuencia de enterovirus en niños hospitalizados con meningoencefalitis. Métodos: se efectuó un estudio descriptivo-observacional de 66 infantes con meningoencefalitis viral, ingresados en el Hospital Pediátrico Provincial Dr Eduardo Agramonte Piña de la provincia de Camagüey, desde enero de 2011 hasta julio de 2012. Resultados: 26,6 por ciento de los afectados fueron aislados por enterovirus en el año 2011 y 84,3 por ciento en el 2012. El agente diagnosticado fue ECHO virus 30, el cual afectó todas las edades con positividad entre 63,0 y 100,0 por ciento. Prevaleció el sexo masculino (78,4 por ciento) procedentes de 11 municipios, con positividades superiores a 70 por ciento en Florida y Camagüey. Los síntomas predominantes fueron cefaleas, fiebre, vómitos y malestar general. A la mayoría de los pacientes se le realizó estudio citoquímico del líquido cefaloraquídeo entre 10 y 199 células por 106/L con predominio linfocitario.Conclusiones: gran parte de los afectados evolucionaron satisfactoriamente con hospitalización de solo 4 días(AU)

Introduction: the enterovirus is one of the causal agents usually affecting the central nervous system. Objectives: to determine the enterovirus frequency in children hospitalized with meningoencephalitis. Methods: a descriptive-observational study of 66 infants with viral meningoencephalitis admitted in Dr Eduardo Agramonte Piña Provincial Pediatric Hospital was carried out in Camagüey province from January, 2011 to July, 2012. Results: 26.6 percent of the affected ones were isolated due to enterovirus in the year 2011 and 84.3 percent in 2012. The diagnosed agent was ECHO virus 30, which affected all the ages with positivity between 63.0 and 100.0 percent. The male sex prevailed (78. percent) coming from 11 municipalities, with positivities higher than 70 percent in Florida and Camagüey. The predominant symptoms were migraines, fever, vomits and general uneasiness. Most of the patients had a cytochemical study of the cerebrospinal fluid from 10 and 199 cells per 106/L with lymphocytes prevalence.Conclusions: great number of the affected patients had a satisfactory clinical course with hospital stay of just 4 days(AU)

Virus pandémico influenza AH1N1 en pacientes maternas hospitalizadas con infecciones respiratorias agudas / Pandemic H1N1 influenza in hospitalized maternal patients with acute respiratory infections

Se realiza un estudio en el período enero-junio de 2013 en Camagüey donde se investigan las maternas ingresadas por infecciones respiratorias agudas en el Hospital Ginecobstétrico Provincial Ana Betancourt de Mora. Se colectan muestras de exudados nasofaríngeos y se inoculan en medio de transporte especial acompañados de una encuesta a varios centros de la provincia para diagnóstico por método de biología molecular reverso transcriptasa reacción en cadena de la polimerasa. La positividad a virus respiratorios fue 56 por ciento. Se aisla el virus pandémico influenza A H1N1 en el 78,9 por ciento. El virus pandémico se aisló en más del 90 por ciento en la toma de muestra a las 72 horas de inicio de los síntomas. En la mayoría de las maternas se aisló virus influenza AH1N1, generalmente en el segundo y tercer trimestre de gestación. Las 72 horas de inicio de los síntomas fue ideal para el diagnóstico (AU)

A study was conducted from January to June 2013 in Camagüey where the mother admitted for acute respiratory infections in the Provincial Hospital Gynecobstetric Ana Betancourt de Mora are investigated. Samples of nasopharyngeal exudates were collected and inoculated into special transport medium accompanied by a survey of various schools in the province for diagnostic molecular biology method reverse transcriptase - Polymerase chain reaction. The positivity for respiratory viruses was 56por ciento. Pandemic influenza A H1N1, virus was isolated in 78,9 por ciento. The pandemic virus was isolated in 90 por ciento in the test sample at 72 hours of onset with symptoms. The majority of maternal influenza AH1N1 virus was isolated, usually in the second and third trimester. The 72 hours of onset with symptoms to diagnosis was ideal

Frecuencia de enterovirus en niños con meningoencefalitis viral / Frequency of enterovirus in children with viral meningoencephalitis

Se realiza un estudio en infantes con meningoencefalitis viral ingresados en el Hospital Pediátrico Provincial de Camagüey Dr Eduardo Agramonte Piña en el período comprendido desde enero 2011 hasta 31 de julio de 2012. Los enterovirus constituyen agentes etiológicos que tienen predilección por el sistema nervioso central. Las muestras de heces fecales se envían al Centro Provincial de Higiene, Epidemiología y Microbiología, acompañadas de datos generales, hallazgos de laboratorio y evolución del paciente y remitidas al Instituto de Medicina Tropical Pedro Kourí de La Habana para diagnóstico virológico mediante técnica de secuenciación del ácido nucleico. Existe afectación de la población infantil por ECHO virus 30 provocando meningoencefalitis viral de curso benigno, sin excluir complicaciones en algunos pacientes, de allí el valor de la vigilancia de esta enfermedad en el sistema de salud(AU)

One study was performed in infants with viral meningoencephalitis admitted Provincial Pediatric Hospital Dr Eduardo Agramonte Piña Camagüey from January 2011 to July 31, 2012. The Enteroviruses are etiologic agents that have a predilection for the central nervous system. The stool samples are sent to the Provincial Center of Hygiene, Epidemiology and Microbiology, accompanied by general data, laboratory findings, and patients outcome that are and sent to the Institute of Tropical Medicine Pedro Kouri Havana for virus diagnosis by sequencing technique nucleic acid. There is involvement of children by ECHO 30 virus causing viral benign meningoencephalitis, without excluding complications in some patients, hence the value of surveillance of this disease in the health system

Carcinoma de cuello uterino en mujeres VIH positivas: presentación de tres casos / Cervix carcinoma in HIV-positive women: presentation of three cases

El carcinoma cervical es una enfermedad marcadora de SIDA importante, y es posible que sea el proceso maligno relacionado con esta enfermedad más común entre estas féminas. Objetivo: evidenciar la importancia del estudio colposcópico en mujeres con VIH. Caso Clínico: se reportan tres mujeres VIH positivas de 27,51 y 32 años de edad procedentes de los municipios Camagüey, Nuevitas y Florida pertenecientes a la provincia de Camagüey a las que se le diagnosticó por colposcopia y biopsia carcinoma epidermoide bien diferenciado infiltrante de exocuello y en una carcinoma in situ de cuello uterino. Lo novedoso de estos estudios fue que en las tres pacientes se encontró citología negativa de células neoplásicas, que pone en evidencia lo planteado por algunos autores sobre la baja sensibilidad de este estudio para el diagnóstico de cáncer de cuello uterino en mujeres infectadas con VIH debido a su alto índice de falsos negativos. Conclusiones: con esta investigación se hace un llamado de alerta al equipo multidisciplinario que atiende a las mujeres VIH positivas para que realice la valoración de estas féminas al comienzo de la infección y se les practique exámenes ginecológicos sistemáticos que incluyan: exudados cérvico-vaginales, citología, colposcopia y biopsia, ésta última si fuese necesario. Estos chequeos deben realizarse cada tres, seis y 12 meses en dependencia del estado inmunológico, de esta manera se puede prevenir el carcinoma de cuello uterino en la población femenina viviendo con VIH (AU)

Cervix carcinoma is an important marking disease of AIDS, and it is possible to be the malignant process related to the most common disease among these women. Objective: to demonstrate the importance of the colposcopic study in HIV-women. Clinical cases: three HIV-positive women of 27, 51 and 32 years old respectively from Camagüey, Nuevitas and Florida municipalities belonging to Camagüey province is reported, to which were diagnosed by colposcopy and biopsy an infiltrating epidermoid carcinoma of exocervix well differentiated and a cervix carcinoma in situ in one of them. The novelty of these studies in these three patients, negative cytology of neoplastic cells was found; which evidence what some authors considered on the low sensitivity of this study to diagnose cervix cancer in HIV-women due to the high rate of false negatives. Conclusions: with this research a call to alert is made to the multidisciplinary team that attends to the HIV-positive women to carry out the assessment of these women at the beginning of the infection and make them systematic gynecological examinations that include: cervicovaginal exudates, cytology, colposcopy and biopsy, the last one if necessary. These checkups must be made every 3, 6 and 12 months depending on the immunological condition, this way cervix carcinoma in HIV-women population may be prevented (AU)