The First Case of Hemoglobin J-Guantanamo Reported During HbA1c Measurement by High-Performance Liquid Chromatography at Moroccan Military Hospital Mohammed V.

We present a 57-year-old woman with diabetes mellitus and no other known comorbidities. HbA1c measurement by high-performance liquid chromatography (HPLC) gave unquantified results and a supernumerary peak was detected on the chromatogram. A thorough exploration of the hemoglobin profile showed the presence of an unclassified variant. Alkaline pH capillary electrophoresis revealed the presence of an abnormal peak migrating at zone 11, comprising 40.1% of total hemoglobin. An abnormal band migrating between hemoglobin A and hemoglobin F was observed by acid gel electrophoresis. Sequencing of the ß-globin gene confirmed the presence of a rare hemoglobin variant, hemoglobin J-Guantanamo (HBB:c.386C>A) in the heterozygous state, which was for the first time documented in Morocco. Through this report, we emphasize the importance of careful analysis of the HPLC chromatogram for the detection of possible hemoglobin variants in HbA1c measurement.

Caracterización clínico-epidemiológica de pacientes con VIH/sida en el municipio Manuel Tames, Guantánamo

RESUMEN Introducción: En el municipio Manuel Tames, de la provincia de Guantánamo, no se han realizado estudios que caractericen los pacientes con infección por VIH/sida. Objetivo: Caracterizar clínico-epidemiológicamente a los pacientes con VIH/sida, pertenecientes al municipio Manuel Tames, Guantánamo. Método: Se realizó un estudio descriptivo, transversal, retrospectivo que abarca el periodo comprendido entre 1988-2020. La población estudiada fue de 46 pacientes con el diagnóstico de VIH/sida. Se estudiaron las siguientes variables: edad, sexo, estado civil, año de diagnóstico, clasificación clínica, fuente de pesquisa, esquema de tratamiento, enfermedades concomitantes. Resultados: Los pacientes más afectados se encontraron entre las edades de 25 a 34 años (n=18; 31,9 %), en el sexo masculino (n=28; 60,9 %). El mayor número de los pacientes se encontró soltero (n=37; 80,4 %). La fuente de pesquisa más usual fue la categoría de captado (n=11; 23,9 %). El mayor número de pacientes se halló en la categoría A (n=33; 71,7 %), lo que respalda la cifra de que 32 pacientes (69,6 %) no tuvieran ninguna enfermedad asociada a la infección por el virus. El mayor porcentaje de los pacientes utilizó el esquema terapéutico de Dulutegravir + Trubada (n=26; 56,5 %). Conclusiones: Se puede concluir que la infección por VIH/sida es una enfermedad que se observa en las edades medias de la vida, con un aumento del número de infecciones en tanto pasan los años. Cuando los pacientes mantienen un esquema de tratamiento se observan menos enfermedades concomitantes y se mantienen en las categorías clínicas que menos complicaciones presentan.

ABSTRACT Introduction: No studies have been conducted to characterize patients with HIV/AIDS infection in Manuel Tames municipality, Guantánamo. Objective: To characterize clinically and epidemiologically the HIV/AIDS infected patients in Manuel Tames municipality, Guantanamo. Method: A descriptive, cross-sectional, retrospective study was carried out, covering the period 1988-2020. The studied population consisted of 46 patients with a diagnosis of HIV/AIDS. Variables studied were as follow: age, sex, marital status, year of the diagnosis report, clinical classification, source of information, scheme of treatment, concomitant diseases. Results: Patients 25 to 35 years old were found as the most affected (n=18; 31.9%), with a predominance of males (n=28; 60.9%). Most of patients were found single (n=37; 80.4%). The most common source of information was the capitated category (n=11; 23.9%). Most patients were found in category A (n=33; 71.7%), which supports the figure that 32 patients (69.6%) had no disease associated with virus infection. The highest percentage of patients used the Dulutegravir plus Trubada treatment scheme (n=26; 56.5%). Conclusions: As an end point of the outcome it can be said that HIV/AIDS infection is a disease seen in the middle ages of life, with an increasing number of infections as the years go by. When patients maintain a correct treatment schedule, fewer concomitant diseases are observed and they remain in the clinical categories with the fewest complications.

RESUMO Introdução: No município de Manuel Tames, província de Guantánamo, não foram realizados estudos que caracterizassem pacientes com infecção por HIV/AIDS. Objetivo: Caracterizar clínico-epidemiologicamente os pacientes com HIV/AIDS, pertencentes ao município de Manuel Tames, Guantánamo. Método: Foi realizado um estudo descritivo, transversal e retrospectivo abrangendo o período de 1988-2020. A população estudada foi de 46 pacientes com diagnóstico de HIV/AIDS. Foram estudadas as seguintes variáveis: idade, sexo, estado civil, ano do diagnóstico, classificação clínica, fonte de investigação, esquema de tratamento, doenças concomitantes. Resultados: Os pacientes mais acometidos estavam na faixa etária de 25 a 34 anos (n=18; 31,9%), no sexo masculino (n=28; 60,9%). O maior número de pacientes era solteiro (n=37; 80,4%). A fonte de pesquisa mais comum foi a categoria recrutada (n=11; 23,9%). O maior número de pacientes foi encontrado na categoria A (n=33, 71,7%), corroborando a cifra de que 32 pacientes (69,6%) não apresentavam nenhuma doença associada à infecção viral. O maior percentual de pacientes usava o esquema Dulutegravir + Trubada (n=26; 56,5%). Conclusões: Pode-se concluir que a infecção pelo HIV/AIDS é uma doença que se observa na idade média da vida, com aumento do número de infecções com o passar dos anos. Quando os pacientes mantêm um esquema de tratamento, menos doenças concomitantes são observadas e eles permanecem nas categorias clínicas que apresentam menos complicações.

International law and mental health evaluations at Guantanamo: Is medical repatriation a solution for most detainees?

This article analyzes the ruling in al-Qahtani v. Trump which establishes a new legal mechanism for Guantanamo detainees being held in indefinite detention to receive independent psychiatric evaluations from mixed medical commissions in order to determine eligibility for repatriation on humanitarian grounds. The article first reviews how the U.S. government created a legal framework for Global War on Terror detainees that differs from established conventions under international humanitarian law to protect prisoners of war. It discusses the circumstances of a Guantanamo detainee named Mohammed al-Qahtani who was tortured in U.S. custody, according to Guantanamo's top official. The U.S. government has declined to refer legal charges against him but also refused to release him since he has been considered a threat to U.S. national security. The article analyzes how al-Qahtani's attorneys challenged the legality of his detention and referred to an independent psychiatric evaluation played to establish the legal basis for "irreparable harm." al-Qahtani's independent psychiatric evaluation asserted that he displayed symptoms consistent with those exhibited by survivors of torture. Legally, the ruling establishes a precedent for Guantanamo detainees who are being held in indefinite detention to compel the U.S. government to clarify their legal status or arrange an examination by a mixed medical commission. Twenty-two other detainees out of the forty still at Guantanamo fall in this legal category, so the precedent has far-reaching consequences. Finally, the prospect of mixed medical commissions composed of international experts who are collaborating to render a medical opinion raises questions about how independent psychiatric evaluations would be conducted in practice.

Caracterización de la lepra en el municipio de Guantánamo en el periodo 2015-2019 / Characterization of leprosy in the municipality of Guantanamo in the period 2015-2019

RESUMEN * Introducción: La lepra es un problema de salud con elevado impacto biopsicosocial, sin embargo, no se encuentra un estudio que la caracterice en el municipio de Guantánamo. Objetivo: Caracterizar aspectos clínicos de la lepra en el municipio Guantánamo en el periodo de 2015-2019. Método: Se realizó un estudio observacional, retrospectivo, descriptivo y longitudinal de todos los pacientes (N=117) con este diagnóstico. Se precisó la frecuencia del diagnóstico por años, formas clínicas, modo de detección, momento del diagnóstico y grado de discapacidad secundaria a esta enfermedad. Resultados: Fue 2017 el año durante el cual se diagnosticaron más pacientes con lepra (25,7 %), la forma clínica más frecuente fue la lepromatosa (56,4 %). De manera más común, la lepra se detectó de modo espontáneo (83,8 %), el diagnóstico de lepra fue precoz (92,3 %) y en el 93,1 % de los pacientes no generó ningún grado de discapacidad. Conclusiones: La lepra no constituye actualmente un problema de salud en el municipio Guantánamo, pero el diagnóstico no suele ser con la precocidad que se demanda pues aún se realiza tardíamente, con un pobre reconocimiento de las manifestaciones clínicas por la atención primaria de salud y la población, lo que revela la importancia de las acciones dirigidas al pesquisaje de esta enfermedad.

* ABSTRACT * Introduction: Leprosy is a health problem with a high biopsychosocial impact, however, there is no study that characterizes it in the municipality of Guantánamo. Objective: To characterize clinical aspects of leprosy in the Guantánamo municipality in the period 2015-2019. Method: An observational, retrospective, descriptive and longitudinal study of all patients (N = 117) with this diagnosis was carried out. The frequency of diagnosis by years, clinical forms, detection method, time of diagnosis and degree of disability secondary to this disease were specified. Results: 2017 was the year during which more patients with leprosy were diagnosed (25.7%), the most frequent clinical form was lepromatous (56.4%). More commonly, leprosy was detected spontaneously (83.8%), the diagnosis of leprosy was early (92.3%) and in 93.1% of the patients it did not generate any degree of disability. Conclusions: Leprosy is not currently a health problem in the Guantánamo municipality, but the diagnosis is not usually with the precociousness that is demanded since it is still carried out late, with poor recognition of the clinical manifestations by primary health care and population, which reveals the importance of actions aimed at screening for this disease.

United States of America v. Majid Shoukat Khan: Guantánamo's first ruling to consider torture in mitigating sentencing for detainees.

In June 2020, a Guantánamo military judge ruled in United States of America v. Majid Shoukat Khan that he has the legal authority to mitigate Khan's criminal sentence as a remedy for illegal pretrial punishment if his attorneys prove that he suffered torture and other cruel, inhuman, and degrading treatment in government custody. This commentary analyzes the ruling and its implications for Guantánamo's legal system, detainees, and forensic medicine.

Consortial brown tide - picocyanobacteria blooms in Guantánamo Bay, Cuba.

A brown tide bloom of Aureoumbra lagunensis developed in Guantánamo Bay, Cuba during a period of drought in 2013 that followed heavy winds and rainfall from Hurricane Sandy in late October 2012. Based on satellite images and water turbidity measurements, the bloom appeared to initiate in January 2013. The causative species (A. lagunensis) was confirmed by microscopic observation, and pigment and genetic analyses of bloom samples collected on May 28 of that year. During that time, A. lagunensis reached concentrations of 900,000 cells ml-1 (28 ppm by biovolume) in the middle portion of the Bay. Samples could not be collected from the northern (Cuban) half of the Bay because of political considerations. Subsequent sampling of the southern half of the Bay in November 2013, April 2014, and October 2014 showed persistent lower concentrations of A. lagunensis, with dominance shifting to the cyanobacterium Synechococcus (up to 33 ppm in April), an algal group that comprised a minor bloom component on May 28. Thus, unlike the brown tide bloom in Laguna Madre, which lasted 8 years, the bloom in Guantánamo Bay was short-lived, much like recent blooms in the Indian River, Florida. Although hypersaline conditions have been linked to brown tide development in the lagoons of Texas and Florida, observed euhaline conditions in Guantánamo Bay (salinity 35-36) indicate that strong hypersalinity is not a requirement for A. lagunensis bloom formation. Microzooplankton biomass dominated by ciliates was high during the observed peak of the brown tide, and ciliate abundance was high compared to other systems not impacted by brown tide. Preferential grazing by zooplankton on non-brown tide species, as shown in A. lagunensis blooms in Texas and Florida, may have been a factor in the development of the Cuban brown tide bloom. However, subsequent selection of microzooplankton capable of utilizing A. lagunensis as a primary food source may have contributed to the short-lived duration of the brown tide bloom in Guantánamo Bay.

Nation, Narration, and Health in Mohamedou Ould Slahi's Guantánamo Diary.

Scholars have mostly analyzed information from mental health practitioners, attorneys, and institutions to critique mental health practices in the War on Terror. These sources offer limited insights into the suffering of detainees. Detainee accounts provide novel information based on their experiences at Guantánamo. Mohamedou Ould Slahi's Guantánamo Diary is the only text from a current detainee that provides a first-person account of his interrogations and interactions with health professionals. Despite being advertised as a diary, however, it has undergone redaction from American government officials. This article examines Slahi's account of his interrogations and representations of mental health at Guantánamo and considers its role within the narrative function of the nation. At stake is the right of detainees to narrate, scholars to critique medical practices in the War on Terror, and the nation's attempts to control its narration.

De la lógica binaria a la complejidad de la reflexión ética / Binary logic to the complexity of ethical reflection

El presente trabajo se aboca en particular al análisis de dos problemas específicos: a) el referido a los eventuales conflictos que pueden surgir entre las normativas deontológicas y las disposiciones legales y b) entre las normativas deontológicas y las disposiciones institucionales y organizacionales. Nos interesan especialmente, puesto que, por una parte, constituyen situaciones dilemáticas que se presentan en la práctica con mucha asiduidad y, por otra, puesto que en los últimos años han tomado particular relevancia debido a la participación de psicólogos americanos en la cárcel de Guantánamo y a los intrincados debates que se suscitaron en el seno de la American Psychological Association...

The present work approaches especially to the analysis of two specific problems: a) Conflicts between Ethics and Law, Regulations, or other governing legal authority, and b) Conflicts between Ethics and organizational and institutional demands. We are specially interested, since, on one hand, this kind of situations constitute ethical dilemmas that appear in the practice very often and, on the other hand, since in the last years they have taken particular relevancy due to the participation of American psychologists in the prison of Guantanamo and to the dense debates that were provoked in the bosom of the American Psychological Association.

Unthinkable: lo impensable de la tortura frente a la ética profesional / Unthinkable: the unthinkable torture against professional ethics

El film Unthinkable relata el tratamiento que el ejército norteamericano le da a un ex agente de la CIA convertido al islamismo que dice haber escondido tres bombas nucleares en distintas ciudades importantes de los EEUU. El problema planteado al comienzo del film es cómo torturar al prisionero para obtener la información necesaria para desactivar las bombas a tiempo.El film sirve como excusa para presentar la legislación internacional que prohíbe la tortura, así como las leyes especiales promulgadas a partir de los atentados del 11 de septiembre contra las torres gemelas. Asimismo se presentan la relación compleja entre ley, estado de necesidad y estado de excepción, relación a partir de la cual se dan las condiciones de excepcionalidad a las leyes que prohíben la tortura.La presentación de la legislación internacional permite entender los motivos que hacen que los discursos sostenidos por los distintos personajes del film tengan más o menos fuerza. A partir del análisis esos discursos se analiza el modelo de héroe presentado en la película y su funcionalidad a la “guerra contra el terror” desatada por la administración Bush.Finalmente se realiza un análisis de las condiciones de posibilidad que llevaron a la American Psychological Association a elaborar un documento que permite y avala la participación de psicólogos en los interrogatorios a prisioneros en la cárcel de Guantánamo o en Abu Ghraib...

The film Unthinkable functions as a pretext to present international legislation that prohibits the use of torture as well as the specific laws enacted after the 9/11 terrorist attack on the twin towers. Furthermore, this article presents the complex relationship between the law, necessity and state of emergency, relationship that determines the conditions for the exceptions to the laws that prohibit the use of torture. The international legislation presented allows for a better understanding of the motives that make the discourses of different characters in the film more or less strong. By analyzing these discourses, this article attempts to study the heroic model presented in the movie and its possible function in the "war on terror" unleashed by the Bush administration. Finally, this paper analyzes the specific conditions that led the American Psychological Association to dictate a document that not only allows, but also supports, the participation of psychologists in the interrogation of prisoners at Guantanamo Bay or Abu Ghraib

Efecto del limo de la salina de Guantánamo en la cicatrización por segunda intención en ratas / Effect of the saline slime of Guantánamo in the scaring in a second intention in rats

Se efectuó un estudio preclínico, experimental y analítico en 100 ratas Sprague-Dawley para determinar los efectos del limo de la salina de Guantánamo en la cicatrización por segunda intención en un modelo de herida incisional, mediante el control simultáneo a dichas ratas. Estas fueron distribuidas en 4 grupos: uno de estudio y 3 controles; a los primeros se les aplicó limo y los segundos fueron tratados con NaCl al 0,9 por ciento; NaCl al 4,0 por ciento y Hebermin®, respectivamente. Se constató que las heridas cicatrizaron más rápido con limo y que hubo una reacción inflamatoria aguda efectiva al reducir el edema y el tejido desvitalizado, además de estimular la angiogénesis, la fibroplasia y la reepitelización. Se concluyó que el limo de la salina de Guantánamo posee propiedades cicatrizantes más efectivas que el Hebermin® y el NaCl al 4,0 por ciento(AU)

A preclinical, experimental and analytical study was carried out, in 100 Sprague-Dawley rats to determine the effects of the saline slime from Guantánamo in the scaring for second intention in a model of incisional wound, by means of the simultaneous control to them. They were distributed in 4 groups: a study group and 3 control groups; the first ones were treated with slime and the second ones were treated with 0,9 percent NaCl; 4,0 percent NaCl and Hebermin®, respectively. It was verified that the wounds healed quicker with slime and that there was an effective acute inflammatory reaction when reducing the edema and the devitalized tissue, besides stimulating the angiogenesis, fibroplasia and reepitelization. It was concluded that the saline slime from Guantánamo has more effective healing properties than Hebermin® and 4,0 percent NaCl(AU)

Efecto del limo de la salina de Guantánamo en la cicatrización por segunda intención en ratas / Effect of the saline slime of Guantánamo in the scaring in a second intention in rats

Se efectuó un estudio preclínico, experimental y analítico en 100 ratas Sprague-Dawley para determinar los efectos del limo de la salina de Guantánamo en la cicatrización por segunda intención en un modelo de herida incisional, mediante el control simultáneo a dichas ratas. Estas fueron distribuidas en 4 grupos: uno de estudio y 3 controles; a los primeros se les aplicó limo y los segundos fueron tratados con NaCl al 0,9 %; NaCl al 4,0 % y Hebermin®, respectivamente. Se constató que las heridas cicatrizaron más rápido con limo y que hubo una reacción inflamatoria aguda efectiva al reducir el edema y el tejido desvitalizado, además de estimular la angiogénesis, la fibroplasia y la reepitelización. Se concluyó que el limo de la salina de Guantánamo posee propiedades cicatrizantes más efectivas que el Hebermin® y el NaCl al 4,0 %.

A preclinical, experimental and analytical study was carried out, in 100 Sprague-Dawley rats to determine the effects of the saline slime from Guantánamo in the scaring for second intention in a model of incisional wound, by means of the simultaneous control to them. They were distributed in 4 groups: a study group and 3 control groups; the first ones were treated with slime and the second ones were treated with 0,9% NaCl; 4,0% NaCl and Hebermin®, respectively. It was verified that the wounds healed quicker with slime and that there was an effective acute inflammatory reaction when reducing the edema and the devitalized tissue, besides stimulating the angiogenesis, fibroplasia and reepitelization. It was concluded that the saline slime from Guantánamo has more effective healing properties than Hebermin® and 4,0% NaCl.

Health of the coral reefs at the US Navy Base, Guantánamo Bay, Cuba: a preliminary report based on isotopic records from gorgonians.

Specimens of the gorgonian Plexaura homomalla were sampled from several areas along the fringing reefs fronting the United States Naval Base at Guantánamo Bay, Cuba. Sample coverage extended from apparently healthy reefs in oceanic waters to declining reefs located in the plume of the drainage from upper parts of Guantánamo Bay. Tentacle tips were excised, and trunk sections were cut and polished. Stable isotope ratios of nitrogen (δ(15)N) and carbon indicate a strong correlation of reef health with proximity to the plume of the river. Of all the worldwide cases in which land-based sources of pollution have impacted reefs, this one may well be the most intractable. The US Navy has jurisdiction over the reefs, with the obligation to protect them, yet the threat comes down the river from Cuba.

Dr Pedro Pouymiró Dupuy: una vida consagrada al bienestar humano / Dr Pedro Pouymiró Dupuy: a life consecrated to the human well-being

Se exaltan las cualidades humanas, la actitud profesional y la condición revolucionaria de un médico guantanamero: el Dr Pedro Pouymiró Dupuy, quien se inició en la medicina rural en la región de Caujerí, antiguo municipio de Guantánamo, pero luego cursó la especialidad en neumotisiología, aunque laboró también como clínico. Fue pionero en el uso de medios de diagnóstico novedosos en la época y fundador de la docencia médica en el territorio, donde alcanzó la categoría de profesor auxiliar. Obtuvo varios reconocimientos por su labor docente-asistencial y el buen desempeño de disímiles funciones administrativas, tanto locales como regionales. Constituye esta semblanza un añorado homenaje de sus descendientes, quienes han querido rendírselo desde hace más de 2 décadas(AU)

The human qualities, the professional attitude and the revolutionary condition of a doctor from Guantánamo are exalted: Dr Pedro Pouymiró Dupuy, who began the rural medicine in the region of Caujerí, old municipality from Guantánamo, but then he studied the specialty in Pneumothisiology, although he also worked as a clinician. He was a pioneer in the use of diagnostic means which were novel by those times and founder of the medical teaching in the territory, where he became an Assistant professor. He obtained several rewards for his teaching and assisting work and the good behaviour of different managing functions, either local or regional. This paper constitutes a homage of his followers, who have wanted to dedicate it to him since 2 decades ago(AU)

Calidad en la aplicación de la estrategia contra el síndrome del flujo vaginal en gestantes / Application quality for the strategy against vaginal discharge syndrome in pregnant women

Se realizó un estudio descriptivo y transversal para evaluar la calidad en el manejo sindrómico del flujo vaginal en gestantes atendidas por especialistas en medicina general integral, pertenecientes al grupo básico de trabajo No.3 del Policlínico Universitario Capitán Asdrúbal López Vázquez, del municipio de Guantánamo, desde enero hasta abril de 2010. Se conformó un equipo de expertos, que en unión de los autores, definieron los criterios, indicadores y estándares, así como los instrumentos utilizados en la investigación. Se aplicó un examen de competencia profesional y se revisaron las historias clínicas obstétricas. Los datos se procesaron mediante la versión 3.1 del paquete estadístico EPIDAT. Los resultados de los indicadores se compararon con los estándares establecidos, los cuales revelaron que 84,6 por ciento fueron inadecuados, con una deficiente competencia de los profesionales para garantizar la atención médica a las embarazadas con ese síndrome.

A descriptive and cross-sectional study was carried out from January, 2010 to April, 2010 in order to assess the quality for syndromic management of pregnant women attended by specialists in general comprehensive medicine, who belong to the basic working group # 3 at Capitán Asdrúbal López Vázquez University Polyclinic from Guantánamo municipality. An expert group, along with the authors, who defined the criteria, indicators, and standards, as well as tools used in the investigation, was created. A professional competence test was applied and obstetrical medical records were checked. Data were processed through Version 3.1 from EPIDAT, a statistical software package. When comparing indicator results to the established standards, it was revealed that 84.6 percent were inappropriate, with a poor professional competence to guarantee health care to pregnant women undergoing that syndrome.

Satisfacción con el funcionamiento del sistema integrado de urgencias médicas en la provincia de Guantánamo / Satisfaction with the functioning of the integrated medical emergency system in Guantánamo province

Se realizó un estudio descriptivo y transversal para evaluar la satisfacción de prestadores de salud y pacientes con el funcionamiento del Sistema Integrado de Urgencias Médicas en el municipio de Guantánamo, perteneciente a la provincia del mismo nombre, durante el primer cuatrimestre de 2010. Para ello, por medio de un muestreo intencional fueron escogidos 8 médicos, 126 paramédicos encargados del servicio y 350 pacientes, a partir del criterio de los autores. Un grupo de expertos, en unión de estos últimos, elaboró los criterios, indicadores, estándares e instrumentos que se utilizaron para la evaluación. Los resultados mostraron amplias desviaciones de los valores obtenidos en relación con los establecidos, puesto que en 70 por ciento fueron inadecuados por insatisfacción de los que ofrecían y recibían la atención sanitaria, respectivamente.

A descriptive and cross-sectional study was carried out during the first four-month period in the year 2010 in order to evaluate the health workers´and patients´satisfaction with the functioning of the Integrated Medical Emergency System in Guantánamo municipality, which belongs to the province under the same name. For this reason, 8 doctors, 126 paramedics in charge of that service, and 350 patients were chosen using an intentional sampling starting from the author's criterion. An expert group, along with the aforementioned group, devised the criteria, indicators, standards, and tools used for the assessment. Results showed large deviations of the obtained values in relation to those established, since 70 per cent of them were inadequate due to the dissatisfaction for both, those who received the health care and those who offered it, respectively.

Satisfacción con el funcionamiento del Sistema Integrado de Urgencias Médicas en la provincia de Guantánamo / Satisfaction with the functioning of the Integrated Medical Emergency System in Guantánamo province

Se realizó un estudio descriptivo y transversal para evaluar la satisfacción de prestadores de salud y pacientes con el funcionamiento del Sistema Integrado de Urgencias Médicas en el municipio de Guantánamo, perteneciente a la provincia del mismo nombre, durante el primer cuatrimestre de 2010. Para ello, por medio de un muestreo intencional fueron escogidos 8 médicos, 126 paramédicos encargados del servicio y 350 pacientes, a partir del criterio de los autores. Un grupo de expertos, en unión de estos últimos, elaboró los criterios, indicadores, estándares e instrumentos que se utilizaron para la evaluación. Los resultados mostraron amplias desviaciones de los valores obtenidos en relación con los establecidos, puesto que en 70 por ciento fueron inadecuados por insatisfacción de los que ofrecían y recibían la atención sanitaria, respectivamente(AU)

A descriptive and cross-sectional study was carried out during the first four-month period in the year 2010 in order to evaluate the health workers´and patients´satisfaction with the functioning of the Integrated Medical Emergency System in Guantánamo municipality, which belongs to the province under the same name. For this reason, 8 doctors, 126 paramedics in charge of that service, and 350 patients were chosen using an intentional sampling starting from the author's criterion. An expert group, along with the aforementioned group, devised the criteria, indicators, standards, and tools used for the assessment. Results showed large deviations of the obtained values in relation to those established, since 70 per cent of them were inadequate due to the dissatisfaction for both, those who received the health care and those who offered it, respectively(AU)

Calidad en la aplicación de la estrategia contra el síndrome del flujo vaginal en gestantes / Application quality for the strategy against vaginal discharge syndrome in pregnant women

Se realizó un estudio descriptivo y transversal para evaluar la calidad en el manejo sindrómico del flujo vaginal en gestantes atendidas por especialistas en medicina general integral, pertenecientes al grupo básico de trabajo No.3 del Policlínico Universitario Capitán Asdrúbal López Vázquez, del municipio de Guantánamo, desde enero hasta abril de 2010. Se conformó un equipo de expertos, que en unión de los autores, definieron los criterios, indicadores y estándares, así como los instrumentos utilizados en la investigación. Se aplicó un examen de competencia profesional y se revisaron las historias clínicas obstétricas. Los datos se procesaron mediante la versión 3.1 del paquete estadístico EPIDAT. Los resultados de los indicadores se compararon con los estándares establecidos, los cuales revelaron que 84,6 por ciento fueron inadecuados, con una deficiente competencia de los profesionales para garantizar la atención médica a las embarazadas con ese síndrome(AU)

A descriptive and cross-sectional study was carried out from January, 2010 to April, 2010 in order to assess the quality for syndromic management of pregnant women attended by specialists in general comprehensive medicine, who belong to the basic working group # 3 at Capitán Asdrúbal López Vázquez University Polyclinic from Guantánamo municipality. An expert group, along with the authors, who defined the criteria, indicators, and standards, as well as tools used in the investigation, was created. A professional competence test was applied and obstetrical medical records were checked. Data were processed through Version 3.1 from EPIDAT, a statistical software package. When comparing indicator results to the established standards, it was revealed that 84.6 percent were inappropriate, with a poor professional competence to guarantee health care to pregnant women undergoing that syndrome(AU)