RESUMO
Cuba has a comprehensive National Health System which delivers primary and secondary health care to 100% of the population. Communicable disease control and preventive medicine programs are implemented through this System. The National Syphilis Control Program is described briefly as an example of a successful control program for sexually transmitted disease. Data defining the magnitude of the problems of gonorrhea and pelvic inflammatory disease are not complete. A program for improved gonorrhea surveillance and control is just beginning. Further improvements and refinements in this program are described.
Assuntos
Infecções Sexualmente Transmissíveis/prevenção & controle , Cuba , Feminino , Gonorreia/prevenção & controle , Humanos , Masculino , Modelos Teóricos , Programas Nacionais de Saúde/organização & administração , Vigilância da População , Sífilis/prevenção & controleRESUMO
Se determinó la concentración de ácido ascórbico en leucocitos a 17 mujeres con ruptura prematura de las membranas fetales (RPM) y al mismo número con ruptura tardía de éstas (RTM). La concentración de ácido ascórbico en leucocitos fue superior para el grupo con RTM, tanto expresada en ug de ácido ascórbico/108 células como expresada en ug de ácido ascórbico/ml de sangre. Se discute la importancia de este hallazgo para la ruptura prematura de las membranas, relacionándolo con la necesidad de ácido ascórbico para la síntesis de colágeno (AU)
Assuntos
Ácido Ascórbico , Ruptura Prematura de Membranas FetaisRESUMO
Se determinaron los niveles de cinc en pelo a 23 mujeres en la última semana de cada trimestre de gestación; se les realizó simultámente una encuesta dietética durante 4 días consecutivos. Los valores encontrados no presentaron diferencias significativas entre trimestres. Se relaciona este hecho con los resultados de la encuesta dietética, y los hábitos alimentarios de la población (AU)
Assuntos
Humanos , Feminino , Zinco , Cabelo , GravidezRESUMO
En el presente trabajo se presenta la técnica operatoria, el diagnóstico preoperatorio, así como las indicaciones de histerectomía por vía vaginal que se aplican habitualmente en la Clínica Ginecológica Universitaria Charité de Berlín. En el mismo se hace especial énfasis en la indicación exacta, la cual debe ir aparejada a un buen dominio de la técnica (AU)
Assuntos
HisterectomiaRESUMO
Results are shown obtained from 88 patients who were pregnant and diabetic, treated from November 1972 until November 1976 at the "Gonzalez Coro" Hospital and the Endocrinology Institute of Havana. These patients received a therapeutical regime which took into consideration an increase in the dosis of simple, regular insulin, until the "maximum tolerated dosis" was reached in each case, which was capable of situating this patient in a real prehipoglicemic status. Among the modifications which were introduced was the diet with calories requirements estimated attending to the weight, height and age of the pregnant women. We employed two classifications for the patients: that from Pricilla White modified by Pedersen, and our own institution's, which was aimed to know the "mother-fetus-prognosis". The group includes 17 patients of type A, 14 of type B, 20 of type C, 29 of type D and 8 of type F. These last ones were diagnosed through kidney-biopsia during the puerperium. A fix date for birth was not predeterminated; each patient was allowed to go ahead with her pregnancy until spontaneous delivery began. The rate of cesarean operation was 52%, and the weight of the newborns was within the average limits, except in 4 cases. The perinated death-rate of the group was 3,4% and the Apgar-score at the first minute of life was satisfactory in 79,5% of the group. It is concluded that the individual normoglicemia is essential for the control of the diabetic woman, and that mother's glicemia will have an effect on the fetus, producing a reduction of the gradient of mother-fetus glicemia and, on account of this, also a reduction of the hiperinsulinism reaction of the fetus with all its ill results.
Assuntos
Hipoglicemia/induzido quimicamente , Insulina/uso terapêutico , Gravidez em Diabéticas/tratamento farmacológico , Adulto , Glicemia/análise , Anormalidades Congênitas/epidemiologia , Feminino , Seguimentos , Alemanha Oriental , Humanos , Mortalidade Infantil , Insulina/administração & dosagem , Gravidez , Gravidez em Diabéticas/sangue , Cuidado Pré-Natal/métodos , Prognóstico , RiscoAssuntos
Cuidado Pré-Natal , Diagnóstico Pré-Natal/métodos , Probabilidade , Risco , Feminino , Humanos , GravidezRESUMO
La presencia de espermoaglutininas fue estudiadada en 420 muestras de sangre parejas y en 210 muestras de plasma seminal de pacientes que se atienden en la consulta de esterilidad. Mediante la técnica de Kibrick se demostraron anticuerpos espermoaglutinantes en los sueros sanguíneos de 40 hombres y 33 mujeres, así como también en muestras de plasma seminal de 14 individuos. Con la técnica de Franklin-Dukes se determinó la presencia de espermoaglutininas en el suero sanguíneo de 14 hombres y 22 mujeres, usando las mismas muestras que se usaron para la técnica de Kibrick y otras con el de Franklin-Dukes, esto significa la existencia de diferentes anticuerpos (AU)
