Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Introduction: the prevention of puerperal infection is a social requirement.Objective: to specify the association between rupture of ovular membranes, cervicovaginal infection and chorioamnionitis and the presentation of puerperal infection in puerperal women attended in the Obstetrics Service of the Hospital Dr. Agostinho Neto during the years 2016-2018.Method: a study was conducted of cases and controls. The universe was formed by all puerperal puerperal infections (n=622), and of the latter a sample was selected for convenience of 60 patients, which constituted the group of cases; a group of patients without puerperal infection (n=120) who formed the control group was chosen. The following variables were studied: age in years, time of rupture of ovular membranes, diagnosis of cervicovaginal infection and chorioamnionitis and birth pathway.Results: ages between 20 and 29 years predominated in cases (41.7%) and controls (48.3%). There was statistically significant evidence, with a reliability of 95%, that the rupture of membranes over 24 hours, cervicovaginal infection and chorioamnionitis were risk factors for puerperal infection. The vaginal route predominated in the cases (60%) and controls (61.7%), which was not statistically significant associated with puerperal infection.Conclusions: puerperal women with ruptured ovular membranes over 24 hours, cervicovaginal infection and chorioamnionitis presented a higher risk of puerperal infection.

Introduction: breast cancer is a health problem which makes the education of women necessary for early diagnosis.Objective: to design an educational intervention aimed at raising the preparation on the subject in women from 18 to 60 years of the Family office 12 of the University Polyclinic "Emilio Daudinot Bueno".Method: between November 2017 and October 2018 a prospective study was carried out, of the educational intervention type. The universe was the total number of women included in the age range indicated, and 97 intentionally selected were included in the study. Their level of information on the subject was investigated before and after applying the educational intervention.Results: before the implementation of the designed educational intervention, 50.5% of the women expressed an insufficient level of information regarding the Family office, and this proportion decreased to 21.6% after applying it, which meant a reduction in 57.2% of women with theoretical deficits regarding the issue. The percentage that increased their preparation was 36.9% (p <0.05), which indicated the advantage of implementing the educational intervention that was designed.Conclusions: the educational intervention aimed at the preparation of women regarding breast cancer in the University Polyclinic “Emilio Daudinot Bueno” made it possible to enrich their culture regarding the subject.

Introduction: families are not always prepared to promote health promotion actions.Objective: to identify the opinion of general practitioners regarding the current situation of the family-health promotion relationship in the “Mártires del 4 de Agosto” University Polyclinic area during 2019.Method: during the months January–March 2019, in this institution conducted an exploratory study where opinions on the subject were identified in 50 of these doctors. Theoretical references that support the family-health promotion relationship were systematized.Results: 80% of the respondents acknowledged that the family's participation in health promotion activities is insufficient and 70% appreciated that their preparation for this purpose is not satisfactory. They also recognized weaknesses in the professional performance of the general practitioner to ensure optimal family-health promotion activities.Conclusions: the relationship between the family and health promotion is based and the need for the preparation of this as a transcendental aspect for the educational work of the population in health matters is highlighted.

Introduction: In Cuba a social demand is the study of the skin cancer in the biggest population of adults.Objective: to determine the patients with diagnostic probable of skin cancer in the homes of old Caridad Jaca and San José from Guantánamo during the year 2017, and in such a case, to characterize clinical-epidemic aspects in the affected patients.Method: was an observational, prospective and traverse study with all the old men (n=256) and in those with probable skin cancer (n = 15). Was studied the age, sex, birthplace and where their lived, personal pathological antecedent, cutaneous photo- type, characteristic of the lesion, diagnostic clinical and dermatoscopy.Results: In 5,9 % of the old men a skin cancer was diagnosed. It was more common in men (53,4 %) with 70 to 79 years (53,4 %), born or that III lived in urban areas and cutaneous photo type (40,0 %). 100.0 % was exposed to the solar light, 86,7 % without photo protection means. The cancer was located more in the face (66,7%), it had an inferior area to a centimeter (46,6%), between 3 and 4 years of evolution (60,0%), it was an unique lesion (86,7%) and the carcinoma basocellular (46,6%). In 80,0% of the cases correlation diagnosis was appreciated clinic-dermatoscopy. Conclusions: It was low the frequency of the skin cancer in the old men. However it is required to pay more attention to the insurance of the precocious diagnosis of this illness.

Introduction: gender analysis is essential to determine inequities related to the health of men and women, is a field to be explored in Stomatology and more when it comes to the effectiveness of ozone therapy in the treatment of stomatitis subprosthesis.Objective: to evaluate how gender influences the effectiveness of ozone therapy in the treatment of subprosthesis stomatitis in patients who attended the Prosthetics service of the Clinic "Julio Antonio Mella" in the period January-June 2018.Method: a descriptive-transversal study was carried out. The universe was constituted by the patients with prosthesis who came to the service in that period and the sample was selected in a non-probabilistic way. The information was obtained through an observation guide and a questionnaire, which was processed with the statistical package SPSS, version 15.Results: treatment was more effective in men and days to cure inferior in these. Women who took more than ten days to heal the injury or who did not heal constitute the highest percentage with respect to men, mainly due to their domestic responsibilities.Conclusions: gender influences the effectiveness of ozone therapy marked by differences in domestic responsibilities that interfere in adherence to treatment by men and women.

Introduction: infertility is becoming increasingly popular in societies.Objective: to facilitate the work of the family doctor in the collection and follow-up of cases of infertility. Method: a bibliographic review was carried out, through digital consultation of specialized journals, updated and freely available on the website of the Virtual Health Library. Several keywords were used to locate the publications, which mainly contained the term infertility. The most recent digital citations, which showed the work in their entirety, were subjected to an analysis that allowed obtaining the information. Development: Among the causes of infertility identified most frequently are in the case of females, genital infections and as an exponent of the male with the varicocele. Final considerations: promoting the incorporation of knowledge will allow the design of preventive actions on the main causal factors of infertility from the Primary Health Care.

Introduction: Patients with Syndrome type II division 2 malocclusions, besides presenting a clinically established relationship between molars and canines in a distal occlusion, show a retro-inclination of the upper front teeth with pro-inclination of the lateral incisors and a deep overbite, which can result in a risk factor of temporomandibular dysfunction. Objective: To identify the relationship between Syndrome type II division 2 malocclusions and the temporomandibular dysfunction.Material and Methods: A bibliographic review was carried out through a search of databases such as MEDLINE, PubMed, Hinari, and Scholar Google. A total of 17 articles were used.Development: Because of the clinical characteristics of the occlusion in the patients with this syndrome, the range of jaw movement is limited, producing a traumatic effect that is related with a position of the condyles displaced backward and with glenoid fossa intrusion. This more distal displacement produces the pressure of the richly innervated retrodiscal tissue, which could be the cause of inflammation of the surrounding tissues and the affectation of the joint function due to an elongation of the discal ligaments or a thinning of the disc affecting the disc-condyle complex.Conclusions: The studies conducted demonstrate the relationship between the Syndrome type II division 2 and the temporomandibular joint dysfunction, given the clinical characteristics that are present in this syndrome, which affect the functioning of the temporomandibular joint, and produce its dysfunction when exceeding the adaptive capacities of the patient.Keywords: Syndrome type II division 2 malocclusions, temporomandibular dysfunction, deep overbite, malocclusion.

Introduction: Chronic kidney disease is a health problem in Perú.Objective: To determine the mortality and the associated factors in chronic kidney disease patients under hemodialysis in an incident population in a Peruvian hospital.Material and Methods: A retrospective cohort study was conducted in patients admitted to the chronic hemodialysis program at Hospital Antonio Lorena (Cusco-Peru), from 2010 to 2016. Kaplan-Meier method was used for the survival analysis to determine the factors associated with mortality, Cox´s Regression was carried out, obtaining Hazard Ratio (HR) and 95% confidence intervals (95% CI).Results: A total of 187 patients were studied, with a mean age of 57 years (interquartile range: 43-66). The 47% (89) of patients died during follow-up. Mortality rate was 24 deaths / 100 people-per year (95% CI: 19.6-29.6). The mean survival rate was 2.8 years (95% CI: 1.9-4.0). Dilatation of the left atrium in the echocardiography (HR: 2.63; 95% CI: 1.03-6.69; p=0.041), a white blood cell count ≥ 12x103u/mm3 (HR: 6.86; 95% CI: 2.08-22.66; p=0.002), and hemoglobin <7 g/dL (HR: 3.62; 95% CI: 1.05-12.48; p=0.041) were associated with mortality.Conclusions: A low frequency of survival was found, which was associated with potentially modifiable factors.Keywords: Chronic Kidney Disease, Hemodialysis, Mortality, Survival, Public Health.

Introduction: The incidence of carcinoma of unknown primary origin in oncologic patients is from 0,5 % to 7 % at the time of diagnosis with an overall 3-year and 5-year survival of 11 % and 6 %, respectively.Objective: To assess the effectiveness of 18 F-FDG-PET/CT (18F-fluorodeoxyglucose posıtron emıssıon tomography) in the diagnosis of carcinoma of unknown primary origin (CUP).  Material and Methods:  F-FDG-PET/CT studies were conducted in patients with CUP in the search for primary tumor with negative previous conventional studies carried out from November, 2017 to June 2018.  The final diagnosis was established by histological confirmation and/or clinical/radiological follow-up during 8 months.  Results: A total of 44 patients were studied.  There were evidences of suggestive CUP in 19 patients; 9 of them were histologically confirmed as true-positive and only 1 was a false-positive. Of the 23 patients with negative F-FDG-PET/CT studies for primary tumor, all of them continued with the diagnosis of CUP in spite of multiples diagnostic tests. Conclusions: The FDG-PET/CT technique allowed to identify 45,2 % of the primary tumors in this study, which demonstrates that it is very useful tool for the diagnosis of metastases of unknown origin.  It is considered that F-FDG-PET/CT studies should be included earlier in the diagnostic algorithms in Cuba, which will allow to indicate subsequent complementary tests.