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

Introducción: Los tumores de partes blandas son un grupo heterogéneo de lesiones tanto benignas como malignas. El origen histológico es diverso y entre ellos se encuentra el vascular como el hemangioma. Objetivo: Conocer un paciente con hemangioma cavernoso de partes blandas del pie derecho. Caso clínico: Paciente masculino de 21 años de edad, blanco sin antecedentes mórbidos de salud, acude a la consulta externa de Ortopedia y Traumatología por presentar una bola a nivel de la planta del pie derecho acompañada de dolor. Apareció hace dos años, pero ha incrementado su tamaño de forma rápida en los últimos tres meses. Mediante la exploración física se observó la tumoración en la cara plantar e interna del pie derecho, de consistencia dura, fija, mayor a 8 cm, de bordes irregulares y pobremente definidos con aumento de la temperatura local. Se realizaron exámenes complementarios imagenológicos y hematológicos. Al analizar el resultado de la exploración física y los complementarios se decidió la intervención quirúrgica consistente en la resección de la tumoración. Conclusiones: El hemangioma cavernoso es una enfermedad que afecta por lo general a niños y adolescentes sin predilección por el sexo, sus síntomas y signos más encontrados son el aumento de volumen y el dolor. El tratamiento consiste en la resección del tumor a través de un margen de seguridad y su principal complicación es la recidiva. DeCS: HEMANGIOMA CAVERNOSO/terapia; NEOPLASIAS DE LOS TEJIDOS BLANDOS; PIE/cirugía; PROCEDIMIENTOS QUIRÚRGICOS OPERATIVOS; INFORMES DE CASOS.

Introduction: The radiological characteristics of the cisterns of the base are of interest in the diagnosis, evolution and prognosis of patients with traumatic injuries. Currently, their condition is an important predictive factor in patients with severe head trauma. For the most part they refer only to normal, compressed or absent cisterns. Objective: To determinate the normal measurements of the principal basal cisterns in a tomagraphy and their relation with age and sex. Methods: An analytical, cross-sectional study was carried out in a period of two months: March and April 2021, in joint work of the Neurosurgery and Imaging services of the Manuel Ascunce Domenech University Hospital in Camagüey province. The universe was made up of 101 patients over 18 years of age with skull tomographies without alterations. The study included the evaluation of simple CT images of the skull of patients with suspected cerebrovascular disease, study of late-onset epilepsy, confusional syndrome or cephalalgic syndrome. The crural, interpeduncular, ambiens and quadrigeminal cistern were evaluated. The measurements were always performed by specialists in Imaging and Neurosurgery with years of experience. The basic selection criterion was that the tomography was reported without alterations, regardless of age and sex. Results: The sample was 101 patients, 53 males and 48 females. The average width of the interpeduncular cistern was 5.5 mm, besides crural cistern averages 2.3 mm and the ambiens and cuadrigeminal cisterns average 3.1 mm and 5 mm respectively. The patients older than 60 years had major dimensions of the cranial cisterns. Conclusions: The width of basal cisterns could be change with age but not with sex. This is associated with brain physiological aging. DeCS: SUBARACHNOID SPACE; CEREBROSPINAL FLUID; BRAIN INJURIES, TRAUMATIC; INTRACRANIAL HYPERTENSION; TOMOGRAPHY, X-RAY COMPUTED.

Introduction: Low birth weight is a health problem worldwide, there is controversy about the association of periodontal disease with different adverse perinatal outcomes. Objective: To determine if periodontal disease is a risk factor for low birth weight. Methods: An observational, descriptive, cross-sectional study was carried out in pregnant women who provided live newborns with low weight belonging to the municipality of Pinar del Río, during 2019. The universe (94) pregnant women and the sample (72) through a non-probabilistic sample at the discretion of the authors, according to inclusion criteria. The variables were: maternal age, gestational age at birth, risk factors (hypertension, bronchial asthma, anemia, vaginal sepsis, urinary sepsis, smoking), weight gain during pregnancy (adequate, insufficient, excessive), evaluation nutritional status (normal weight, overweight, malnourished, obese) and presence of periodontal disease (gingivitis and periodontitis). The sources used were the medical records of the mothers and newborns and the statistics were descriptive with distribution of absolute and relative frequencies. Results: Maternal ages between 20 to 25 (33,3 %) and gestational age between 33 and 36 weeks (47,2 %) predominated, vaginal sepsis was the main disease associated with pregnancy (22,2 %), predominated inadequate weight gain (41,7 %) and normal weight with (59,7 %). Conclusions: Periodontal disease was not associated as a risk factor for adverse perinatal outcomes such as low birth weight. DeCS: PERIODONTAL DISEASES; RISK FACTOR'S; LOW WEIGHT NEWBORN; GESTATIONAL AGE; BIRTH WEIGHT.

Introduction: Eosinophilic gastroenteritis is a rare disease characterized by the presence of tissue eosinophilia, which affects the different layers of the intestinal wall.This type of gastritis is characterized by an intense eosinophilic infiltration that can affect only the gastric mucosa or all its layers up to the serosa. The clinical presentation differs on the position and extent of the eosinophil infiltration, as well as its depth through the bowel wall. Objective: To present the case of a patient diagnosed and treated as eosinophilic gastritis. Case report: A 47-year-old white male patient from Camagüey province, who attends the Gastroenterology Service of the Manuel Ascunce Domenech University Hospital, Camagüey province; in October 2019. He reported that during the last two months he had consulted primary care sporadically due to epigastric discomfort, these episodes subsided with short courses of antacids. The symptoms began to worsen and became more resistant to treatment, with nausea, vomiting and marked weight loss appearing. It was decided to start performing analytical studies on the patient. Conclusions: The result of the histological study was a severe chronic inflammatory infiltrate with the presence of eosinophils more than 50% that extends to all layers with reactive glandular epithelium, concluding it as eosinophilic gastritis. DeCS: EOSINOPHILIA; ADRENAL CORTEX HORMONES; GASTROENTERITIS; ENDOSCOPIC MUCOSAL RESECTION; GASTRITIS, ATROPHIC.

Introdution: The world is in front of a complex situation, where it is investigated and it is learned in a vertiginous march, not without anguish and overwork for a lot. In this sense, managing the performance of the confrontation system leads to success in each territory. Objetive: To design a comprehensive diagnostic model of the performance of the COVID-19 coping system. Methods: An applied research was carried out in the first period of autochthonous transmission in Cuban territory, by means of the design of a model based on the lethality indicator, through the method of consecutive substitutions, the study was supported with the mathematical modeling of indicators management with a comprehensive approach in their analyzes. Results: There is a diagnostic model based on the analysis of confirmed and recovered cases, allowing the integration of a large number of management indicators and visualizing the relationships between them. Conclusions: The design of a diagnostic model of the performance of the COVID-19 coping system was obtained based on the disintegration of the lethality indicator, allowing the system management indicators to be viewed in a comprehensive manner. DeCS: CORONAVIRUS INFECTIONS; MANAGEMENT INDICATORS; MORTALITY; EFFECTIVENESS; APPLIED RESEARCH.

Introduction: It is repetitive to observe publications on the behavior of COVID 19 in Venezuela that mix health aspects with a political and social crisis in Venezuela; which takes reality out of context and prevents the reader from acquiring truthful information about the complex health-disease process in Venezuela. Objective: To analyze the scientific publications that associate the political context with the behavior of COVID 19 in Venezuela. Methods: A PubMed search was carried out on published information that related health conditions with the current political and economic situation in Venezuela, between the years 2019 and 2021. A classification was made according to type of article, authors, institution and country of affiliation, journals, funding sources, and number of citations or downloads. Results: A total of 20 articles were found, of which 7 were research articles, 5 reviews, 4 correspondence and 4 information articles. The author with the highest number of publications was Paniz et al., followed by Ramírez et al. The country of affiliation of 45% (9) of the main authors is the USA; 4 authors work in Venezuelan institutions and 3 in Colombia. The Lancet is the journal where most articles were published (6), followed by journals from the Public Library of Science (PLoS) group (3) and Emerging Infectious Diseases (2). Conclusions: Decontextualizing the political crisis in Venezuela does not contribute to providing solutions to the public health problems that Venezuelans face today. DeCS: COVID-19/complications; HEALTH-DISEASE PROCESS; BIBLIOMETRICS; ELECTRONIC PUBLICATIONS; VENEZUELA.

Introdution: The malignant mixed müllerian tumor is an infrequent, aggressive uterine neoplasm and is histologically characterized by containing sarcomatous and carcinomatous malignant elements. Objetive: To describe a case of a malignant mixed Müllerian tumor and to review the literature on the subject. Case report: A 63-year-old black female patient, obese and hypertensive under treatment, with a history of right mastectomy six months ago, who was consulted due to increased abdominal volume, lower abdominal pain and uterine bleeding. With the administration of combined anesthesia (general orotracheal and continuous epidural regional) a giant uterine fibroid was resected and the diagnosis of a malignant mixed Müllerian tumor was confirmed. Conclusions: Malignant mixed Müllerian tumor should be suspected in elderly women with genital bleeding accompanied by a pelvic mass. The pathological study is of choice for the definitive diagnosis of this rare and potentially aggressive neoplasm. Surgery, radiotherapy and chemotherapy are the most accepted therapeutic options, however, in women with advanced stage tumors, regardless of the treatment provided, the survival rate is short. DeCS: MIXED TUMOR, MULLERIAN/surgery; MIXED TUMOR, MULLERIAN /radiotherapy; CARCINOSARCOMA; UTERINE NEOPLASMS; LAPAROTOMY.