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

Introduction: One of the therapeutic pillars for Parkinson's disease is physical rehabilitation; its application is aimed at improving motor and non-motor symptoms; however, its widespread use in patients with this disease is still limited. Objective: To identify the benefits of physical therapy in patients diagnosed with Parkinson's disease. Methods: A literature review was conducted in regional and high-impact databases, such as Scielo, Latindex, Redalyc, Scopus, ICE, Web of Science, and PubMed, the most representative. Google Scholar was used as a search engine, identifying 77 documents, of which 38 were incorporated into the study. Health descriptors in English, Spanish, and Portuguese (quality of life; Parkinson's disease; physical therapy regimen and rehabilitation) and Boolean operators (AND, NOT, and OR) were used. The combination of these elements allowed for increasing and optimizing the information search results. Development: The main results focus on the benefits of exercise-based training programs, technology, and other therapies to improve motor and non-motor manifestations in patients diagnosed with Parkinson's disease. Conclusions: The benefits of physical therapy for patients diagnosed with Parkinson's disease lie in improvements in balance and gait, with an emphasis on speed and stride length. This includes improved postural stability, greater functional capacity, and a decreased risk of falls, as well as improvements in mood and cognitive function.

Introduction: The biopsychosocial and spiritual self integrates the biological, psychological, social, and spiritual dimensions of the individual, offering a holistic view of health. This perspective is crucial because it allows us to understand how patients interpret and cope with their health conditions; thus, it provides a comprehensive framework for care and recovery. Objective: To analyze how the patient's narrative reveals and reflects the interactions between these four dimensions; its importance in the healing process; and the meaning and purpose of the patient's experience through illness. Opinion: The patient's narrative is a tool that allows patients to express their experiences and emotions; it offers healthcare professionals a deeper understanding of their needs and challenges. Integrating these dimensions would aid in treatment adherence and provide more empathetic and effective professional care. Conclusions: Interpreting illness from a biopsychosocial and spiritual perspective, through the patient narrative, is essential for holistic healthcare. This integration allows for a better understanding of the patient's experiences and needs, facilitating a treatment approach that promotes not only physical healing but also emotional and spiritual well-being.

Introduction: Thyroid diseases, including adenomas with cystic degeneration, decrease in size after the administration of dehydrated alcohol (ethane). Objective: To analyze the social utility of ethanol in the treatment of adenomas with cystic degeneration. Opinion: Percutaneous ethanol injection improves the quality of life of patients with psychological problems caused by thyroid hyper-hypofunction. A better mood leads to a healthier life. Pathophysiologically, it leads to fibrosis and atrophy of the nodules, achieving euthyroidism, which prevents disease progression. Conclusions: The use of ethanol treatment for thyroid adenomas with cystic degeneration represents an important advance in endocrine medicine, offering both economic and clinical benefits. Its efficacy, lower cost, and ability to improve quality of life make it a valuable therapeutic option for these patients.

The esthesiometric neurodynamic method (ESM) is a clinical neuropsychological method that studies the functional state of the cerebral cortex in patients with neurological disorders, and also in healthy individuals. It allows to demonstrate the influence of different situations and diseases on the state of cerebral cortical reflex nervous activity, that is, cerebral cortical neurodynamics.

Introduction: Cardiovascular comorbidities are associated with a worse outcome in patients with COVID-19 due to inflammation and thromboembolic events. Objective: To identify echo-Doppler findings of the carotid, vertebral, ulnar, and radial arteries in COVID-19 convalescents. Methods: A cross-sectional study of 168 COVID-19 convalescents who underwent arterial echo-Doppler. The variables studied were sex, age, atherosclerotic risk factors, carotid and vertebral artery resistance index, overall carotid intima-media thickness, and upper extremity arterial segments with monophasic flow. Descriptive statistics, mean comparison tests, and the chi-square statistic were used. Results: The mean resistance index in carotid and vertebral arteries was higher in men (0.62–0.67), except in the left vertebral artery (p=0.008–0.031). In convalescents aged ≥60 years, the resistance index in all arteries except the right vertebral artery was 0.65–0.69 (p=0.000–0.012), and in those with four to five atherosclerotic risk factors, it ranged from 0.64–0.70, except in the right vertebral artery (p=0.005–0.027). The overall carotid intima-media thickness was <0.8, and 48.2% had monophasic flow in at least one distal arterial segment of the upper extremities. Conclusions: The key findings from Doppler ultrasound of the carotid and vertebral arteries are higher resistance index in the elderly, in men, and in COVID-19 convalescents with more atherosclerotic risk factors. In the ulnar and radial arteries, monophasic spectral morphology is identified in a greater number of individuals without atherosclerotic risk.

Introduction: Silicone oil is used in patients vitrectomized for rhegmatogenous retinal detachment, early removal is recommended because its permanence may induce complications. Objective: To describe late complications caused by silicone oil in patients vitrectomized for rhegmatogenous retinal detachment. Methods: 24 patients were evaluated in a cross-sectional study. Visual acuity without correction at the time of consultation, density of silicone oil and its permanence time in the vitreous cavity, type of late complication, horizontal and vertical macular thickness were evaluated. Results: Male were predominant (65%), whites (83%), and the age group 50 - 69 years represented 67% of the patients. Fifty-seven percent had no ocular pathological history, 26% presented myopia (13% with high myopia). Thirty-eight percent had visual acuity between 0.1 - 0.3. Silicone oil 100 cSt was used in 83% of the cases and the time of permanence was 23 ± 17 months. Late complications, cataract, ocular hypertension and emulsified oil in equal proportion, macular edema and macular hole occurred in 71% of patients. The average macular thicknesses in horizontal and vertical slices were 478 ± 219 µm and 487 ± 214 µm. Conclusions: Silicone oil cause macular thickness increase and inflammation mediated visual acuity decrease. Late complications of pars plana vitrectomy in patients with rhegmatogenous retinal detachment, with silicone oil are cataracts, ocular hypertension and emulsified oil.

Introduction: The preparation of health professionals in emergencies and disasters proposes to focus on the development of the promotion of psychological well-being, with a collective approach, and consider that institutions must anticipate a health crisis.Objective: to design a strategy to strengthen the psychological well-being of health professionals in emergencies and disasters.Methods: The research assumed a mixed methodology with a sequential explanatory design at the "Comandante Manuel Fajardo Rivero" hospital in the period from April 2020 to December 2023. The population under study was made up of 76 health professionals, the variables studied were: professional category, psychological well-being, age and sex. In addition to the previous diagnosis for the development of the strategy, documents were analyzed, a focus group and a nominal group were held, once concluded it was subjected to evaluation by expert criteria.Results: 87.1% of physicians, 60.5% of nurses, 78% of women, and 53% of professionals aged 20 to 39 had low psychological well-being. The strategy was designed to group integrated actions in three moments, before, during, and after the disaster, aimed at four levels of action: individual, group, institutional, and macrosocial. It is a proposal appropriate to the Cuban health context.Conclusions: The designed strategy provides the possibility of developing actions that provide adequate resources and tools to strengthen the psychological well-being of professionals in emergency and disaster situations.

Introduction: Medical professionalism is a component that impacts the quality of care and patient trust. As generations of physicians evolve, differences may arise in how values ​​related to professionalism are expressed. Objective: To identify characteristics associated with professional behavior in physicians of different age groups. Methods: A cross-sectional study based on data from 424 physicians from Paraguay, Peru, and Cuba. CHAID analysis was applied to examine variables related to professionalism. The dependent variable was age group, while the independent variables were 43 indicators and 7 dimensions related to medical professionalism. Results: In young adults, recording unexamined physical findings (61.50%) and leaving work without completing tasks (47.90%) were more prevalent. Middle-aged adults were more likely to prescribe medications in exchange for compensation (61.30%) and avoid eye contact due to the use of electronic devices (45.10%). In terms of academic ethics, middle-aged adults reported less misconduct in research and publication (45.90%), while younger adults were more vulnerable to these violations (62.40%). Regarding respect for colleagues and patients, middle-aged adults reported greater workplace stress and confidentiality violations. Conclusions: There are generational differences in medical professionalism, with younger adults making mistakes due to pressure and evading responsibility; middle-aged adults face ethical-work conflicts; and older adults have difficulty adapting to standards and teamwork.

Introduction: Falls are multifactorial and common geriatric syndromes, but they can be prevented. Physical activity is an effective therapy. In recent years, telerehabilitation has combined technologies with exercise and is used to prevent diseases and, in particular, to prevent falls in geriatric patients. Objective: To update information on the benefits of telerehabilitation for preventing falls in geriatric patients. Methods: A literature review was conducted, focusing on the search for updated information available in the open-access databases Redalyc, Latindex, Scopus, PubMed, Dialnet, Scielo, and the Google Scholar search engine. Eighty-three documents were identified, of which 31 provided useful information for the study. Advanced search tools such as health descriptors in English, Spanish, and Portuguese. Boolean operators were used. Development: The main results of the study include a summary of risk factors for falls in older adults; suggestions are made on elements to consider when designing and implementing telerehabilitation programs. The main benefits related to fall prevention in geriatric patients provided by telerehabilitation, as reported in the literature, are also described. Conclusions: Telerehabilitation can achieve effective results and benefits similar to or greater than those of conventional physical therapy. It is possible to improve muscle strength, balance, physical performance, functional capacity, mobility, and postural balance, which promotes independence and reduces the risk of falls.

Introduction: The anthropometric evaluation of craniofacial morphology and facial harmony has significant clinical implications in the fields of maxillofacial surgery, reconstructive rhinoplasty, and orthodontics, providing essential reference data for surgical planning and aesthetic optimization. Objectives: To determine the anthropometric morphological characteristics of the nasal region in Vietnamese individuals aged 18-25. Methods: A descriptive study was conducted on 405 students aged 18 to 25 years in Vietnam. Anthropometric morphological characteristics, including distances, angles, and ratios, were measured using an indirect measurement method. Results: Anthropometric analysis of the Vietnamese population aged 18–25 years revealed that the average nasal root-to-tip length was 40.51 ± 4.16 mm, and the average nasal width was 41.15 ± 3.63 mm. The mean nasal height measured 13.69 ± 1.17 mm. The nasofrontal angle averaged 141.20° ± 7.50°, while the nasolabial angle averaged 100.36° ± 12.03°. For proportional indices, the Goode ratio averaged 0.56 ± 0.05 and the Baum ratio averaged 2.12 ± 0.23. A significant positive correlation was observed between nasal bridge length and facial length (p< 0.001). Conclusion: The anthropometric characteristics of the nasal region in the Vietnamese population exhibit significant sexual dimorphism, particularly in terms of dimensions and proportional indices.