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

Introduction: The quality of health services is a fundamental element to improve the health status of the population; One of its main meters is the level of user satisfaction in relation to the service received.Objective: Identify the level of user satisfaction in relation to the quality of the service received in the outpatient consultation area of ​​the Cebadas health center.Methods: A descriptive and transversal design was carried out, with a non-experimental, descriptive and transversal design. Universe consisting of 219 patients treated in the outpatient service. The sample was made up of 141 patients. A survey was administered to each research subject to obtain information on the research variables: general characteristics of the patients, level of satisfaction and factors that affect the quality of the service. The student's t test was used to determine the significance of the results.Results: Average age of 48.38 years, predominated users between 40-49 years (36.88%), female (64.54%) and with a medium level of satisfaction (46.80%). The main factors identified as deficient were the lack of medical appointments and for medical procedures (71.63%) and problems with clinical and non-clinical furniture (59.57%).Conclusions: There are factors that influence the quality of health services; This situation has an impact on the level of user satisfaction, in which medium and low levels of satisfaction predominate.

Introduction: Immunoglobulins are effector molecules of the humoral immune response, used in the treatment of infectious diseases. Due to its antiviral effect, it was used in the treatment of the disease caused by SARS-CoV-2. A search was carried out in the databases for articles on the use of intravenous immunoglobulins in SARS-CoV-2 infection. PubMed/Medline, Scopus, Scielo and Lilacs, and through the Google academic search engine, in Spanish, English and Portuguese. Objectives: Analyze the use of intravenous immunoglobulins in SARS-CoV-2 infection. Development: Intravenous immunoglobulins have significant levels of antibodies against human pathogens and can be used to treat a variety of infectious diseases, as well as diseases of unknown etiology. This therapy, when administered during the course of the disease (within 72 hours of symptom onset) and with high titers (> 1:160) of anti-SARS-CoV-2 neutralizing antibodies, is associated with clinical benefit. Conclusions: Intravenous immunoglobulins are effective in different diseases due to their immunomodulatory, antiviral and anti-inflammatory properties. The main adverse reactions are related to high infusion rate and low purification. High-titer hyperimmune gamma preparations and neutralizing preparations administered in early stages of infection favor clinical improvement and hospital stay.

Introduction: Percutaneous tracheostomy, like that performed conventionally, allows the airway to be effectively permeabilized to guarantee adequate oxygen supply to the tissues. However, the percutaneous route allows access to the trachea in a simpler and less traumatic way at the patient's bedside, with a lower incidence of complications and significant cost savings. This option has not been widespread in Cuba due to the lack of adequate devices. Objective: To present a Cuban device for performing percutaneous tracheostomies in response to the identified need. Development: A prototype device for performing percutaneous tracheostomies in adult patients, developed by a team of professionals from the Miguel Enríquez University Hospital starting in 2016 is presented and its characteristics are explained. The device was designed according to the principle of progressive dilation, like other devices already established and recommended internationally, but not available in Cuban health institutions. Conclusions:  The viable solution to improving the quality of medical care is to develop a Cuban device for performing percutaneous tracheostomies on patients who require them.

Scientific production by higher education teachers is a necessary task but it can often lead to the development of bad conduct such as plagiarism, therefore, it can be applied with the formation of a research and ethics committee, a place where researchers are advised, managed, guided, supported and instructed in perfecting the document, sending it to a scientific journal and following up on the suggestions or contributions of the evaluators if they have it. Likewise, it is suggested that training and awareness days on good research practices be held in the different institutes, study centers, universities and scientific societies in order to minimize these behaviors that jeopardize the credibility, readability and trust of the community regarding clinical research.

Introduction: People deprived of liberty constitute a population sector with particular conditions of confinement that often significantly affect their well-being. Given this, it is important to identify research that relates the factors that influence positive psychological functioning and that promote protective capital in this context. Objective: To systematically analyze the available information on subjective well-being and resilience in the prison population, in order to identify key factors that allow the development of effective strategies to promote their comprehensive health. Methods: Using the PRISMA statement, articles were selected using the same search strategy in the following databases: Scopus, Pubmed, Web of Science, ProQuest Psychology and LILACS. The studies were then filtered according to the eligibility criteria, to finally include those that met 75% of methodological quality after being evaluated using the AXIS checklist. Results: There is a bidirectional relationship between both constructs; both independently and together, subjective well-being and resilience have a favorable impact on the physical and mental health of people deprived of liberty. Conclusions: This study is relevant in promoting health and effective rehabilitation environments by opening a dialogue on the capacity of adaptation and recovery of persons deprived of liberty in the face of the impact of imprisonment.

Introduction: Despite the documented importance of epidermal growth factor in health, tiny information is available on its serum concentrations. Objective: To describe the behaviour of serum epidermal growth factor. Methods: Cross-sectional observational and analytical study in apparently healthy male subjects selected by simple random sampling from a group of blood donors. Commercial UMELISA-EGF® kits were used. The variables used were: sex, age, weight, blood group and serum EGF concentration. Percentages and arithmetic means were used as summary measures. Statistical significance was tested using Pearson's chi-squared test or Welch's t-test with α= 0.05. A univariate strategy was used to calculate odds ratios. Results: Serum EGF levels of 507.54±155.69 pg/mL were observed in 32 subjects with a mean age and weight of 34.6±3.82 years and 74.3±3.93 kg, predominantly blood groups O+ (46.87%) and A+ (28.12%). The probability of finding EGF levels below 100 pg/mL was higher in subjects <30 years than in those ≥30 years (OR=4.2 CI_95%: 0.8783-3.9599; p=0.0007). The probability of finding EGF levels below 870 pg/mL is higher in A+ than in O+ subjects (OR=4 CI_95%: 0.6840-4.8739; p=0.0171). Conclusions: There is evidence of a putative association between serum EGF levels and A+ and O+ blood groups, with an apparent inverse association with body weight. The variability of serum EGF concentrations decreases with increasing age.

Introduction: Septic thrombosis of the cavernous sinus is a rare disease, described as thrombophlebitis in the cavernous sinus, caused by facial infections in the middle third of the face. It can present as an acute fatal condition. Objective: To describe the symptoms and evolution of a patient with septic thrombosis of the cavernous sinus. Clinical Case: A 17-year-old male patient with a history of apparent health, treated in emergency for pain and increased volume in the right hemiface after trying to extract a molar from the upper arch on that same side, with a fork. Septic thrombophlebitis of the cavernous sinus was diagnosed; he was admitted to the intensive care unit, the evolution was unfavorable and the patient died. Conclusions: Cavernous sinus thrombosis is rare, however, its evolution endangers the patient's life. The characteristic signs in this case were periorbital edema, proptosis and panophthalmoplegia. Its high lethality requires a rapid and accurate diagnosis.

El presente trabajo aborda el análisis de los puntos de intersección en materia penal y procesal penal resueltos por la Suprema Corte de Justicia de la Nación de México, con el objetivo de establecer un diálogo que promueva el intercambio entre paradigmas decisorios con el Supremo Tribunal Federal de Brasil. Para ello, se emplea el método de la fertilización cruzada en derecho comparado. La investigación explora la construcción de interpretaciones jurisprudenciales en tres temas de relevancia contemporánea para ambos países, los cuales presentan similitudes en sus núcleos centrales. En este contexto, se confronta la jurisprudencia relativa a: (i) la naturaleza del delito de desaparición forzada de personas, en particular el debate en el ámbito jurídico brasileño sobre su carácter de delito permanente; (ii) las implicaciones de ampliar la participación de la víctima en el proceso penal; (iii) y el desarrollo de estándares en la actividad probatoria en materia penal.

Este artículo tiene como objetivo ofrecer una reflexión multidisciplinar y de amplio espectro, desde la perspectiva del principio de igualdad, sobre una de las principales contradicciones dentro de ordenamiento jurídico constitucional español: la inclusión del principio de masculinidad en la sucesión a la Corona según el artículo 57.1 de la Constitución Española. Asimismo, el artículo también ofrece unas pinceladas en torno al llamado Derecho Penal del amigo y su más que posible vinculación con la protección penal (reforzada) de la monarquía en España como un ejemplo más de la quiebra del principio de igualdad en lo tocante a la referida institución.

Global markets are in a state of continuous evolution, with increasing demand for products driving companies to enhance their competitive capabilities. To remain competitive, firms seek to strengthen their international trade relations by leveraging the advantages offered by trade agreements. Additionally, they aim to streamline customs procedures, particularly through the adoption of Mutual Recognition Arrangements (MRAs) within customs agreements, which facilitate more efficient cross-border trade operations. This study aims to examine the relevance and impact of the Authorized Economic Operator (AEO) certification program, known by its Spanish acronym as OEA, as approved by customs authorities. This certification is positioned as a flexible and competitive tool that enables companies to streamline their logistics chains, thereby simplifying foreign trade operations and enhancing overall efficiency. The proposed hypothesis suggests that AEO certification could serve as an opportunity to enhance the supply chains of small and medium-sized enterprises (SMEs). These businesses account for 90% of the productive sector, contribute 40% of the Gross Domestic Product (GDP), and provide over 80% of national employment, according to 2022 data from the Ministry of Labor. Therefore, the central question this research seeks to address is: Can the Authorized Economic Operator (AEO) certification enable small and medium-sized enterprises to enhance their competitiveness by implementing changes in their supply chain security practices?