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

Agro-industrial heritage is a topic recently explored in Latin America, where new research is showing its importance in the heritage field. The objective of this research is to reveal how relevant the presence of agro-industrial heritage is, probably the only case study of this type in San Miguel district nowadays: Hacienda Maranga; its history, its actors through time, the objects and heritage values ​​that are attributed it. This peculiar hacienda was a milestone at different times in its history, the importance and influence even in the formation of the San Miguel district could be due to its presence.

This article identifies the conceptual elements, instruments and relevant processes to project in the legal framework the mechanisms for the preservation of the tangible and intangible values of the assets belonging to the cultural heritage of the Cuban nation. For this purpose, it was necessary, at first, to review the specialized bibliography in order to determine the main theoretical and methodological currents that have an impact on the professional performance of architects, engineers, conservators and related personnel. Secondly, an exegesis of the legal regimes of Germany, Argentina, Belgium, Bolivia, Colombia, Ecuador, Spain, France, Italy, Portugal and Venezuela has been carried out to determine the regulatory trends in this regard. The theoretical and normative references obtained have been approached from the distinction between conservation and restoration, and the contemporary meaning of sustainability that accompanies both categories. These conceptions are relevant to examine the current legal regime for the protection of Cuban cultural heritage in order to suggest its improvement in its most integral dimension.  

This research analyzes the houses of Tumán, from the heritage point of view, with the aim of understanding their heritage values, from the perspective of their social actors. Based on a qualitative methodology and with a phenomenological design, defining the object, the subjects and the place. The analyzes carried out are based on the information obtained in the field, through face-to-face and virtual interviews. In addition, it is worth mentioning that the information was collected in situ, measuring, taking photographs and flying over the study site. As a result, the object presents various estimates by its subjects, with a predominance and even absence of values. To finally conclude, on the importance of the participation of social actors as patrimonial subjects, since it is they who determine the values that the object possesses, understanding in this sense that the value of a patrimonial object is not intrinsic, but extrinsic.

Introduction: trigeminal neuralgia has been referred since ancient times as one of the most intense facial pains; its etiology is controversial and its prevalence rises along with life expectancy.Objective: to integrate criteria on the etiology of trigeminal neuralgia.Methods: documentary review through an automated search in the databases PubMed/Medline, Cochrane Library, Scielo, Medigraphic and Science Direct, using the Google Scholar search engine, during the period from March 2021 to the same month of 2022. Thirty-one articles related to the proposed objective were selected; 23 (74.2%) are updated.Results: the causal factors of trigeminal neuralgia (trauma, infectious diseases and compression by neighboring anatomical structures or tumors) promote an inflammatory process in the connective tissue that composes the nerve, the release of leukocyte products causes its destruction and the nervous tissue is exposed; action potentials are triggered that cause the painful symptoms typical of the disease.Conclusions: the development of an inflammatory process in the connective tissue constituent of the trigeminal nerve causes a decrease in the excitability threshold of the affected fibers and provokes pain in response to different stimuli.

Introducción: el síndrome de Hurler pertenece a un grupo de enfermedades llamadas muco polisacaridosis y es una rara enfermedad en la edad pediátrica.Información del paciente: adolescente masculino de 12 años de edad, producto de parto normal, que a los dos años comenzó con pérdida del habla y babeo constante. Fue valorado por el Especialista en Genética que, debido a sus características fenotípicas, sospechó un posible síndrome de Hurler. Se presenta un caso interesante, no comúnmente visto en la práctica médica, con el objetivo de dar a conocer a estudiantes y profesionales de la salud las características físicas del paciente, que ha tenido una supervivencia mayor de los 10 años de vida.Conclusiones: el diagnóstico se confirmó por estudio de cromatografía de mucopolisacáridos realizado en el Centro Nacional de Genética. Los pacientes a menudo mueren en la primera década de la vida debido a complicaciones respiratorias y cardíacas, el trasplante de precursores hematopoyéticos y la terapia enzimática con alfa-L-iduronidasa pueden mejorar la esperanza de vida.

Introduction: chronic kidney disease is defined by the presence of kidney damage and has a negative impact on the health and quality of life of patients. Periodontitis is the chronic inflammation of the supporting tissues of the tooth.Objective: to describe the association that has been established between these two diseases.Methods: a documentary type study was carried out, with an updated review of scientific articles from databases such as Pubmed, Scielo and Google Scholar in the period from October 2021 to February 2022. Twenty-five scientific texts written in Spanish and English published between 2017 and 2021 were selected.Results: most of the literature consulted describes that there is a direct relationship between both diseases, the constant presence of uremia, as well as poor oral hygiene in these patients, is related to immune dysfunction that decreases the host response to bacteria.Conclusions: in periodontal disease there is a permanent inflammatory state that aggravates the prognosis of chronic renal failure, so it is necessary to maintain an adequate oral health to avoid systemic complications in vulnerable patients such as those with chronic renal disease.

Introduction: little research has addressed the relationship between the impact of the drug heberprot-P in medical treatment and the quality of life of patients with diabetic foot ulcers.Objective: to determine the health-related quality of life of patients with diabetic foot ulcers treated with heberprot-P at the Policlínico “Capitán Roberto Fleites” according to the SF-36 questionnaire.Methods: an observational, descriptive, longitudinal, descriptive study was conducted in patients attended at the “Capitán Roberto Fleites” Polyclinic from January to December 2018. Seventy-seven patients with heberprot-P treatment were studied to learn about both positive and negative states of physical health and emotional well-being covering the scales: physical function, physical role, bodily pain, general health, vitality, social function, emotional role and mental health at three points in time.Results: patients older than 70 years, female sex, type 2 diabetes and superficial ulcer (Wagner I) predominated. Heberprot-P was effective in achieving high healing and avoiding amputations. The dimensions social function, vitality and mental health obtained the lowest scores since the beginning of the investigation. The other dimensions improved as the treatment was carried out.Conclusions: the results allow affirming that the social function, vitality and mental health dimensions compromised the health-related quality of life. It was evidenced that the components of mental health and physical health, as well as health-related quality of life, obtained good scores at the end of the evaluation.

Introduction: the process of medical care for patients with complex haemorrhagic trauma in the province of Sancti Spíritus shows insufficiencies in the uniformity of the use of the clinical method in a structured way based on the diagnosis and treatment of these patients.Objective: to design a Clinical Practice Guide for in-hospital emergency medical care for patients with complex haemorrhagic trauma.Methods: an investigation was carried out that corresponds to the type of research-development, multistage, with a mixed approach, in the province of Sancti Spíritus from 2012 to 2019.Results: methodological insufficiencies were detected in the medical care process of patients with haemorrhagic complex trauma. A clinical practice guide was prepared and executed that allowed the structuring of theoretical, clinical and investigative elements to evaluate this type of patients.Conclusions: the clinical practice guideline proved to be relevant, feasible and effective; it made possible a first approach to Cuban patients with complex haemorrhagic trauma and allowed raising the level of knowledge of doctors about this condition.

Introducción: el granuloma piogénico es un tumor vascular benigno que puede presentarse también en la conjuntiva ocular.Información del paciente: se presenta el caso de un paciente masculino, de piel blanca y 75 años de edad, que llegó a la Consulta de Oculoplastia del Hospital “Arnaldo Milián Castro” aquejado de aumento de volumen pedunculado en el tercio interno del párpado inferior del ojo derecho que ha crecido progresivamente desde hacía varios meses. Esta lesión comenzó como un pequeño bulto en la conjuntiva tarsal y progresivamente aumentó de tamaño hasta que protruyó y provocó ectropión del párpado inferior. La constante exposición de la masa y el roce con la piel del párpado provocaba la infección permanente que no cedía con antibióticos aplicados localmente en colirios. Un estudio microbiológico de las secreciones conjuntivales demostró una colonización multibacteriana.Conclusiones: el estudio histopatológico de la lesión permite la confirmación del diagnóstico. Pueden ser tratados con esteroides o escisión quirúrgica.