Hospital Militar Central Dr Luis Diaz Soto

Havana, Cuba

Hospital Militar Central Dr Luis Diaz Soto

Havana, Cuba
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The male sexual dysfunction imposes a significantly negative burden in health, in the interpersonal relations, in self-esteem, and the quality of life of those suffering it. Up to at the end of the 80 decade, treatment was limited to psychosexual therapy and to penile implants and the cause was due to mainly to psychological factors. The appearance of oral inhibitors of phosphodiesterase-5 like the Sildenafil citrate (Viagra) in1998, was from its onsets a real revolution and now are the first choice for treatment of erectile dysfunction because it is well tolerated, effective, non-invasive and with a good response rate. In present paper authors made a review of the use of phosphodiesterases inhibitors in treatment of the erectile sexual dysfunction, as well as the relevant features of the drugs nowadays more used contributing to its knowledge and its prescription. The aim of present paper was to look for the more updated papers published in Pubmed and Medline. Phosphodiesterase inhibitors (Sildenafil, Vardenafil and Tadalafil) are the choice drugs in treatment of erectile dysfunction due to its demonstrated effectiveness, safety and tolerance.


Castillo A.C.,Policlinico Universitario Vedado | Perez C.D.,Hospital Militar Central Dr Luis Diaz Soto
Revista Cubana de Medicina Militar | Year: 2015

Introduction: There are several treatment options for root coverage caused by periodontal recession, which is characterized by displacement toward apically gingival margin, thereby dental root is exposed to the oral environment, which may cause dentine sensitivity, dental cavities, and aesthetic affectation. Objective: Present a clinical case where a surgical technique was used to root coverage. Case report: A 32 year-old male patient came to consultation due to nuisance to thermal changes in tooth 23 and he was concerned about aesthetics since he had his root exposed to the oral environment. On physical examination, altered gingival morphology was observed. It was characterized only by changing the apical gingival position in tooth 23, which does not reach the mucogingival line. It was decided a corrective plan of nonsurgical treatment, treating dentin hyperesthesia by applying dentin desensitizing (fluoridated lacquer: Profilac), and corrective surgical treatment to make a lateral sliding flap to cover the exposed root, and treating aesthetic condition. Conclusion: The used procedure had the expected results and it represents an alternative therapy when there is patient aesthetic compromise. © 2015, Editorial Ciencias Medicas. All rights reserved.


Amat J.H.M.,Hospital Militar Central Dr Luis Diaz Soto | Gonzalez T.M.,Hospital Militar Central Dr Luis Diaz Soto
Revista Cubana de Medicina Militar | Year: 2015

Objective: To evaluate the association of the abdominal circumference index with age and sex, hospital parameters, causes of death and other diagnosed diseases, mainly those related to the metabolic syndrome. Methods: the Automated System of Registration and Control of Pathological Anatomy processed 420 autopsies from 2008 through 2011, in which the abdominal circumference was measured at the navel. Three circumference-dependent study groups with similar number of cases were created: 54-81.2 cm; 82.3-96.5 cm and 97-161 cm. Results: in the group with the biggest circumference value, the average age decreased, being over 65 years old; 60.4 % were men and 67.1 % were women. Among the causes of death, the incidence of bronchial pneumonia, cancer, multiple organ failure/damage and especially acute myocardial infarction rose whereas that of cerebrovascular diseases decreased. Increased blood hypertension and diabetes mellitus were found to be contributing factors. As to the metabolic syndrome-related disorders, the most affected organs were arteries, pancreas, liver, heart and gallbladder. Conclusions: measurement of the abdominal circumference in autopsies is an adequate indicator to determine obesity and its association with age, sex, hospital parameters, causes of death and other diagnosed diseases, mainly those that are part of the metabolic syndrome. © 2015, Editorial Ciencias Medicas. All rights reserved.


Hernandez Sanchez H.,Hospital Militar Central Dr Luis Diaz Soto
Revista Cubana de Medicina Militar | Year: 2013

Extremely high noise levels are characteristic of the military environment. Firearm detonations are considered to exceed the intensity of any industrial noise. The paper approaches the risk factors and vulnerabilities associated with exposure to noise in the military environment, as well as the most recent notions about noise-induced hearing injury and hearing protection. A review was conducted of the most representative papers on the topic using databases Medline and Hinari. Bibliography lists were searched for and created using Procite personal bibliographic reference manager. Google search engine was used to find references to the topic in journals, theses and Internet references. Results confirm the vulnerability of military personnel to suffer from noise-induced hearing injuries resulting from the high noise levels occurring in the military environment, the need to approach such injuries in a multidisciplinary manner, and the importance of implementing efficient hearing protection systems, with a view to improving the quality of life of persons exposed to noise and preventing hearing impairment, based on the certainty that prevention is always the best option.


Amador Porro C.O.,Escuela Nacional de Salud Publica | Menendez O.C.,Hospital Militar Central Dr Luis Diaz Soto
Revista Cubana de Salud Publica | Year: 2010

The topic of quality stems from the purposes and the set requirements that every organization must fulfil and of the meeting of the needs of the people that receive that service. In terms of health, the topic of quality is about giving an effective answer to problems and health situations that affect members of a population, either identified or not by them, through the use of standards, procedures and protocols for therapeutic diagnosis and the checking-up of medical instruments and aids. At the secondary level of care, people are working in this regard. At the primary health care, huge resources have been invested in the last few years, professional and technical qualification of the health has improved and new formation programs have been implemented. However, the expectations and the level of satisfaction of patients, families, the health workers and other users are not in line with this transformation. This paper identified the main problems affecting quality of care such as lack of a quality management system, and suggested the ways to create it. The Quality Management System of the health institutions must be in line with Excellency, Outstanding Staff, and the Revolution Program and must implement in a creative way the provisions on quality passed by the bodies in charge of this activity nationwide.


Nodarse Hernandez R.,Hospital Militar Central Dr Luis Diaz Soto
Revista Cubana de Medicina Militar | Year: 2013

Bacterial resistance to antimicrobials is a serious health problem at present, which compels us to change set concepts about the interpretation of the results from susceptibility tests, so it is essential to know and to apply a construed reading of the antibiogram. The purpose of this paper was to update and to disseminate existing knowledge about this topic, in addition to disclosing the benefits of put such pieces of knowledge into practice. Some of them are detection of new mechanisms of resistance, knowledge on the resistance epidemiology, better adequacy of antimicrobial treatme5nts, and hence, better quality and management of results. The construed reading of an antibiogram must be a clinical requirement for the microbiologist at the lab and for the attending physician.


Hernandez Sanchez H.,Hospital Militar Central Dr Luis Diaz Soto
Revista Cubana de Medicina Militar | Year: 2013

An assessment is presented of the most recent trends in the use of prehospital triage as a crucial procedure to ensure survival in situations where many people are injured. A review was conducted of abstracts and full-text papers from PubMed database using Procite bibliographic reference manager, as well as full-text papers from Ebsco database. Google search engine was used to find references to the topic available on the Internet. It was found that despite the time elapsed from the Napoleonic Wars to the present, the use of triage has preserved its currency by updating its procedures and stating the need of reaching an international consensus on the introduction of a fifth classification category, that of "expectant", as well as the color identifying it. Evidence is also provided of the importance of appropriate training of triage personnel, the gradual introduction of computerized support systems, and the usefulness of triage despite its occasional ethical implications. It was confirmed that triage is a current procedure under permanent revision and updating which requires analysis on an international level to gather criteria and reach a consensus on recent proposals about categories, colors and classification tags, with the purpose of setting up a uniform international standard.


Herrera I.R.,Hospital Militar Central Dr Luis Diaz Soto
Revista Cubana de Medicina Militar | Year: 2012

Objectives: To determine the prevalence of dental caries and the degree of association between oral health knowledge, oral hygiene and dental caries involvement. Methods: From March 2008 to March 2009, a descriptive, observational, cross-sectional study was conducted in 100 young persons aged between 17 and 19 years suffering from tooth decay. Both sexes were included in the sample. Results: The prevalence of caries was 7.7 % in women and 8.6% in men. Most participants of both sexes had poor oral hygiene. In 24 (48 %) women and 34 (68 %) men, oral health was low. Statistically significant differences were found on oral hygiene, oral health knowledge, and involvement by dental caries. Conclusions: The prevalence of dental caries is high. The analyzed risk factors are associated with dental caries involvement.


Valdes Yong M.,Hospital Militar Central Dr Luis Diaz Soto | Hernandez Nunez J.,Hospital Militar Central Dr Luis Diaz Soto
Revista Cubana de Investigaciones Biomedicas | Year: 2014

The emergence of bioethics has marked a growing interest for men who are dedicated to science, and above all, to medical science. Reflection is done with the goal of exposing the influence of bioethics in the development of modern gynecologyobstetrics, with classic examples of its application, controversy, dilemmas, and conflicts in our daily work to ensure our population a better quality of health care. © 2014 Editorial Ciencias Medicas. All rights reserved.


de Mendoza Amat J.H.,Hospital Militar Central Dr Luis Diaz Soto | Montero Gonzalez T.J.,Hospital Militar Central Dr Luis Diaz Soto
Revista Cubana de Medicina Militar | Year: 2014

Objective: to evaluate the relationship among the size of panniculus adiposus abdominis, age, sex, hospital parameters, causes of death and other diagnosed diseasesMethods: using the automated system of registry and control of pathological anatomy, 591 autopsies were processed in which the abdominal fatty panniculus adiposus abdominis around the navel. Three study groups were created according to thickness, with a similar number of cases: 0.1-1.6 cm: 1.7-2.6 cm and 2.7-9.2 cm.Results: the average age in the group with the thickest panniculus adiposus abdominis was 65 years: 33.3% in males and 62.6% in females. Acute myocardial infarction increased whereas the cerebrovascular disease decreased. The number of malignant tumors increased as the panniculus adiposus thickness increases too. The contributing causes were high blood pressure and diabetes mellitus. Regarding the metabolic syndrome related disorders, the most affected organs were arteries, pancreas, liver, heart and gallbladder.Conclusions: the panniculus adiposus abdominis thickness is an adequate indicator to measure abdominal adiposity and its importance, as well as its relationship with age and sex, hospital parameters, causes of death and other diagnosed diseases, mainly those related to the metabolic syndrome. © 2014, Editorial Ciencias Medicas. All Rights reserved.

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