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del Pilar Olivares Elegia M.,Hospital Universitario Dr Miguel Enriquez | Pacareu M.P.,Hospital Universitario Dr Gustavo Aldereguia Lima | Robalino R.M.N.,Hospital Clinicoquirurgico Joaquin Albarran
Revista Cubana de Salud Publica

The allergy specialty is one of the most expensive disciplines in the medical practice in the developed countries, and one of the specialties almost absent in the underdeveloped countries. This is the reason why large sections of the population are left unattended and it is stated that allergy is a disease of rich people, the poor people do not suffer from dermal diseases; however, the realities show that the problem has to do with access to these services. A historical and social outline of this specialty in general and particularly in Cuba, where allergy exhibits different social organization compared with other countries, was presented. It focused on the humanist philosophy that supports this specialty and stated the efforts by the Cuban scientists to keep very low morbidity and mortality rates from these diseases in Cuba, comparable to those of the developed countries. The allergy specialty has increased its qualitative level since all the Cuban citizens get access to this service regardless of race, social status, economic conditions, political ideas or religious beliefs. Source

Romero Y.H.,Hospital Universitario Dr Miguel Enriquez | Garcia J.J.,National Autonomous University of Mexico | de la Cruz A.S.,Hospital Psiquiatrico de la Habana. | Dominguez A.T.,Hospital Universitario Dr Miguel Enriquez | Herrera V.S.,Hospital Universitario Dr Miguel Enriquez
Revista del Hospital Psiquiatrico de la Habana

A descriptive transversal and Perspective Observational study was carried out from June to July, 2010 about the quality of life of patients suffering from Diabetes Mellitus Type II on 20 patients that assist to the Endocrine office of the hospital ̈Dr. Miguel Enriquez̈. With the objective to evaluate the quality of life related with the health of these patients. A questionnaire was applied to characterize the group from the socio and psychological point of view, the SF36 Health questionnaire in Spanish and the questionnaire about psychological welfare. We concluded that we have a sample of patients older than 50 years old with equality in both sex, It prevailed married status. With a mild significant disease status. According to the SF36 questionnaire the values are on the rates of a regular and good quality of life. The lowest levels are related to the general health and to the evolution of the disease; meanwhile the highest levels are related to social and physical functions. In relation to the questionnaire about the psychological welfare, classified as regular and good, where the categories with lower punctuations are material, sexual and general satisfaction it can be assured that suffering from aQuality of Life on Patients with Diabetes Mellitus Type II. chronicle disease like this one, the welfare levels are respectively shown as regular and good. Source

Romero Y.H.,Hospital Universitario Dr Miguel Enriquez | Dominguez A.T.,Hospital Universitario Dr Miguel Enriquez | Diaz C.C.,Hospital Universitario Dr Miguel Enriquez | Pena L.C.,Hospital Universitario Dr Miguel Enriquez | Saavedra de la Cruz A.V.,Hospital Psiquiatrico de la Habana Cdte
Revista del Hospital Psiquiatrico de la Habana

Introduction: The temporomandibular articulation is a height in psicoemocional maintained situations, the same one is frequently injured being reason of consultation of the specialty of Maxilo Facial of the Dr. Miguel Enríquez Hospital, reference center in the country of the same one, where he/she was carried out a descriptive study, of traverse court, in the period between September 2010 to February 2011. Objective: To describe partner demographically to the group in study and to value the presence of emotional states as the depression/anxiety in the patients with affectation in the temporomandibular articulation. Methods: They were used, the Idare Test (it evaluates the anxiety) and the Test of Zung (it evaluates the depression), as well as with an interview Psicosocial, of Anxiety and Depression associated to this pathology. He/she took a sample of 23 patients of a universe of 60. Results: They were analyzed based on the statistical package SPSS 11.5. Where patient with levels of Anxiety like high State in 91 %, like half in 9 %. In relation to the depression, moderate 65 %, light depression 31 % and of 1 % as severe, that is to say first floor levels contrary to the anxiety. Conclusions the prevalence of the anxiety like expression of this nosological entity in the patients affected with emotional dysfunctions, showing like feature or I eat state, prevailing on the depression or the combination of both. A superiority of feminine sex existed on the masculine one, a bigger representation of single patients on the married ones and widowers, the affected ages of 21 to 45 years and indicators of anxiety with a high prevalence on the depression. Source

Romero Y.H.,Hospital Universitario Dr Miguel Enriquez | Dominguez A.T.,Hospital Universitario Dr Miguel Enriquez | de la Cruz A.S.,Hospital Psiquiatrico de la Habana Cdte. Bernabe Ordaz | Montero R.M.,University of Habana | And 2 more authors.
Revista del Hospital Psiquiatrico de la Habana

Introduction: The temporomandibular articulation is an algid point sustained psychosocial situations. This articulation gets hurt frequently and is a cause of appointments on maxillofacial specialty at the Miguel Enriquez Hospital. Objective: To identify the personality factors and emotional estates that a group of patients with temporomandibular affectations present. Methods: It was carried out descriptive and transversal study between January and December 2012. A sample of 38 individuals was taken from 52 patients. Personality 16 Factors, State- Feature Anxiety Inventory, Zung and Conde's Self Scale of Depression and a psychosocial interview created for this study were the techniques used. Results: A predominance of high levels of anxiety in a great level was found, as well as middle depression levels. On personality factors: on the profile 1 a 74% of subjects were placed, while on profile 2 16% and on profile 3 10%. Due to this, patients with temporomandibular articulation disorders have a tendency to be reserved individuals characterized by being faultfinder, cold. They also are individuals that stay out, skeptical, evasive, and very little tolerant to frustration. Conclusions: These patients are characterized by base levels of high anxiety and depression middle levels. Factors personalities are showed to have a great peso over the achievement towards suffer from these temporomandibular symptoms demonstrated by a determined profile. Source

Noa Hernandez J.E.,Hospital Universitario Dr Miguel Enriquez | Gonzalez E.C.,Hospital Universitario Dr Miguel Enriquez | Romero J.M.C.,Hospital Universitario Dr Miguel Enriquez | Banos L.C.D.,Hospital Universitario Dr Miguel Enriquez
Enfermeria Intensiva

The basics caused by the transportation of a patient in serious condition within the same hospital are varied, all of them involving a risk to the patient's stability and a responsibility for the accompanying professionals. The care that supposes the appropriate attention to the patient and the need for coordination among the parties make it necessary to homogenize the transfer criteria and those of the necessary previous maneuvers. This work has been carried out based on the lack of an intervention system that guides this practice. This work describes the possible intrahospital itineraries, the transport of this kind of patient, the phases of this type of transport as well as the most frequent physiologic alterations. The purpose of all this is to develop an action algorithm for the serious patient's intrahospital transportation and to reduce the incidence of adverse events during this transfer. A classification system that makes it possible to calculate the level of risk and to anticipate the care needs that a patient may require during the transfer is presented. © 2010 Elsevier España, S.L. y SEEIUC. Source

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