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Introduction: The COVID-19 is an infection of the respiratory tract caused by the SARS-CoV-2 that appears in patients with high risk factors as the metabolic syndrome. Objective: To update the knowledge on the clinical course and prognosis of patients with metabolic syndrome infected by the new coronavirus. Development: The secondary and tetiary sources consulted explain the direct relationship between the risk factors of the metabolic syndrome and the serious forms of the COVID-19, so that the clinical course and prognosis of these patients is very unfavorable, although the performance therapeutic protocols nowadays are considered complex and contextualized. Conclusions: The unfavorable clinical course of the patients with metabolic syndrome infected by the COVID-19 hides its prognosis, reason why the current therapeutic strategies for the care to these sick persons have not been able to stop the progressive course of the infectious disease identified in the metabolic comorbidity, that makes difficult the prevention of complications. [ABSTRACT FROM AUTHOR]

The quality of management and adaptation of admission of patients to the internal medicine services is a relevant topic in the health environment, as it is an indicator of the existing balance between primary health care, the emergency hospital service and the functioning of the internal medicine service itself. However, there are irregularities in this balance due to certain problems linked to a scarce theoretical level of the providers and to scarcities in the practical and organizational skills to carry out hospitalization. Some of the deficiencies damaging the quality of management during admission in this service, which require the projection of a strategy based on a health, formative, and social-humanistic model are presented in this work, with the aim of achieving significant advances in the hospital context. [ABSTRACT FROM AUTHOR]

During the last decade, diverse countries among them Cuba, are reviewing approaches and methodologies being used to train the specialist doctors. On this regard, historical and logical references which give bases to the natural and traditional medicine are evaluated in this work, for the professional skills of the internal medicine resident. Likewise, the different stages through which the natural and traditional therapies have developed in Cuba, and how this therapeutic group have been strengthen from the theoretical and practical point of view are described. [ABSTRACT FROM AUTHOR]

Copyright of MEDISAN is the property of Centro Provincial de Informacion en Ciencias Medicas de Santiago de Cuba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MEDISAN is the property of Centro Provincial de Informacion en Ciencias Medicas de Santiago de Cuba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

COVID-19 is an infectious disease caused by the SARS-CoV-2 coronavirus that affects people in advanced ages of life, patients with immunodepression and/or chronic affections, as hypertension, in a more serious way, being the latter of great significance in the mortality due to cardiovascular and cerebrovascular diseases. With this work we wanted to update the knowledge on the COVID-19 serious condition level in hypertensive patients and its association with the consumption of antihypertensive drugs of the angiotensin converting enzyme inhibitors and antagonists of angiotensin II receptors groups. In the same way, scientific evidences are offered on the fact that hypertension is a clinical predictor of a serious condition in patients with this infectious disease, that is manifested mainly in people older than 60 years, and that the suspension in a preventive way of the mentioned antihypertensive treatments can lead to clinical instability and unfavorable results. [ABSTRACT FROM AUTHOR]

Copyright of MEDISAN is the property of Centro Provincial de Informacion en Ciencias Medicas de Santiago de Cuba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: The challenges of higher education in the area of the medical sciences need a new approach, based on the principles of excellence, quality and pertinence; so the importance of the pedagogical investigations for the continuous improvement of the teaching-educational process in the medical education. Objectives: To determine the main contributions of the pedagogical investigations in the Cuban medical education. Methods: A descriptive and pedagogical investigation of 80 theses, obtained from the Infomed doctoral thesis repository, was carried out from January to December, 2017. Results: In the study, theses to obtain the scientific degree of Doctor in Pedagogical Sciences prevailed, with 65 of them, and 50.0% of the dissertations corresponded to the didactics of higher education. Likewise, the theoretical and practical contributions that develop methodological potentialities were remarkable and, at the same time, they contribute to the logical training of professionals, with which their pedagogical essence was revealed. Conclusions: A future vision in training the professionals was projected, with the necessary potentialities for their performance, a humanist character and the pertinent ethical framework to satisfy health necessities in Cuba and in other countries. [ABSTRACT FROM AUTHOR]

An observational, descriptive and cross-sectional study of 27 adults with controlled hypertension, ramdomly selected in the family's physician No. 6 of "Armando García Aspurú" Teaching Polyclinic in Santiago de Cuba was carried out during the period of September, 2015 to same month in 2016, aimed at determining the change of arterial stiffness in them. In the series a prevalence of the female sex was obtained (69.2 %) in connection with the male sex (30.7 %) and the mean age was of 48.96 years; equally, a high percentage was identified with premorbid obesity (48.1), followed by overweight, with 33.3 %, and normal weight, 18.3 %. A 19.0 % with severe stiffness index was found; a more sensitive and alarming condition than the index ankle-arm as marker of vascular damage. [ABSTRACT FROM AUTHOR]

Since their beginnings, great importance has been granted to the clinical trials in Cuba. The government has dedicated countless resources for the development of biopharmaceutical industry and the elaboration of new pharmacological products for treating different illnesses. Due to the scientific relevance and the ethics of these clinical trials, it is necessary that are conducted by professionals with an appropriate scientific qualification. In such a situation, it has been necessary to train these professionals from the scientific and investigative points of view. That is why, elements related with the historical background of that training and its dynamics are exposed in this work, as a first approach to the treated topic. [ABSTRACT FROM AUTHOR]

Copyright of MEDISAN is the property of Centro Provincial de Informacion en Ciencias Medicas de Santiago de Cuba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MEDISAN is the property of Centro Provincial de Informacion en Ciencias Medicas de Santiago de Cuba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Independent work of the students and their necessary professional training constitute very present topics in the university environment, but their interpretation, beyond the repetition of the necessity and concept reference, present inadequacies in their implementation as a fundamental form of the teaching-learning process. In this work there is a reflection on the practice of independent work that is summed up in the preprofesional activity developed in predegree training, but with an equal significance in post-degree whose poor implementation implies a didactic resource not always appropriate and effective. [ABSTRACT FROM AUTHOR]

An observational, descriptive and applied investigation on hypertensive patients in Santiago de Cuba was carried out with temporary series analysis that spanned from January, 2001 to December, 2014. The analyzed variables were the age and the year when the process occurred. All the used information was obtained through the patients records categorization in the 241-476 pattern, death certificates and MortaProf mortality databases, concerning the years of study and available in the Health Provincial Direction Statistics Department of the territory. The hypertension diagnosis in Santiago de Cuba constitutes a great health problem, evidenced by a decrease of the incidence and an increase of the prevalence, mortality and fatality rates attributable to that disorder whose prognosis as for the morbidity and mortality indicators points toward an increment in 2015. [ABSTRACT FROM AUTHOR]

Copyright of MEDISAN is the property of Centro Provincial de Informacion en Ciencias Medicas de Santiago de Cuba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MEDISAN is the property of Centro Provincial de Informacion en Ciencias Medicas de Santiago de Cuba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MEDISAN is the property of Centro Provincial de Informacion en Ciencias Medicas de Santiago de Cuba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MEDISAN is the property of Centro Provincial de Informacion en Ciencias Medicas de Santiago de Cuba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

An episode of fungal peritonitis was produced by Bipolaris spicifera in a 3-year-old girl with chronic renal failure secondary to uremic-hemolytic syndrome and who was under treatment with continuous ambulatory peritoneal dialysis (CAPD). Previously, an episode of purulent peritonitis caused by Pseudomonas spp. had been treated successfully with combined antibacterial therapy for 10 days. Microscopic and macroscopic examinations of the freshly collected purulent dialysate were negative for fungal structures and bacteria. The fungus grew from the dialysate plated on Sabouraud dextrose agar and was also macroscopically recognized as a colony attached to the inner wall of the Tenckhoff catheter. Specific cultures of dialysate for common bacteria and mycobacteria were negative. The patient was successfully treated with early catheter removal and empirical administration of 200 mg/day oral fluconazole for 2 weeks. Subsequently, a new catheter was placed and the patient continued well on CAPD. Post-treatment control cultures of dialysate for fungi, bacteria and mycobacteria were negative and the cell count returned to normal. [ABSTRACT FROM AUTHOR]