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Research Interests: Medicine and Oxygenation
Research Interests: Medicine and Anesthetic
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<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Peripheral nerve blocks are an accepted component in medical practice from the surgical area,... more
<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Peripheral nerve blocks are an accepted component in medical practice from the surgical area, chronic pain control and the postoperative period.<br /> <strong>Objective:</strong> To evaluate the efficacy of popliteal blockade laterally in patients undergoing surgery for foot and ankle conditions.<br /> <strong>Methods:</strong> A cross-sectional and analytical study was carried out with patients operated on for foot and ankle conditions in the period from September 2015 to September 2018. The study population was made up by 431 patients, and the sample was 209.<br /> <strong>Results: </strong>More than three quarters of the patients operated on for foot and ankle conditions and to which the blockage is applied are above the fifth decade of life. Most of them correspond to the range 51-70 kg, with four to six centimeters of needle depth for the location of the nerve based on the equation of the line. It is 19 times more likely in them the absence of pain at the first six hours of the postoperative period after the blockage and more likely the success of the proposed technique with the determination of the depth in centimeters of the needle based on the equation of the line, with odds ratio of 31.<br /> <strong>Conclusions: </strong>The lateral popliteal block was evaluated as effective in the majority of patients undergoing surgery for foot and ankle conditions.</span>
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Research Interests: Medicine and Gynecology
Research Interests: Philosophy and Humanities
Research Interests: Medicine and Anesthesia
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Background: cleft palate is a congenital defect of structures that form the palatal vault, and it is characterized by an aperture or opening in the upper palate. Objective: to describe the handling of the airway in a patient with cleft... more
Background: cleft palate is a congenital defect of structures that form the palatal vault, and it is characterized by an aperture or opening in the upper palate. Objective: to describe the handling of the airway in a patient with cleft palate. Clinical case: a case of a patient with type IV cleft palate of 45 year-old was presented, with diagnosis of sigmoid tumor, who was approached the airway for elective surgical treatment at the Teaching Hospital Manuel Ascunce Domenech. DeCS: CLEFT PALATE/surgery; PREDICTIVE VALUES OF TESTS; MUSCULOSKELETAL ABNORMALITIES; ADULT; SGMOID NEOPLASM; ANESTHESIA/ methods; CASE STUDIES.
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En este estudio se pretende describir los factores de riego de la hipertension arterial en una muestra de 88 adultos mayores, en la comunidad de Carcel Montecisti, Ecuador. Desde el punto de vista metodologico, se trata de un estudio... more
En este estudio se pretende describir los factores de riego de la hipertension arterial en una muestra de 88 adultos mayores, en la comunidad de Carcel Montecisti, Ecuador. Desde el punto de vista metodologico, se trata de un estudio descriptivo, de campo, longitudinal, y comparativo intragrupo, realizado en un periodo comprendido desde marzo del 2018 hasta junio de 2019, en el Centro de Salud de Carcel, Unidad Operativa del Ministerio de salud Publica, perteneciente al Distrito 13D02 Manta, Ecuador; la cual ofrece atencion integral de salud. La muestra estuvo constituida por las personas ya diagnosticadas con hipertension arterial, que no presentan complicaciones. Entre los resultados destaca lo que sigue a continuacion: En la muestra de 88 adultos mayores, se encontro que la edad media se situa en los 70 anos, los pacientes presentan antecedentes familiares de hipertension arterial en un 70.45%. Puede observarse que es poco frecuente el consumo de proteinas como la carne, el pesca...
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Introduccion: el proceso de atencion del paciente adulto mayor con fractura de cadera exige el analisis de forma sistematica de las secuencias y anade valor a cada una de las acciones con el objetivo de la disminuir la variabilidad de la... more
Introduccion: el proceso de atencion del paciente adulto mayor con fractura de cadera exige el analisis de forma sistematica de las secuencias y anade valor a cada una de las acciones con el objetivo de la disminuir la variabilidad de la practica clinica y elevar la calidad de la atencion a estos pacientes. Objetivo: caracterizar los pacientes anulados e intervenidos de urgencia por fractura de cadera. Metodo: se realizo un estudio cuasiexperimental para un solo grupo en los pacientes propuestos para intervencion quirurgica urgente por fractura de cadera en el Hospital Universitario Manuel Ascunce Domenech de la provincia Camaguey en el periodo del 1 de enero al 31 de diciembre de 2014. Se estudiaron 204 pacientes los que se dividieron en dos grupos menos de 60 anos y 60 anos y mas. Resultados: predomino el sexo femenino con 60 anos y mas en 119 de los pacientes intervenidos por fractura de cadera, la probabilidad de fractura extracapsular fue de un odss ratio de 17, se represento l...
Research Interests: Humanities and Medicine
Se realizo un estudio epidemiologico, observacional, analitico, longitudinal y retrospectivo de casos y controles, con ninos menores de cinco anos con infecciones respiratorias agudas en la comuna Borgne, Departamento Norte, Republica de... more
Se realizo un estudio epidemiologico, observacional, analitico, longitudinal y retrospectivo de casos y controles, con ninos menores de cinco anos con infecciones respiratorias agudas en la comuna Borgne, Departamento Norte, Republica de Haiti, durante el periodo enero a diciembre de 2001, con el objetivo de identificar factores de riesgo presentes en las infecciones respiratorias agudas en este grupo de edad. La incidencia de las infecciones respiratorias agudas en el centro de salud Borgne fue del 21.2 %. Predomino la asociacion de la IRA y el hacinamiento, la desnutricion proteico energetica, la no lactancia materna durante el primer ano de vida. No se asocio el sexo y el habito de fumar.
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Introduction: Peripheral nerve blocks are an accepted component in medical practice from the surgical area, chronic pain control and the postoperative period. Objective: To evaluate the efficacy of popliteal blockade laterally in patients... more
Introduction: Peripheral nerve blocks are an accepted component in medical practice from the surgical area, chronic pain control and the postoperative period. Objective: To evaluate the efficacy of popliteal blockade laterally in patients undergoing surgery for foot and ankle conditions. Methods: A cross-sectional and analytical study was carried out with patients operated on for foot and ankle conditions in the period from September 2015 to September 2018. The study population was made up by 431 patients, and the sample was 209. Results: More than three quarters of the patients operated on for foot and ankle conditions and to which the blockage is applied are above the fifth decade of life. Most of them correspond to the range 51-70 kg, with four to six centimeters of needle depth for the location of the nerve based on the equation of the line. It is 19 times more likely in them the absence of pain at the first six hours of the postoperative period after the blockage and more likel...
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Introduction: Evidence shows that inadequate control of preoperative pain has harmful physiological and psychological consequences in patients, and increases morbidity and mortality. Objective: To evaluate the efficacy of modified femoral... more
Introduction: Evidence shows that inadequate control of preoperative pain has harmful physiological and psychological consequences in patients, and increases morbidity and mortality. Objective: To evaluate the efficacy of modified femoral block in patients with a diagnosis of hip fracture. Method: A quasi-experimental study was carried out at Manuel Ascunce Domenech University Hospital in Camaguey Province, from January 2016 to January 2018. The study population was made up of 639 emergency and elective surgical patients with the diagnosis of hip fracture of hip, through simple random sampling automatically with the Statistical Package for the Social Sciences (SPSS) Version 21 for Windows, acceptable error and 95% confidence level. The sample was made up of 295 patients. Results: Most of the patients operated on for hip fracture are above their fifth decade of life. Extracapsular fracture was diagnosed in 174 patients. Regarding pain evaluation through McGill’s Pain Questionnaire, t...
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Introduccion: La inflamacion desempena un papel protagonista en la fisiopatologia del cancer. Objetivo : Validar el indice neutrofilo/linfocito predictivo de gravedad en el paciente electivo oncologico quirurgico. Metodos : Se realizo un... more
Introduccion: La inflamacion desempena un papel protagonista en la fisiopatologia del cancer. Objetivo : Validar el indice neutrofilo/linfocito predictivo de gravedad en el paciente electivo oncologico quirurgico. Metodos : Se realizo un estudio cuasiexperimental para un solo grupo en los pacientes quirurgicos con el diagnostico de enfermedad oncologica, intervenidos electivo por las diferentes especialidades quirurgicas en el Hospital Oncologico Marie Curie en el periodo de enero a diciembre de 2019. Resultados : La curva Receiver Operating Characteristic se mostro asociada al modelo de regresion logistica como estima el umbral de 0,23 por encima del cual se declarara la probabilidad de gravedad. En la validacion entre los pacientes hay 23 que si tuvieron riesgo de gravedad. Estos son los falsos positivos sobre los cuales se optimizo el preoperatorio. Conclusiones : El indice neutrofilo/linfocito mostro utilidad en predecir la gravedad en el paciente oncologico quirurgico, y permit...
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A way to overcome the blood transfusion disadvantages is determining and developing transfusion competencies. The research aims were to identify the elements of transfusion medicine competency and to describe the fundaments for its... more
A way to overcome the blood transfusion disadvantages is determining and developing transfusion competencies. The research aims were to identify the elements of transfusion medicine competency and to describe the fundaments for its implementation in the specialty of Anesthesiology and Reanimation. Transfusion competencies include, among others, knowledge of the risks of blood-borne infections, safe prescription of blood products, identification of transfusion reactions, and competently perform and teach undergraduates the procedure of intravenous infusion of blood and blood products. It also includes knowing and updating on ethical, scientific and legal issues of blood components transfusion. In Anesthesiology and Reanimation, transfusion medicine competency also involves demonstration of knowledge, abilities and values for the preoperative preparation of the patients with anemia, bleeding risk and other hematological illnesses, for the use of pharmacological and non pharmacological...
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Introduccion: en la actualidad se retoma el concepto de sindrome de disfuncion organica multiple para referirse a la implicacion multisistemica de la enfermedad hipertensiva propia del embarazo, la que se asocia con incremento de la... more
Introduccion: en la actualidad se retoma el concepto de sindrome de disfuncion organica multiple para referirse a la implicacion multisistemica de la enfermedad hipertensiva propia del embarazo, la que se asocia con incremento de la morbilidad y mortalidad, que oscila entre 30 al 100 %, en dependencia del numero de organos involucrados, lo que apoya la teoria fisiopatologica del compromiso microcirculatorio. Objetivo: describir la conducta y evolucion perioperatoria y evolucion de una paciente con disfuncion cerebrovascular como signos de agravamiento de la preeclampsia. Caso clinico: se trata de una paciente con perdida visual asociada a preeclampsia con signos de agravamiento, sugestivo de disfuncion cerebrovascular, a la que se le realizo operacion cesarea segmento arciforme de urgencia con anestesia general orotraqueal. Conclusion: es de vital importancia que la atencion a la preeclampsia con signos de agravamiento se considere un sindrome de disfuncion organica multiple de seve...
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Introduction: To reduce intraoperative blood loss and the use of transfusion requirements, antifibrinolytic agents that repermeabilize a bleeding vessel are used. Objective: To determine the behavior of blood loss in patients proposed for... more
Introduction: To reduce intraoperative blood loss and the use of transfusion requirements, antifibrinolytic agents that repermeabilize a bleeding vessel are used. Objective: To determine the behavior of blood loss in patients proposed for surgical treatment due to benign prostatic hyperplasia. Method: A quasiexperimental study was carried out with a single group in the anesthesiology and resuscitation service of Manuel Ascunce Domenech University Hospital in the period from May 1, 2005 to May 1, 2013. For information processing, arithmetic mean was used in the quantitative variables. The qualitative variables are described through absolute and relative frequencies. To calculate the differences between groups, in the case of qualitative variables we used the Chi square test. The significance level used was 0.05. For those variables that differ in the groups to be compared, a multivariate analysis was performed in order to determine whether they have an influence on bleeding or not. T...
Research Interests: Medicine and Blood Loss
Background: the reduction of costs without affecting the quality from the attention to the burn patient requires the implementation of new work strategies. Objective: to evaluate precocious necrectomy with immediate skin graft in the... more
Background: the reduction of costs without affecting the quality from the attention to the burn patient requires the implementation of new work strategies. Objective: to evaluate precocious necrectomy with immediate skin graft in the treatment of the burn patient. Methods: an analytic study of cases and control in the patient with deep and hypodermic dermal burns was conducted at Manuel Ascunce Domenech hospital in Camaguey, from September 2010 to September 2015. The study was composed of 64 patients. From them, 32 underwent surgery with precocious necrectomy with immediate skin graft in the first five days after the burn and the other part with necrectomy among the 19 to 21 days after the burn with skin graft in the same surgical or later time. Results: more than double the cases intervened surgically were males, the study group showed nine times more probability of early hospital discharge, twenty-one times more probability of in alone a surgical session to obtain the definitive c...
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Research Interests: Medicine and Gynecology
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Introduccion: el abordaje activo de la prevencion de las enfermedades cardiovasculares se basa fundamentalmente en que estas constituyen la causa principal de muerte prematura en la mayoria de los paises desarrollados. Objetivo:... more
Introduccion: el abordaje activo de la prevencion de las enfermedades cardiovasculares se basa fundamentalmente en que estas constituyen la causa principal de muerte prematura en la mayoria de los paises desarrollados. Objetivo: determinar la eficacia pronostico de la herramienta de riesgo aterosclerotico. Metodos: se realizo estudio analitico, sobre el comportamiento de los factores de riesgo aterosclerotico, en 1 926 pacientes propuestos para cirugia electiva no cardiaca que pertenecen al Hospital Universitario "Manuel Ascunce Domenech", durante el periodo comprendido de septiembre 2007 a septiembre de 2010 en Camaguey. Se elaboro un modelo que utilizo la tecnica de analisis multivariado y regresion logistica binaria. Al sustituir el valor de cada uno de los factores en el modelo se obtiene como resultado la probabilidad de un individuo de padecer la enfermedad. Se calculo el mejor punto de coincidencia que permite clasificar los individuos como potencialmente sanos o enfermos mediante el procedimiento de curva ROC ( Ratio Odd Curve ). Resultados: los factores de riesgo asociados fueron: el habito de fumar, hipertension arterial, diabetes mellitus, hipercolesterolemia, obesidad, sedentarismo y como factor protector, el sexo femenino. Conclusiones: se determino la eficacia de la herramienta en y para soporte computarizado, la cual proporciona un pronostico confiable a los especialistas, sobre los pacientes programados para cirugia con factores de riesgo aterosclerotico.