Search

Conclusion: In adolescents with large ovarian cysts, in addition to ruling out malignant neoplasms, PCOS should be considered as these may have similar clinical and radiological presentations.

Background: Appendicitis in children is associated with diagnostic complexity leading to delayed diagnosis. Such delays risk progression to complicated appendicitis. This study investigates the potential of cellular indices, including neutrophil-to-lymphocyte ratio (NLR), derived neutrophil-to-lymphocyte ratio (dNLR), platelet-to-lymphocyte ratio (PLR), and monocyte-to-lymphocyte ratio (MLR), to differentiate uncomplicated (UA) from complicated appendicitis (CA). Methods: Diagnostic study of pediatric patients with acute appendicitis admitted to our hospital from 2021 to 2022. NLR, dNLR, PLR and MLR were compared between groups. Results: A total of 182 patients were enrolled: 116 cases with CA (63 % male, age 9.6 ± 5.5 years) and 66 patients with UA (67 % male, age 10.6 ± 2.7 years). All blood cell indices were significantly higher in the CA group than in the UA group (p=

Posterior urethral valves are the most common cause of bladder outlet obstruction in male newborns. Initial catheter drainage alleviates the urethral obstruction before definitive management by valve ablation. Newborns with posterior urethral valves often present with hypercontractile bladders that may inhibit upper tract drainage despite bladder catheterization. Anticholinergic agents are commonly used to treat detrusor hyperactivity, with oxybutynin being the most commonly used. We report the first case of a newborn with posterior urethral valves and ureterovesical junction obstruction caused by detrusor hypertrophy who underwent urgent intravesical instillation of oxybutynin at high doses in an attempt to avoid a diversion procedure.

En la población pediátrica, los pólipos representan la primera causa de sangrado colorrectal con una prevalencia del 1 %. De ellos, el 90 % corresponde a pólipos juveniles (PJ) .

This article must as aim qualify the sociocultural university step as a need for the change and the social transformation of the communities, and specifically of the youths that there it reside. Through the method of action-participation as a whole with other theorecians and empiric it is demonstrated that with an appropriate step the universities contribute, with efficiency and efficacy, to the cultural development of the population by means of the projected partner, community. Expose the results and impact of the socio-community project ALTA youth that MIRA, been the protagonist of per students and teachers of the university of Orient as a whole whit youths of the community of Altamira, one of the location more disfavored of Santiago province of Cuba.

In this work, the most relevant aspects of the scientific and innovative dissemination of extension, supported by information and communication technologies through content systems and virtual communities as a technological platform that allows dynamic dialogic relationship and participatory of the university community. From the epistemological study, its essential references are synthesized, considering the university extension as dynamic and integrating expression of the social order of the Cuban university and the scientific and innovative promotion. Then, content management systems and virtual communities are addressed. At the end, it is analyzed how scientific promotion can be promoted with a virtual community from the potential that things are for collaborative work.

In the knowledge society, the great need to transmit information with the greatest possible updating and immediacy to solve the great social challenges of contemporaneity is rewarded, that is why there is a consensus in the literature on local development in Cuba where it expresses that the Municipalities have strengths that are still insufficient to achieve their potential. As necessary, the continuous improvement of knowledge management - not mere training or technical and professional qualification - in favor of a greater impact of the processes of science and technological innovation. The present work aims to systematize theoretical and conceptual considerations on the dynamics of interactive learning that enhance knowledge management, scientific-technological innovation in function of local development. Therefore, it is necessary to show a categorical system that allows us to rank the university-society interaction process.

In the literature on local development in Cuba, it has that municipalities still have untapped potential for achieving higher stages in the socio-cultural development. Among the issues that must continue in perfection is knowledge management for local actors in terms of local development. This work has allowed to give answers to some of the shortcomings, to promote the socio-cultural work, participatory achievement and dialogic, built from the needs or expectations of these actors necessary for achieving local development changes, with impact on People's Councils Sabanilla, La Perla and Jutinicú the Municipality Songo La Maya.