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Copyright of MediSur is the property of Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos 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.)

Background: infection by the human immunodeficiency virus is one of the most important sexually transmitted infections for health worldwide and one of the most frightening of this century. Objective: to characterize the infection by the human immunodeficiency virus in people aged 50 years and older. Methods: a cross-sectional descriptive observational research was carried out, which included all the people diagnosed with the human immunodeficiency virus, in Cienfuegos, from 1986 to 2021. The analyzed variables were: age, sex, sexual orientation, research group, diagnoses by year and residence municipality. Results: people in the age group of 50 to 59 years contributed the highest incidence with 75.21%; the predominant sexual orientation was homosexual (58,9 %). According to the research groups, in the three age groups the captured group stands out with 41.88%. A sustained increase was observed in the province, mainly in the male sex, rising in recent years. Conclusions: the increase in patients aged 50 and older diagnosed with human immunodeficiency virus indicates that it is necessary to address the problem with a different clinical-epidemiological approach. These characteristics increase the risk of HIV infection, they must be monitored with the application of the MINSAP 50 and + Work Line. It is necessary to carry out activities aimed at reducing the risk. [ABSTRACT FROM AUTHOR]

Copyright of MediSur is the property of Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos 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.)

Background: in the history of humanity, the great pandemics have represented important and terrible scourges for the human race and the development of society. Objective: to describe the clinical and epidemiological characteristics of COVID 19 in the Cumanayagua municipality, Cienfuegos province, during the year 2021. Methods: A retrospective study of a series of cases was carried out, whose universe consisted of 5,710 positive cases for COVID 19. Variables studied: cases according to months, statistical weeks, age, sex, presence or absence of symptoms, clinical manifestations, source of infection, popular council, health area and deceased. Results: The months of August and September predominated with higher positive cases and deaths, more frequent in females, as well as in young adults. The highest percentage presented clinical symptoms, cough and asthenia were the most reported symptoms, followed by headache and runny nose. Being a contact of a positive case prevailed as a source of infection, the mountainous area reported a lower frequency of cases. Conclusions: The pandemic was an event that caused anguish, restlessness and anxiety on the planet. Being aware of your history is essential to differentiate progress from your progress and thus anticipate and take action for more challenging and dire situations. To this end, knowing its clinical and epidemiological characteristics and its constant updating is valuable to conceive the behavior of the COVID-19 disease, which behaved with an increase in the period studied in the municipality of Cumanayagua. [ABSTRACT FROM AUTHOR]

Copyright of MediSur is the property of Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos 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.)

the covId-19 pandemic poses unique challenges for the care of pediatric patients. In venezuela, access to medical office is severely limited by several causes in addition to the pandemic. It is necessary to bring our guidance and advice to the patients' homes. Multiple scientific societies, governments and multilateral organizations have proposed to stimulate the use of telemedicine as a tool to help in this process. An introduction to the use of telemedicine is made. Its advantages and limitations are reviewed. Instrumentation mechanisms are proposed according to the reality of the country. [ABSTRACT FROM AUTHOR]

Background: the rate of intra-hospital infections is one of the qualities of services' indicators; It acquires greater importance in pediatric intensive care units, due to its high incidence and severity. Objective: to characterize the cases of infection associated with health care in the Pediatric Intensive Care Unit. Methods: retrospective descriptive study of patients admitted to the Pediatric Intensive Care Unit at the Paquito González Cueto University Pediatric Hospital, Cienfuegos, who acquired an infection in this unit, in the period from 2015 to 2019. The analyzed variables were: age at discharge, sex, location of sepsis, high-risk procedure, use of microbiological support and its positivity, lethality. Results: the average rate of infection associated with care was 3.5 per 100 discharges; Children under one year of age were more affected with 27.3%. Respiratory infection predominated with 46.8%. The use of venous catheterization occurred in 94.8% of the cases and antimicrobials due to previous infections were applied in 49.4%. Microbiological support was performed in 77.9% and it was positive in 76.7%. Gram negative germs predominated. Four patients died. Conclusions: the nosocomial infection rate is comparable with the numbers reported internationally. Children under one year of age are more infected, with a non-negligible lethality, so prevention and control measures aimed at the main risk factors for their appearance must be taken to extremes. [ABSTRACT FROM AUTHOR]

Background: COVID-19 is the disease that affects the entire world and is a health emergency. Knowing the clinical and epidemiological characteristics of the patients is important to fight it. Objective: to describe the epidemiological profile of COVID-19 in Cumanayagua. Methods: a descriptive, retrospective, cross-sectional study was carried out that included the 14 positive cases diagnosed in 2020. With the data collected, a database was created, which was processed using the statistical package SPSS-PC version 25.0. The cases were collected according to epidemiological classification, age, sex, presence or absence of symptoms, comorbidity, source of infection, symptoms and places of residence from where the patients came. Results: the months of November and December were the ones with the highest reported cases, the native and imported cases behaved in the same way, those over 15 years of age predominated and there were no differences according to sex. Asymptomatic cases predominated. High blood pressure, diabetes mellitus, and obesity were the most frequent comorbidities. The symptoms that presented were fever and headache in greater numbers. The largest number of cases came from the places of residence, Vila and Las Brisas. Conclusions: Although in the year analyzed there were not many patients, it is important that the population fulfill with health and social distancing measures to avoid contagion. [ABSTRACT FROM AUTHOR]

Background: Malaria is a life-threatening disease. In a non-immune individual, symptoms usually appear between 10 and 15 days after the infective mosquito bite. It is important to know its entomo-epidemiological profile, especially in areas where it is very common. Objective: to describe the entomo-epidemiological profile of malaria in Huambo province during 2018. Methods: a descriptive, retrospective cross-sectional study was carried out. Variables studied: malaria cases, number of deaths, age, infected pregnant women, method of diagnosis and focal point. For data collection, the database of the National Epidemiology Directorate was used and they were processed with SPSS, version 15.0. Results: there was a marked decrease in cases and deaths during the year; those under five years of age reported higher rates of morbidity and mortality; pregnant women are one of the most vulnerable groups; the 65.5% of those diagnosed with malaria underwent a rapid test and there was a decrease in larval populations as a result of the use of the Bactivec and Gliceresf Cuban insecticides. Conclusions: malaria is a health problem in Huambo, its burden is high and causes great morbidity and fatality rates in vulnerable groups such as pregnant women and children under five years of age. [ABSTRACT FROM AUTHOR]

Background: Dengue is a mosquito-borne viral disease that has spread rapidly in many regions in recent years. Objective: to describe clinical and epidemiological aspects of confirmed dengue patients in the Cumanayagua municipality, Cienfuegos province, during 2019. Methods: a case series study was carried out, which included 28 confirmed dengue patients, according to a database of the Municipal Hygiene and Epidemiology Unit. Sociodemographic, clinical and epidemiological variables, detected Aedes aegypti foci and infestation indices were analyzed. Results: The 57.1% of patients corresponded to the group of 15 to 49 years old; the female sex behaved in the same way as the male with the 50.0%. The predominant symptom was fever (100%); the 71.4% of the patients reported not having traveled outside the municipality; Aedes Aegypti outbreaks and infestation rates rose from June and fell after November. The highest risk neighborhood was Brisa with 36.8 x 10 000 inhabitants. Conclusions: the dengue epidemic in the Cumanayagua municipality in 2019 was clinically-epidemiologically characterized in a similar way to those that occurred in other territories, where the dengue 3 and 4 viruses circulation prevailed. [ABSTRACT FROM AUTHOR]

recent studies show that host microbial communities are important in establishing the infant gut microbiota. neonatal innate immunity facilitates the seeding of the neonatal microbiota, depending on the mode of birth, feeding and cessation of it. the vulnerability of children under six months of age is mitigated by the protective effects of human milk through specific immune factors, by reducing exposure to other foods. there are dangerous practices in the management of acute diarrhea in children in Venezuela, which go against what the Who promotes, these are: restriction of fluids and breast milk, food, promoting malnutrition and growth retardation as well as incorrect use of antibiotics, antidiarrheals and antiemetics; the absence of immunization against rotavirus and the lack of environmental sanitation. the annual expenditure on morbidity and mortality due to acute diarrhea in children under five years of age who are not breastfed exceeds billions of dollars, the most regrettable being the loss of human resources for tomorrow. [ABSTRACT FROM AUTHOR]

Background: leprosy is a curable disease. If it is treated in its first phase, the disability it generates can be avoided. Objective: to characterize clinically and epidemiologically patients diagnosed with leprosy. Methods: case series study carried out in the Cumanayagua municipality of Cienfuegos, which included the 15 patients diagnosed with leprosy from 2009 to 2019, according to the database of the Municipal Hygiene and Epidemiology Unit of said municipality. The main variables were: age, sex, popular councils, clinical and operational classification, type of contact, applied treatment. Results: the group of 50-79 years represented 53.3%; females constituted 70.0% of the cases; the popular councils with the highest risks were Brisas with 46.6% and Vila with 20.0%; 73.3% were patients with multibacillary leprosy; more than 40.0% had skin anesthesia and infiltrations; detection was spontaneous in 46.6% of the patients. 73.3% received multibacillary treatment. Conclusions: leprosy is not currently a serious health problem in the Cumanayagua municipality, but it is not a completely eliminated disease, so knowledge of the clinical and epidemiological characteristics of diagnosed patients is important for their better treatment and medical follow-up. [ABSTRACT FROM AUTHOR]

Many countries are working on policies to prevent infection with sArs-cov-2 in infants. the who, unIceF, American Academy of Pediatrics (AAP) and the venezuelan society of Pediatrics (svPP) recommendations establish breast milk as the ideal feeding for newborns and children with covId - 19. Promoting breastmilk substitutes like formula can disesteem breastfeeding. this affects the infant neuroendocrine development, rendering infants at risk for recurrent infections, malnutrition and death. the covId-19 pandemic in the setting of the complex preexisting humanitarian crisis of venezuela has brought even higher indexes of malnourishment, poverty and lack of basic health services. this document is intended to provide recommendations to health care workers, milk bank personnel, mothers and caregivers about breastfeeding and complementary feeding to be maintained during and after covId-19 pandemic. [ABSTRACT FROM AUTHOR]

Roller hockey has respected adult rules and has rarely been engineered to facilitate physical fitness of young children. The aim of the study was to explore the effects of the variation of pitch-size and the number of players on physical variables in young roller hockey players. The participants in the study were three female and 21 male hockey players (age: 7.1 ± 0.4 years). Three types of matches of 3 minutes, plus 3 minutes of resting, were played twice: i) Four vs four field players (plus goalkeeper) in an official field size (40m x 20m); ii) Four vs four field players (plus goalkeeper) in a field measuring 20m x 13m, and iii) Two vs two field players (plus goalkeeper) in a field measuring 20m x 10m. The physical and physiological variables analysed were: total distance covered and distance covered at different speed ranges (0-3 km/h, 3-6 km/h, 6-9 km/h, 9-12 km/h, 12-15 km/h and 15-18 km/h), accelerations, decelerations, maximum and mean speeds, heart rate and player load. They were gathered through the use of a 10 Hz non-differential local positioning system (UWB) and a heart rate transmitter belt. The results of this study show that, in early stages of roller hockey the reduction in field size, with or without reduction in the number of players, also reduces almost all physical and physiological variables, with the exception of player load (increased when the pitch and the number of players were reduced). [ABSTRACT FROM AUTHOR]

Different studies show that COVID-19 outbreaks constantly occur. The objective of this work is to present the surveillance and control actions in a COVID-19 focus in the municipality of Cumanayagua, Cienfuegos. The index case was a traveler from the United States, who stayed in the community and was related to the first case found in the Municipality: male patient, 67 years old, retired and with no history of concomitant diseases, whose symptoms were cough, five days after contact with said traveler. Twenty-seven contacts were identified, two of them under 15 years of age, all asymptomatic. The other secondary cases were the niece's husband, a 22-year-old male, worker as a Security Agent, with a total of 14 contacts, all asymptomatic, and the daughter-in-law, 38, a housewife, with five contacts, also asymptomatic . All contacts were transferred to an isolation center. The time elapsed between direct contact with the index case and the diagnosis of positivity was between three and five days. Secondary cases, a week were positive. Epidemiological measures were aimed at stopping transmission and preventing contagion. [ABSTRACT FROM AUTHOR]

Copyright of MediSur is the property of Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos 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 MediSur is the property of Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos 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 MediSur is the property of Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos 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 MediSur is the property of Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos 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 Dilemas Contemporáneos: Educación, Política y Valores is the property of Dilemas Contemporaneos: Educacion, Politica y Valores 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 Actas de Diseño is the property of Facultad de Diseno y Comunicacion, Fundacion Universidad de Palermo 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 El Profesional de la Información is the property of EPI SCP 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.)

This study shows the main results obtained in our research on the presence of museums in Catalonia on Social Networks and the visibility of their sites online. Our methodology has been based on obtaining qualitative and quantitative data from two perspectives: comparative with other studies and evolutional by its own analyses. The results point out, on the one hand, that Catalonian museums are present in social networks, yet there are many centers that are still not on any platform. On the other hand, the visibility indicators obtained show a certain lack of interest in positioning on the web. In conclusion, this presence must be improved and empowered, and it must be used on more adequate platforms. This makes it necessary to create a specifically digital communicative strategy proposing some queries to reflect on and debate to continue moving on with new discussions and research projects. [ABSTRACT FROM AUTHOR]

Copyright of Cuadernos de Historia del Derecho is the property of Universidad Complutense de Madrid 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.)

A descriptive, longitudinal and prospective study of 130 severely ill patients, admitted in the Intensive Care Unit in "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital from Santiago de Cuba was carried out during the biennium 2011-2013, aimed at determining the impact of the hemotherapy on the health state of those affected, based on clinical and epidemiological aspects of interest. Patients older than 65 years, those with surgical diseases and neumopathies prevailed in the series. Among the most frequent causes and complications there were: the anemia as the first ones and the feverish non haemolytic reaction, as the second one. Late complications or mortality were not detected after the hemotherapy. [ABSTRACT FROM AUTHOR]

A descriptive and cross sectional study of 188 elderly, admitted in the Intensive Care Room of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba was carried out during the 2012, in order to characterize them according to variables of interest. Female sex, the age group 60-74 and the surgical diseases prevailed in the case material. Forty seven aged patients required invasive mechanical ventilation (35.0%), of which 33 died (70.0%). The short stay in the unit was related to the highest number of alive patients. [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.)

The results of the 2013 analysis of visibility of the museum web sites of Catalonia are presented out of the data obtained by the explorer DigiDocSpider in Google. The main goal is to acquire the necessary data to deepen into the identification of good practices that help improve the visibility of any museum web site. The methodology has focused on a double perspective: comparative and evolutionary with previous research. An increase of visibility of the Catalan museums from 2006 to 2013 has been proved. However, a slight loss of visibility has been confirmed if we compare it to the period 2009-2013. As a conclusion, the biggest museums are better prepared and obtain better results, showing a very significant distance with those small local museums. [ABSTRACT FROM AUTHOR]

Object ives: This paper determines how Catalan cultural heritage is presented on the Internet by examining a selection of quality websites including the projects of the Museu Nacional d'Art de Catalunya (National Museum of Art of Catalonia, MNAC) at Google's Art Project, the web archive Patrimoni Digital de Catalunya (Digital Heritage of Catalonia, PADICAT), the Government of Catalonia's Museus en línia (Online Museums), the Provincial Council of Barcelona's Xarxa de Museus Locals (Network of Local Museums, XML), Barcelona City Council's Carta arqueològica de Barcelona (Archaeological Map of Barcelona), the CCCBLab project at the Centre de Cultura Contemporània de Barcelona (Barcelona Centre for Contemporary Culture, CCCB), the webpage Museus de Girona (Museums of Girona), and finally the project Viquiprojecte: ICUB, which was created by the Catalan language edition of Wikipedia and the Institut de Cultura de Barcelona (Institute of Culture of Barcelona, ICUB). Methodology: The study assessed the effectiveness, adequacy and usability of the websites by testing the quality of the features enabling users to consult, browse and view content. Result s: It was observed that museums use a wide range of methods to establish their presence online and that their public reach, the focus they choose (institution or exhibit) and the technology they use all vary considerably. [ABSTRACT FROM AUTHOR]

The presence of the Catalan museums that participated in the Online Museum project in the social networks is analysed: whether they are present, in which ones, what contents they share, the way in which they communicate with the users, and their users' response. The methodology used was based on dimensions, parameters and indicators applied in similar analysis by qualified experts; and adapted to the specifities of this study. The results show disparity and significant differences among the museums, according to their importance, their funding and the expected financial and human resources. However, they also evidence the value of being highly active and communicate quality contents. Pitifully, the most significant results refer to their low presence in social networks and the almost null implementation of web 2.0 tools. The conclusions state the challenge of improving the implementation of adequate tools, the presence in social networks and the update of the information shared through them. [ABSTRACT FROM AUTHOR]

The article presents information about the online visibility of websites for Catalonian museums for the period 2006-2009. The authors researched the number of links to these websites obtained through online research site Yahoo Site Explorer. They also compare the museum websites' visibility to other museum sites in Europe.

This article discusses the conflict surrounding the successor to Carlos II of Spain at the beginning of the 18th century. It examines the role of Michel Amelot de Gournay, a French diplomat and ambassador under Louis XIV, in organizing the Spanish army during the War of Spanish Succession. The author analyzes Louis XIV's influence on the war and its aftermath, including the Nueva Planta reforms that were instituted under Philip V of Spain, the grandson of Louis, as well as strengthening his political power against France's enemy states.

The article discusses the initial stages of the rule of King Philip V of Spain. It affirms that initial actions taken by Philip V to ensure continuity between his rule and that of the previous king, Charles II, would seem to have calmed fears among Spaniards at the prospect of being ruled by a monarch of French origin. However, it notes, the creation of a small advisory body, which included the French ambassador, to assist Philip V aroused suspicion. The article examines other controversial aspects of Philip V's rule, including endowing French dukes with the same status as Spanish "Grandes," the introduction of French elements into Spanish royal etiquette, and other measures which betrayed the primacy of French interests in the monarchy of Philip V.

Se presenta un estudio teórico del mecanismo de reacción del péptido Gly-Ala-Gly ante el ataque de un radical hidróxilo (OH) en un carbono de la cadena lateral. Los métodos empleados incluyen la modelación a nivel semiempírico PM3 y cálculos DFT con el funcional B3LYP y la base 31G**. Se indican los pasos de la reacción, modelados para el Cβ de la Isoleucina, y se indican las condiciones bajo las cuales se podría producir la ruptura de la cadena péptica.