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Abstrak Pulau Lombok memiliki kekayaan seni budaya khususnya cerita rakyat yang terancam punah yang semestinya wajib dilestarikan karena memiliki nilai pembelajaran moral untuk generasi muda Suku Sasak. Adanya serbuan cerita-cerita impor yang dikemas dengan menarik baik dari segi penceritaan dan visual menjadi salah satu alasan cerita rakyat mulai ditinggalkan. Tujuan penelitian ini adalah untuk melestarikan kembali cerita rakyat Lombok yaitu Doyan Nada melalui media komik. komik yang merupakan media yang mengunakan unsur storytelling dan visual diharapkan mampu menjadi media yang tepat untuk cerita rakyat merupakan media yang tepat sebagai media komunikasi bagi generasi milenial di era society 5.0. Perancangan dilakukan dengan metode Design Thinking guna mendapatkan solusi pemecahan masalah yang tepat dalam merancang karya. Dalam perancangan karya komik ini, cerita Doyan Nada akan dibagi menjadi dua buku dimana akan memfokuskan pada development karakter dan pendekatan visual yang imajinatif sehingga dapat menarik perhatian pembaca. Hasil akhir dari penelitian ini adalah sebuah komik yang berbasis cerita rakyat Doyan Nada untuk melestarikan cerita rakyat Lombok yang ditargetkan untuk pembaca usia remaja. Kata Kunci: cerita rakyat, Doyan Nada, komik, Lombok, suku sasak Abstract Lombok Island has a wealth of cultural arts, especially endangered folklore, which must be preserved because they have moral learning value for the younger generation of the Sasak tribe. The invasion of imported stories which are packaged attractively both in terms of storytelling and visuals is one of the reasons why folklore is starting to be abandoned. Based on this problem, this design was created with the aim of preserving Lombok folklore, namely Doyan Nada, through comic media. Comics, which are media that use storytelling and visual elements, are expected to be the right media for folklore, which is the right media as a communication medium for the Millennial Generation in the Era of Society 5.0. This design is carried out using the Design Thinking method in order to obtain appropriate problem solving solutions in designing the work. In designing this comic work, the Story of Doyan Nada will be divided into two books which will focus on character development and an imaginative visual approach so that it can attract the reader's attention. The final result of this research is a comic based on the Doyan Nada folklore to preserve Lombok folklore targeted at teenage readers. Keywords: comic, Doyan Nada, folklore, Lombok, sasak tribe

Hearing problems in deaf children make it difficult for them to absorb verbal information while learning, but their learning modalities can be optimized. In the dance learning process at SLB Tunas Kasih 1 Bogor, the teacher stimulates deaf children to create their own dance moves through metaphorical activities based on the surrounding environment by optimizing visual and tactile learning modalities. The purpose of this article is to describe learning dance through metaphorical activities for deaf children at SLB Tunas Kasih 1 Bogor. This study uses a qualitative approach with descriptive analysis method. The data sources for this research were teachers and deaf children at SLB Tunas Kasih 1. Data collection used observation, interviews and documentation studies. Data analysis was carried out by means of triangulation. The results of this study indicate that through metaphorical activities, children can maximize their visual and tactile abilities in obtaining information in dance lessons so that learning can match the abilities of deaf children. Metaphoric activities also foster imaginative ideas, making it easier for them to explore dance movements resulting from their ideas. Through this metaphoric activity the teacher can easily foster the creativity of deaf children in creating dance movements, so that deaf children can optimize their creative abilities for dance moves.

Introducción: el parto pretérmino es un reto a la Obstetricia moderna y tributa a los índices de mortalidad perinatal, de morbilidad neonatal severa y de discapacidad infantil. Objetivo: conocer cómo se manifiestan los factores de riesgo y las características de la cervicometría en un grupo de pacientes que ingresaron con síntomas de parto pretérmino. Métodos: se realizó una investigación cualicuantitativa, observacional, analítica y transversal, la población de estudio comprendió a todas las pacientes con manifestaciones de síntomas de parto pretérmino; se realizó un muestreo no probabilístico por criterios y quedaron incluidas 433. Resultados: la media de la longitud cervical al ingreso de las pacientes con parto pretérmino fue de 25,7 milímetros y en las que no tuvieron parto pretérmino fue de 33,2 milímetros y los factores de riesgos que mostraron asociación estadística al parto pretérmino fueron la infección urinaria y vaginal, el antecedente de parto pretérmino y la historia de sangramiento durante la gestación. Hubo una asociación altamente significativa entre la longitud cervical y la edad gestacional al parto (p=0,000; V de Cramer=0,295) y la embudización en las gestantes incrementa en 5,95 veces más el riesgo de tener un parto pretérmino. Conclusiones: se asociaron factores de riesgo como la infección urinaria y vaginal, el antecedente de parto pretérmino y la historia de sangramiento durante la gestación. Hubo una asociación altamente significativa entre la longitud cervical y la embudización con el parto pretérmino.

Mr & Mrs Cake Shop merupakan salah satu UMKM yang memproduksi berbagai macam jenis cake, cupcake, cookies, dan pastry. Mr & Mrs Cake Shop menjual produk-produk kuenya secara online, namun kesadaran masyarakat atau brand awareness atas kehadiran usaha kue inipun cenderung rendah. Jika dilihat dari kondisi sekarang, permasalahan yang timbul dari usaha Mr & Mrs Cake Shop ini dikarenakan tidak mempunyai identitas usaha dalam penerapannya. Untuk itu solusi yang akan dilakukan dalam memperkenalkan produk usaha kue Mr & Mrs Cake Shop Lombok yaitu difokuskan dengan merancang dan menciptakan identitas usaha berupa logo yang sangat dibutuhkan usaha tersebut untuk mengenalkan identitasnya. Identitas usaha sangat penting untuk kemajuan suatu usaha atau bisnis dengan logo sebagai salah satu unsur penting dalam pengaplikasian visual branding. Branding memiliki peran sebagai ujung tombak pemasaran dalam suatu usaha. Kekuatan branding mampu menggambarkan keunggulan suatu produk, pembeda dari para pesaing, dan sebagai identitas eksklusif yang menjadi dasar pondasi bagaimana sistem suatu usaha bekerja. Adapun metode pelaksanaan pengabdian kepada masyarakat ini menggunakan metode konsultasi/pendampingan. Dalam hal ini pemilik UMKM Mr & Mrs Cake Shop menjelasakan profil usahanya, baik itu tentang informasi produk, sejarah usaha, target konsumen, analisis kompetitor hingga memaparkan berbagai persoalan yang dihadapi dan menghambat perkembangan usaha, sedangkan tim pengabdi akan memberikan solusi penyelesaian masalah dengan membantu untuk merancang dan menciptakan identitas usaha melalui proses branding Mr & Mrs Cake Shop. Hasil yang akan dicapai dari kegiatan pengabdian ini yaitu terciptanya sebuah branding sebagai bentuk identitas usaha dari Mr & Mrs Cake Shop. Dengan adanya identitas usaha tersebut, maka usaha tersebut akan lebih mudah untuk diingat oleh masyarakat luas terutama masyarakat yang berada di Pulau Lombok. sehingga diharapkan dapat meningkatkan angka penjualan serta profit usaha tersebut serta dapat membuka peluang bagi Mr & Mrs Cake Shop untuk mengembangkan usahanya lebih luas lagi.

El encefalocele se produce por un defecto del tubo neural debido a una insuficiencia de la superficie ectodérmica de separarse del neuroectodermo. Este tipo de defecto incluye una etiología multifactorial. Se presentó el caso de una paciente de 43 años, raza indígena, con historia obstétrica de 14 embarazos (13 partos y 1 aborto espontáneo). La paciente acudió con dolor al servicio de urgencia del Centro de atención integral materno-infantil de Ixchiguán, San Marcos, Guatemala (fue atendida como parte de la colaboración médica cubana). En la cesárea se obtuvo un recién nacido con encefalocele occipital, sin complicaciones neonatales inmediatas. El pronóstico para los pacientes con este tipo de malformación congénita es variable, pues depende, en primer lugar, de la localización y el tamaño, del tipo de tejido cerebral herniado, y por otro lado, del número, tipo y gravedad de las malformaciones asociadas.

Abstrak Kabupaten Lombok Utara adalah salah satu kabupaten di Provinsi Nusa Tenggara Barat yang dikenal dengan keindahan destinasi wisatanya. Salah satunya adalah wisata air terjun Tiu Pituq yang resmi dibuka pada tahun 2017. Lokasi wisata ini merupakan ekowisata yang mengutamakan aspek lingkungan dan keindahan alam. Sebagai salah satu obyek wisata yang memiliki luas ± 2 hektar tentunya wisata air terjun Tiu Pituq memerlukan sign system yang informatif dan komunikatif untuk para wisatawan yang berkunjung. Tujuan dari penelitian ini adalah untuk menciptakan desain sign system yang dapat menyampaikan informasi secara tepat dan memiliki ciri khas tradisional serta memiliki daya tarik tinggi sehingga para wisatawan yang mengunjungi dapat menemukan dan menikmati semua fasilitas atau spot-spot yang ada di air terjun Tiu Pituq. Guna mendukung peneliti dalam proses perancangan sign system di lokasi tersebut maka penelitian ini menggunakan metode penelitian kualitatif dengan melakukan wawancara, survei lapangan serta dokumentasi dari lokasi air terjun Tiu Pituq. Adapun hasil dalam Penelitian ini adalah karya desain sign system dengan penerapan konsep tradisional sign system, dengan suasana yang tetap menyatu dengan alam, dimana hal tersebut dapat membuat para pengunjung merasakan atau menikmati suasana alam sekaligus dapat mengetahui cerita rakyat yang terjadi di lokasi wisata tersebut. Kata Kunci: desain, ekowisata, traditional, sign system, tiu pituq Abstract North Lombok Regency is one of the regencies in West Nusa Tenggara Province. It is known for the beauty of its tourist destinations. One of them is the Tiu Pituq waterfall tour, which officially opened in 2017. This tourist location is ecotourism that prioritizes environmental aspects and natural beauty. As one of the tourism objects that have an area of ± 2 hectares, of course, the Tiu Pituq waterfall tour requires an informative and communicative sign system for tourists who visit. The purpose of this research is to create a sign system design that can convey information accurately and has traditional characteristics and other than has a high attractiveness so that tourists who visit can find and enjoy all the facilities or spots in the Tiu Pituq waterfall. To support researchers in the process of designing sign systems at these locations, this study uses qualitative research methods by conducting interviews, field surveys, and documentation of the Tiu Pituq waterfall. The results of this study are the Sign System design work with the application of the concept of the traditional sign system, an atmosphere that still united with nature, where it can make visitors feel or enjoy the natural atmosphere while being able to know the folklore that occurs at the tourist site. Keywords: design, ecotourism, tiu pituq, traditional, sign system

La rotura de vasa previa es una afección infrecuente que aparece cuando el cordón umbilical tiene una inserción velamentosa y los vasos fetales desprotegidos, que al carecer de la gelatina de Wharton, discurren a través de las membranas, lo que los hace especialmente vulnerables a la rotura o desgarros. Los factores de riesgo más relevantes son: la gestación gemelar monocorial, las gestaciones conseguidas mediante técnicas de reproducción asistida y las anomalías de inserción placentaria. La rotura de la vasa previa puede llevar a: una hemorragia fetal aguda, un choque hipovolémico, una asfixia fetal y a la muerte perinatal. El estudio ecográfico de la placenta y el empleo del Doppler color tienen gran importancia para lograr el diagnóstico precoz de las pacientes en riesgo, el cual constituye la premisa fundamental para lograr disminuir la morbilidad y mortalidad fetal y neonatal.

Artikel ini mendikusikan tentang representasi Islam dalam film Hollywood berjudul JavaHeat yang diproduksi di Indonesia. Penelitian ini menggunakan analisis semiotika Roland Barthesmelalui tiga tahap pemaknaan: denotatif, konotatif, dan mitos. Hasil penelitian menunjukkan bahwarepresentasi Islam dengan cita rasa Hollywood terbagi menjadi dua. Pertama, Islam Arab yangdirepresentasikan sebagai umat penuh kekerasan, hipokrit, dan lekat dengan terorisme. Kedua,Islam bergaya Amerika yang direpresentasikan sebagai Islam pluralis dan bersedia melakukannegosiasi dengan Amerika Serikat.

Background and Aims: COVID-19 has infected more than 77 million people worldwide and impacted the lives of many more, with a particularly devastating impact on vulnerable populations, including people with substance use disorders (SUDs). Quarantines, travel bans, regulatory changes, social distancing, and “lockdown” measures have affected drug and alcohol supply chains and subsequently their availability, price, and use patterns, with possible downstream effects on presentations of SUDs and demand for treatment. Given the lack of multicentric epidemiologic studies, we conducted a rapid global survey within the International Society of Addiction Medicine (ISAM) network in order to understand the status of substance-use patterns during the current pandemic.Design: Cross-sectional survey.Setting: Worldwide.Participants: Starting on April 4, 2020 during a 5-week period, the survey received 185 responses from 77 countries.Measurements: To assess addiction medicine professionals' perceived changes in drug and alcohol supply, price, use pattern, and related complications during the COVID-19 pandemic.Findings: Participants reported (among who answered “decreased” or “increased”) a decrease in drug supply (69.0%) and at the same time an increase in price (95.3%) globally. With respect to changes in use patterns, an increase in alcohol (71.7%), cannabis (63.0%), prescription opioids (70.9%), and sedative/hypnotics (84.6%) use was reported, while the use of amphetamines (59.7%), cocaine (67.5%), and opiates (58.2%) was reported to decrease overall.Conclusions: The global report on changes in the availability, use patterns, and complications of alcohol and drugs during the COVID-19 pandemic should be considered in making new policies and in developing mitigating measures and guidelines during the current pandemic (and probable future ones) in order to minimize risks to people with SUD.

Background: The coronavirus disease 2019 (COVID-19) pandemic has impacted people with substance use disorders (SUDs) worldwide, and healthcare systems have reorganized their services in response to the pandemic.Methods: One week after the announcement of the COVID-19 as a pandemic, in a global survey, 177 addiction medicine professionals described COVID-19-related health responses in their own 77 countries in terms of SUD treatment and harm reduction services. The health responses were categorized around (1) managerial measures and systems, (2) logistics, (3) service providers, and (4) vulnerable groups.Results: Respondents from over 88% of countries reported that core medical and psychiatric care for SUDs had continued; however, only 56% of countries reported having had any business continuity plan, and 37.5% of countries reported shortages of methadone or buprenorphine supplies. Participants of 41% of countries reported partial discontinuation of harm-reduction services such as needle and syringe programs and condom distribution. Fifty-seven percent of overdose prevention interventions and 81% of outreach services were also negatively impacted.Conclusions: Participants reported that SUD treatment and harm-reduction services had been significantly impacted globally early during the COVID-19 pandemic. Based on our findings, we highlight several issues and complications resulting from the pandemic concerning people with SUDs that should be tackled more efficiently during the future waves or similar pandemics. The issues and potential strategies comprise the following: (1) helping policymakers to generate business continuity plans, (2) maintaining the use of evidence-based interventions for people with SUDs, (3) being prepared for adequate medication supplies, (4) integrating harm reduction programs with other treatment modalities, and (5) having specific considerations for vulnerable groups such as immigrants and refugees.

Since 2016, Public Park in Indonesia, particularly in West Java has significantly been revitalized. Taman Sempur is one of public parks located in West Java that spent about Rp 2.2 billion for its revitalization process. That massive amount was poured out in order to develop public space for the community. Taman Sempur is a compound where Taman Kaulinan, Taman Skateboard, Taman Ekspresi, big pedestrian and few sports facilities with its own specific functions stand. This research, that applied the combination of geo-semiotic and ethnographic analysis, attempted to observe how meaningful Taman Sempur as urban public space for the community through public space and public sphere approaches. The existing modality indicates that the community have certain attention to participate in Taman Sempur as public space, with some of its flaws in material dimension aspect. At the same time, public sphere nuances still vaguely felt, considering the community’s awareness were not full and even due to habitus individual conflict while becoming part of the “public”. Keywords: Taman Sempur, Urban Public Space, Public Sphere, Geo-Semiotic

Decision support systems, commonly called DSS (or SPK in Bahasa), in medical used to diagnose illness. But within its implementation these systems are not used optimally. The main cause is the interface of the systems that is not accordance with the user wants. Three interface designs layouts were proposed for the phase of history and physical examination and two interface designs layouts for investigations to be assessed by the respondents. Based on the results of the questionnaires selected by respondents, statistical tests were performed to determine the value of the use of interface design based on the Technology Acceptance Model (TAM) and modified TAM. The statistical methods used to examine the effect of variables on TAM and modified TAM i.e. the Structural Equation Modeling Partial Least Square (SEM PLS) method. The results of this study indicate that the respondents’ choice in the TAM and modified TAM model for the history and physical examination is the same as the based filling system. While for the supporting stage there are differences of respondent choice on TAM model with choice of graphical interaction system and on modified TAM model with windowing system option.

El embarazo en mujeres de 35 o más años ha sido definido como embarazo en edad materna avanzada. El deseo de la mujer de tener un embarazo después de los 35, e incluso los 40 años, se ha convertido por ello en un importante fenómeno social. El embarazo, en estas edades, se asocia con un aumento del riesgo de presentar afecciones propias de la gestación, una mayor frecuencia de enfermedades maternas crónicas y una mayor probabilidad de muerte materna y perinatal. Evitar un embarazo no deseado en estas edades es menester de los responsables de los programas de planificación familiar y anticoncepción a nivel comunitario. Es necesario brindar una atención prenatal de calidad que se anticipe a las posibles complicaciones, para lograr los mejores resultados maternos y perinatales.

The search for alternative therapies to insulin for the treatment of gestational diabetes goes back to studies from the decade of 1970 and 1980. The oral hypoglycemic agents have emerged as an effective alternative for metabolic control of gestational diabetes; these drugs have historically been rejected by the medical community on the basis of studies with serious methodological flaws. Metformin is a useful and safe alternative for its control, to reduce costs and improve the margin of safety that involves the use of insulin. There is sufficient information that supports that glyburide is safe during pregnancy. Many of the fears for the use of oral hypoglycemic agents have been clarified today. Up to now it has not been reported in pregnant the use of other oral hypoglycemic agents and, therefore, they must not be used.

Las anomalías estructurales del aparato reproductor femenino se manifiestan en diferentes momentos cronológicos: desde el nacimiento, la niñez, la pubertad, durante la menarca en la adolescencia o en las etapas posteriores de la vida.El aparato reproductor femenino deriva embriológicamente de las gónadas, el seno urogenital y los conductos paramesonéfricos de Müller, por lo que combina orígenes endodérmico y mesodérmico. Particularmente, en la formación de la vagina participan el seno urogenital y los conductos de Müller, lo que hace que este órgano se considere mixto, atendiendo a su origen embrionario.

La incidencia de embarazo ectópico se estima en torno a un 1 por cada 100 embarazos. Si bien este se conoce desde el siglo XVII, su frecuencia se ha incrementado en la última década, probablemente debido al aumento de los tratamientos de fertilización y al daño tubárico por el aumento de las infecciones de transmisión sexual.

The abnormal proliferation of vessels derived from the placenta is known as chorioangioma, although it is the most common placental benign tumor not trophoblastic of the placenta occurs in a frequency as low as 1% of pregnancies. It is related to different conditions: preterm birth, hypertensive diseases of pregnancy, previous placenta and premature detachment of normoinserta, polyhydramnios, hydrops fetalis, intrauterine growth restriction, fetal anemia, disseminated intravascular coagulation, cardiomegaly, edema and anasarca, blood disorders and velamentous insertion placenta of the umbilical cord and fetal death. It is presented a female patient with a giant chorioangioma of complicated placenta with a retroplacental hematoma.

Los avances en cardiología pediátrica y cirugía cardíaca han permitido que más del 85 % de los niños con cardiopatías congénitas sobrevivan hasta la adultez; la mitad de esta población son mujeres en edad reproductiva. El embarazo en estas pacientes representa un nuevo reto médico y social. La asociación de la cardiopatía al embarazo no solo implica riesgo para la vida de la madre, sino también puede producir efectos adversos en el desarrollo, crecimiento y supervivencia del feto. La atención a la embarazada cardiópata es uno de los principales retos para nuestro sistema de salud; es de vital importancia que estas pacientes sean atendidas en la consulta de riesgo preconcepcional, para lograr que lleguen compensadas al embarazo, durante el cual deben recibir una atención multidisciplinaria para mitigar las complicaciones que pueden aparecer; ello mejoraría los resultados maternos y perinatales.

Nitrogen permease regulator-like 2 (NPRL2) is a component of a conserved complex that inhibits mTORC1 (mammalian Target Of Rapamycin Complex 1) in response to amino acid insufficiency. Here, we show that NPRL2 is required for mouse viability and that its absence significantly compromises fetal liver hematopoiesis in developing embryos. Moreover, NPRL2 KO embryos have significantly reduced methionine levels and exhibit phenotypes reminiscent of cobalamin (vitamin B12) deficiency. Consistent with this idea, NPRL2 KO liver and mouse embryonic fibroblasts (MEFs) show defective processing of the cobalamin-transport protein transcobalamin 2, along with impaired lysosomal acidification and lysosomal gene expression. NPRL2 KO MEFs exhibit a significant defect in the cobalamin-dependent synthesis of methionine from homocysteine, which can be rescued by supplementation with cyanocobalamin. Taken together, these findings demonstrate a role for NPRL2 and mTORC1 in the regulation of lysosomal-dependent cobalamin processing, methionine synthesis, and maintenance of cellular re-methylation potential, which are important during hematopoiesis.

Introducción: el Colegio Americano de Obstetras y Ginecólogos define la macrosomía fetal como el peso al nacimiento igual o superior a 4 500 gramos; esta entidad se asocia a una morbilidad y mortalidad maternas y perinatales elevadas. Objetivo: determinar el comportamiento de los factores de riesgo en pacientes con macrosomía. Método: se realizó un estudio observacional descriptivo y transversal. Del total de nacidos vivos con macrosomía fetal en el período estudiado, se escogieron al azar 123 pacientes mediante un muestreo aleatorio simple; las variables estudiadas fueron los factores de riesgo para la macrosomía, los cuales se dividieron en maternos y fetales, edad materna, vía del parto y peso al nacer. Resultados: el mayor número de nacimientos macrosómicos ocurrieron entre 20-34 años de edad, predominaron la obesidad materna y el peso aproximado fetal mayor o igual a 4 500 gramos en las pacientes con parto distócico (p = 0,003 y p = 0,000, respectivamente). El mayor número de recién nacidos pesaron entre los 4 500 gramos-4999 gramos, y la mayoría de las pacientes tenían uno o más factores de riesgo para la macrosomía. Conclusiones: la presencia de factores de riesgo es frecuente en pacientes con macrosomía fetal; su adecuado reconocimiento y atención favorecerán los mejores resultados maternos y perinatales.

Self-care is a form used to maintain health, a special separate what constitutes self-medication, it is an irresponsible act, especially when it is performed during pregnancy, especially if it occurs in the early stages, when the possibility of damage is greater. Self-medication is a problem that is prevalent worldwide and pregnant women are a subpopulation of interest to pharmacovigilance because medicines administered to the mother can cause adverse reactions in her and in the newborn. To prevent the negative effects of self-medication should educate patients and the population in general, and to offer information and counseling on the appropriate use of medications; the tool to achieve this is prevention, therefore self-medication in pregnancy is a double act of irresponsibility.

El ovario es un órgano de caracteres polimorfos que se encuentran interrelacionados. La interacción entre factores genéticos, embriológicos, ontogenéticos, estructurales y funcionales que puede generar proliferación neoplásica, benigna o maligna. La presencia de una masa tumoral en el hemiabdomen inferior constituye un motivo frecuente de consulta en ginecología, y la posibilidad diagnóstica de un tumor de ovario es de alrededor del 50 %. Hasta un 80 % son benignos, y la mayoría aparece en mujeres jóvenes entre los 20 y los 48 años, pero siempre existe la posibilidad de otros diagnósticos que no ofrecen tan buen pronóstico. Entre los tumores ováricos provenientes del epitelio celómico, uno de los más frecuentes es el cistadenoma ceroso; este tumor puede alcanzar grandes dimensiones, y suele estar tapizado por una cubierta azulada fina con contenido seroso claro. Los tumores de ovario menores de 5 cm permanecen generalmente asintomáticos; a medida que crecen, aparecen diversos síntomas, como dolor pélvico, tumor palpable y complicaciones, que incluyen la hemorragia intraquística o peritoneal, rotura de la capsula, infección, necrosis, siembras peritoneales y torsión de aquellos de pedículo largo.

Introduction: currently broadcasts the use of diathermy handles for the treatment of premalignant lesions of the neck. Objective: to present the results of loop diathermy conization in cervical premalignant lesions. Material and methods: a cross-sectional descriptive study was conducted in the “Mariana Grajales" Gynecoobstetric Hospital form January 2010 to December 2012 It was formed a sample of 1 310 patients who underwent conization and studied some variables as: age, histological result conization, surgical margins and complications. Results: between 35-39 years of age were affected 269 (20.5 %) patients were diagnosed 349 (26.6 %) with cervical intraepithelial neoplasia II and was a significant association between cervical intraepithelial neoplasia III and the age group of 25 - 59 with (X2 = 32.7 p = 0.000) occurred only 52 (4.0 %) cases of affected edges and 37 (2.8 %) complications. Conclusions: the most affected age was 35-39 years; the most common diagnosis was cervical intraepithelial neoplasia III and was little affected edges and frequency of postoperative complications.

Introduction: Chlamydia trachomatis is an intracellular bacterium considered one of the sexually transmitted pathogens with high prevalence worldwide. Objective: to characterize the reproductive outcome in infertile patients with Chlamydia trachomatis infection at “Mariana Grajales” Gynecoobstetric Hospital. Material and method: a prospective study between January 2009 and December 2010 was conducted , the population was 335 infertile women with tuboperitoneal involvement, convenience sample was 155 women with positive test results for Chlamydia trachomatis and variables studied were the type of contraceptive used, the aftermath, sexually transmitted infections associated and reproductive outcome; the Chi-square test was used to establish relationships between variables. Results: the most popular contraceptive method was the intrauterine device (38.0%), there was a statistics significant association between use intrauterine device and the infection by Chlamydia trachomatis (X2=23.7 and ρ=0.01) in 32 patients (18.9%) were presented pelvic inflammatory disease and 34 (20.1%) had a tubal obstruction, it was found statistics significant association between the occurrence of sequelae and Chlamydia trachomatis infection (X2=17.8 and ρ=0.04), the organism most commonly associated was Mycoplasma hominis 14, 9.0%) in 124 patients (80.0%) and no pregnancy was achieved, only in 17 (11.0%) normal pregnancy was achieved. Conclusions: Chlamydia trachomatis infection compromises female fertility due to tubal obstructive sequels with little chance of achieving pregnancy.

Introduction: knowledge of perinatal mortality is a fact of great importance as it provides an idea of the level of development and quality of health in the nations. Objective: To determine the causes associated with perinatal mortality at the Mariana Grajales Gyneco-obstetric Hospital in three years of study. Material and methods: A cross-sectional, descriptive study was conducted. A non-probability convenience sample of 228 patients treated at the Department of Obstetrics was taken. The variables of the study were: causes of perinatal mortality, maternal age and birth weight. Results: The main causes were idiopathic causes (62, accounting for 27.2%), preeclampsia (16, for 7%) and retroplacental hematoma (23, for 10%). There was a significant relationship between the group 35 years and over and the causes perinatal mortality (X2=17.53, p=0.021), and between the causes of perinatal mortality and weights less than 999 grams (X2=14.32, p=0.012). The root cause in this group is premature rupture of the membrane (16, for 19%), and in the group from 1000 to 2,499 grams it was the idiopathic cause (21, 24.1%). Mortality of the mature (28, 49.1%) was not elucidated. It was found that the greatest number of causes were idiopathic, in all age groups and weights, and that the group 35 years and over and weights under 999 grams are significantly associated with perinatal mortality.

Introduction: the first attempts to look into a human cavity in a living person were made by Bozzini in Frankfurt in 1805. Objective: To describe the results of minimal access surgery in the treatment of infertile women. Material and methods: a descriptive retrospective study was conducted from 2000 to 2006. It included all the patients who were treated at the Minimal Access Surgery Department with a diagnosis of tubal and peritoneal factor disturbance. A review of the surgery reports was carried out and the data were recorded on a primary document for the study (observation guide). The study variables included the diagnosis, type of surgical procedure, tubal patency and pregnancy attainment. Chi-square test was used for a sample in the processing of information. The result of the statistics was significant if p

Objectives: Typical rehabilitation programs following total hip arthroplasty and total knee arthroplasty include joint range of motion and muscle-strengthening exercises. Balance and balance exercises following total hip arthroplasty and total knee arthroplasty have not received much attention. The purpose of this study was to determine whether an intervention of balance exercises added to a typical rehabilitation program positively affects patients’ balance. Methods: A total of 63 patients were provided with outpatient physical therapy at their home. Patients were randomly assigned to either typical (n = 33) or balance (n = 30) exercise group. The typical group completed seven typical surgery-specific joint range of motion and muscle-strengthening exercises, while the balance group completed the typical exercises plus three balance exercises. After 5 weeks of administering the rehabilitation program, patients’ balance was assessed on a force plate using 95% ellipse area of the center of pressure amplitude. Results: Patients in the balance group demonstrated significant reduction in the 95% ellipse area for the anterior and posterior lean standing conditions (p

Objectives: To determine the effectiveness of balance exercises in the acute post-operative phase following total hip arthroplasty or total knee arthroplasty. Methods: Patients who had total hip arthroplasty ( n = 30) or total knee arthroplasty ( n = 33) were seen in their residence 1–2 times per week for 5 weeks. At the first post-operative home visit, patients were randomly assigned to either typical (TE, n = 33) or typical plus balance (TE + B, n = 30) exercise groups. The TE group completed seven typical surgery-specific joint range-of-motion and muscle strengthening exercises, while the TE + B group completed the typical exercises plus three balance exercises. Patients were assessed before and 5 weeks after administering the rehabilitation program using four outcome measures: (1) the Berg Balance Scale, (2) the Timed Up and Go test, (3) the Western Ontario McMaster Universities Osteoarthritis Index, and (4) the Activities-specific Balance Confidence Scale. Results: Post-intervention scores for all four outcome measures were significantly improved ( p

History offers examples of how wrong it may be merely delegated to the decision of the editors of the publication of an article, without the participation of the referees, who assume great responsibility, facing the scientific community and the magazine has asked its contribution to rigorously evaluate the texts received by the deadline set.