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MEDICC Review

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https://www.readbyqxmd.com/read/28225546/making-travel-to-cuba-work-for-health-and-sustainable-development
#1
Conner Gorry
In 2015, a record-breaking 3.5 million visitors-1 million from Canada alone-traveled to Cuba to explore its history, culture, natural splendor, and visit family. That same year, US President Barack Obama relaxed travel restrictions, giving general authorization for a dozen categories of legal travel by US citizens and residents. As a result, US visitors to the island ballooned by 80% between January 2015 and June 2016. And the numbers keep growing: the latest data show that foreign arrivals reached 4 million in 2016...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28225545/enhancing-political-will-for-universal-health-coverage-in-nigeria
#2
Bolaji S Aregbeshola
Universal health coverage aims to increase equity in access to quality health care services and to reduce financial risk due to health care costs. It is a key component of international health agenda and has been a subject of worldwide debate. Despite differing views on its scope and pathways to reach it, there is a global consensus that all countries should work toward universal health coverage. The goal remains distant for many African countries, including Nigeria. This is mostly due to lack of political will and commitment among political actors and policymakers...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28225544/in-defense-of-clinical-autopsy-and-its-practice-in-cuba
#3
Alfredo D Espinosa-Brito, José Hurtado de Mendoza-Amat
There has been a notable decrease in the global practice of clinical autopsy; the rate has fallen to below 10%, even in high-income countries. This is attributed to several causes, including increased costs, overreliance on modern diagnostic techniques, cultural and religious factors, the emergence of new infectious diseases and negative attitudes on the part of doctors, even pathologists. Alternative methods to autopsy in postmortem studies have been developed based on imaging, endoscopy and biopsy (all quite expensive)...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28225543/cuba-s-aging-and-alzheimer-longitudinal-study
#4
Juan de Jesús Llibre-Rodríguez, Adolfo Valhuerdi-Cepero, Ana M López-Medina, Lisseth Noriega-Fernández, Rutbeskia Porto-Álvarez, Milagros A Guerra-Hernández, Rodolfo I Bosch-Bayard, Tania Zayas-Llerena, Elaine Hernandez-Ulloa, Ana L Rodríguez-Blanco, Enrique Salazar-Pérez, Juan C Llibre-Guerra, Jorge J Llibre-Guerra, Beatriz Marcheco-Teruel
Aging and Alzheimer is a prospective, longitudinal cohort study involving 2944 adults aged ≥65 years from selected areas in Cuba's Havana and Matanzas Provinces. This door-to-door study, which began in 2003, includes periodic assessments of the cohort based on an interview; physical exam; anthropometric measurements; and diagnosis of dementia and its subtypes, other mental disorders, and other chronic non-communicable diseases and their risk factors. Information was gathered on sociodemographic characteristics; disability, dependency and frailty; use of health services; and characteristics of care and caregiver burden...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28225542/historical-overview-of-leprosy-control-in-cuba
#5
REVIEW
Enrique Beldarraín-Chaple
INTRODUCTION Leprosy, an infectious disease caused by Mycobacterium leprae, affects the nervous system, skin, internal organs, extremities and mucous membranes. Biological, social and environmental factors influence its occurrence and transmission. The first effective treatments appeared in 1930 with the development of dapsone, a sulfone. The main components of a control and elimination strategy are early case detection and timely administration of multidrug therapy. OBJECTIVES Review the history of leprosy control in Cuba, emphasizing particularly results of the National Leprosy Control Program, its modifications and influence on leprosy control...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28225541/perceived-barriers-to-adherence-to-tuberculosis-infection-control-measures-among-health-care-workers-in-the-dominican-republic
#6
Helena J Chapman, Bienvenido A Veras-Estévez, Jamie L Pomeranz, Eddy N Pérez-Then, Belkys Marcelino, Michael Lauzardo
INTRODUCTION Health care workers have an increased risk of infection due to occupational Mycobacterium tuberculosis exposure, including multidrug-resistant strains. Health care workers' risk of developing tuberculosis is greater than that of the general population, whether in low-, intermediate- or high-incidence countries. Adherence to infection control measures (administrative controls, environmental controls, and personal respiratory protection) is essential to reduce risk of disease transmission between suspected tuberculosis patients and health care workers, but for different reasons, both objective and subjective, adherence is low...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28225540/antituberculosis-drug-resistance-in-pulmonary-isolates-of-mycobacterium-tuberculosis-cuba-2012-2014
#7
Dihadenys Lemus, Miguel Echemendía, Raúl Díaz, María J Llanes, Lourdes Suárez, Antonio Marrero
INTRODUCTION Systematic surveillance of antituberculosis drug resistance allows identification of multidrug-resistant and extensively drug-resistant isolates of Mycobacterium tuberculosis. Surveillance studies of antituberculosis drug resistance systematically conducted in Cuba for over 15 years have revealed low circulation of multidrug-resistant tuberculosis, under 1% in new cases. OBJECTIVE Characterize antituberculosis drug resistance in isolates of M. tuberculosis recovered from patients with pulmonary tuberculosis in Cuba in 2012-2014...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28225539/cuba-s-family-doctor-and-nurse-teams-a-day-in-the-life
#8
Conner Gorry
Nurse Sarait Guarat has Felipe's clinical history out of the file cabinet and on Dr Martha Diaz's desk before he's even through the door. Not that Dr Díaz needs it: Having served 26 years at Consultorio (Family Doctor-and-Nurse Office) #17 on a leafy street in Havana's Vedado neighborhood, she knows each of her patients by name and their health status essentially by heart. After greeting 91-year old Felipe with the customary kiss on the cheek, Dr Díaz gets down to business, asking after his family, checking up on his diabetes and inquiring about the reason for his visit...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28225538/may-you-live-in-interesting-times
#9
EDITORIAL
(no author information available yet)
Whether or not the so-called curse, "May you live in interesting times" is apocryphal, we have to acknowledge that we do indeed live in interesting times. It has been only three months since the October 2016 issue of MEDICC Review, but the changes since-in many directions-have been head-spinning. For starters, scientists at Roswell Park Cancer Institute have launched a clinical trial of CIMAvax, the therapeutic lung cancer vaccine developed at Cuba's Molecular Immunology Center, surely a win-win for the citizens of both countries...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/27829655/cuba-time-to-expand-health-in-all-policies
#10
Pastor Castell-Florit Serrate, Pedro Más-Bermejo
The Adelaide Statement on Health in All Policies (2010), lays out equity-based principles designed to guide policymakers on incorporating health and well-being components into the development, implementation and evaluation of policy and practice while moving towards shared governance at all levels-local, regional, national and international. Special emphasis is placed on cross-sector coordination to achieve policy goals, while improving health and well-being for all.[1] In Cuba's case, experience in disaster preparedness, particularly for hurricanes, has shown good cross-sector coordination...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27829654/minimally-conscious-state-evolution-of-concept-diagnosis-and-treatment
#11
REVIEW
Ricardo Hodelín-Tablada
The study of consciousness disorders is a scientific challenge, and clinical differentiation among the various sorts of alterations in consciousness is difficult. Persistent vegetative state was defined in 1972, but years later cases appeared in which diagnosed patients showed signs of cognitive activity, and therefore could not be considered vegetative. Minimally conscious state was defined in 2002. This article discusses minimally conscious state based on a literature review and the author's clinical experience...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27829653/using-primary-care-to-address-violence-against-women-in-intimate-partner-relationships-professional-training-needs
#12
Aida Torralbas-Fernández, Marybexy Calcerrada-Gutiérrez
Unified, prevention- and community-oriented, Cuba's National Health System is well positioned to address social problems such as gender violence against women. It is sometimes taken for granted that family doctors, family nurses and psychologists in the health system should be able to deal with such cases. However, some studies among these professionals have revealed misconceptions about intimate partner violence, an insufficient understanding of its causes, and greater tolerance of psychological violence than of physical and sexual violence...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27829652/pediatric-gastroenterology-in-cuba-evolution-and-challenges
#13
REVIEW
Carlos Castañeda-Guillot
INTRODUCTION The professional practice of pediatric gastroenterology arose in Cuba as an expression of the specialty's development internationally and Cuba's new strategies in public health, and in response to national needs for health care expertise in digestive diseases of infants, older children and adolescents. OBJECTIVES Describe the history of pediatric gastroenterology's development in Cuba since its inception at the National Gastroenterology Institute in the early 1970s, its contributions, and efforts to extend it to pediatric hospitals throughout Cuba...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27829651/professional-competencies-of-cuban-specialists-in-intensive-care-and-emergency-medicine
#14
Pedro L Véliz-Martínez, Ana R Jorna-Calixto, René Oramas-González
INTRODUCTION The quality of medical training and practice reflects the competency level of the professionals involved. The intensive care and emergency medicine specialty in Cuba has not defined its competencies. OBJECTIVE Identify the competencies required for specialty practice in intensive care and emergency medicine. METHODS The study was conducted from January 2014 to December 2015, using qualitative techniques; 48 professionals participated. We undertook functional occupational analysis, based on functions defined in a previous study...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27829650/patterns-of-physical-activity-and-associated-factors-in-cubans-aged-15-69-years
#15
Patricia Varona-Pérez, Dianellys Pérez-Jiménez, Karen Alfonso-Sagué, Rosa M García-Pérez, Mariano Bonet-Gorbea, Jesús Fernández-González
INTRODUCTION Systematic measurement of population physical activity levels is an important component of public health surveillance. OBJECTIVES Describe patterns of physical activity in the Cuban population aged 15-69 years and identify factors associated with regular physical activity. METHODS A descriptive cross-sectional study was conducted using a complex sampling design, representative of urban and rural areas, sex and age groups, including 7915 individuals. The International Physical Activity Questionnaire (short format) was applied...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27829649/disability-adjusted-life-years-for-diabetes-in-cuban-children-and-adolescents-1990-2010
#16
Emma Domínguez-Alonso
INTRODUCTION Shifts in diabetes onset to earlier ages, globally and in Cuba, signify greater risk of early complications and premature death, with consequent economic and social repercussions for families and health systems. OBJECTIVE Describe the trend in diabetes burden in Cuban children and adolescents in the period 1990 to 2010, in terms of disability-adjusted life years. METHODS A descriptive epidemiological study was conducted of diabetes burden in Cuba, analyzing the years 1990, 1995, 2000, 2005 and 2010 for the age group 0-19 years...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27829648/cuba-s-strategy-for-alzheimer-disease-and-dementia-syndromes
#17
Rodolfo I Bosch-Bayard, Juan J Llibre-Rodríguez, Alberto Fernández-Seco, Carmen Borrego-Calzadilla, Mayra R Carrasco-García, Tania Zayas-Llerena, Carmen R Moreno-Carbonell, Ana G Reymond-Vasconcelos
Dementia is a great challenge to public health in Cuba due to its impact on society and families. Cuba's National Intervention Strategy for Alzheimer Disease and Dementia Syndromes is designed to address this challenge. The Strategy includes working guidelines for primary and secondary care, education about rights of people with cognitive impairment, professional development, research, and health promotion and dementia prevention. An associated action plan, focused on primary care, includes proposals for creation of memory clinics, day centers and comprehensive rehabilitation services for cognitive stimulation...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27829647/science-passion-compassion-vs-cancer-tania-crombet-md-phd-director-of-clinical-research-molecular-immunology-center-havana
#18
Conner Gory
Soon after the Molecular Immunology Center (CIM) was established in 1994 (a founding institution of Havana's biotechnology and pharmaceutical campus known as the scientific pole), Dr Crombet completed her master's thesis there. She joined CIM's team in 1998 and in 2004 was designated Director of Clinical Research. She has participated in the research, development and clinical trials of some of Cuba's most innovative therapies and vaccines, including CIMAvax-EGF for non-small cell lung cancer patients. In 2015, this therapy completed Phase IV clinical trials in Cuba and is now used in primary health care services throughout the country's national health system...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27829646/october-surprises
#19
(no author information available yet)
Ushered in with the rampage of Hurricane Matthew, later days brightened in this month that has often been harbinger of both good and bad news for Cuba and the world. Hurricane Matthew ripped through Eastern Cuba, devastating the historic town of Baracoa (Cuba's first capital, founded in 1511) and the village of Maisí, where the morning sun first rises over Cuban territory. Wind and flood leveled hundreds of homes, brought down the power grid and destroyed crops. Yet there was no loss of human life, unlike in neighboring Haiti and other countries in Matthew's path, and unlike in Cuba in 1963, when Hurricane Flora caused more than 1200 deaths...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27510938/havana-a-bike-friendly-city
#20
Miguel Coyula
The abrupt breakup of the USSR and socialist bloc in the early 1990s dealt a devastating blow to the island's economy. Almost overnight, beneficial aid and trade provided by the Council for Mutual Economic Assistance ground to a halt, including 80% of foreign trade previously conducted as barter and sales of 13 million tons of oil per year at preferential prices. When the Cuban economy bottomed out in 1993, oil imports had dropped from 13 to 4 million tons annually. At the time, Cuba depended almost entirely on imported oil and the dramatic decline in imports created massive blackouts, leaving most Cuban homes without electricity 12 hours a day...
July 2016: MEDICC Review
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