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Multimedia Pensamiento Crítico, una revista cubana para el ejercicio de pensar; Pensamiento Crítico; Pensamiento crítico (Havana, Cuba)

Biblioteca Nacional de Cuba José Martí
Fonte: Biblioteca Nacional de Cuba José Martí; Biblioteca Nacional de Cuba José Martí ( Habana, Cuba ) Publicador: Biblioteca Nacional de Cuba José Martí; Biblioteca Nacional de Cuba José Martí ( Habana, Cuba )
Tipo: mixed material Formato: Multimedia Digital Program
Publicado em //2013 SPANISH
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Original format is disk. The disk files are available here as a download in the zipped folder.

Revista de la Biblioteca Nacional; Revista de la Biblioteca Nacional (Havana, Cuba)

Biblioteca Nacional (Havana, Cuba); Biblioteca Nacional José Martí
Fonte: La Biblioteca; La Biblioteca ( Habana, Cuba ) Publicador: La Biblioteca; La Biblioteca ( Habana, Cuba )
Tipo: Artigo de Revista Científica Formato: 50 v. : ill. ; 26 cm.
Publicado em //1909 SPANISH
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(Citation/Reference) Also, Biblioteca Nacional "José Martí". Revista de la Biblioteca Nacional "José Martí" (OCoLC)2454556; (Bibliography) Indexes: T. 1-4, 1949-53 with t.4.; Title from cover.

Transcriptions of Archival Materials from the Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura

Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura; Guerra, Lillian ( Transcriber )
Fonte: Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura; Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura ( Havana, Cuba ) Publicador: Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura; Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura ( Havana, Cuba )
Tipo: mixed material
Publicado em /1974/1953 SPANISH
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All transcriptions made by Lillian Guerra, June-July 2005, Havana, Cuba.; Document converted from earlier format; conversion process may result in errors / oddities in display (most likely to occur with headers, footers, special characters, fonts, and the like).; (Citation/Reference) Materials cited in Lillian Guerra _Visions of Power: Cuba Revolution, Redemption, and Resistance, 1959-1971_ as: Rolando Rodríguez, Oficina Dirección General del Instituto del Libro to Reñe Roca, Director Grupo III, 21 May 1971, DGICL-2852, in Caso Padilla, Estante 52, Anaquel 12, Legajo 1, BNJM-FGMC. (BNJM-FGMC: Cuba - Archivo de la Biblioteca Nacional Josḗ Martí, Havana ; Fondo General del Ministerio de Cultura); (Bibliography) Materials cited in: Lillian Guerra _Visions of Power: Cuba Revolution, Redemption, and Resistance, 1959-1971._ Chapel Hill, NC: University of North Carolina Press, 2012.

Photographs of Archival Materials from the Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura

Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura; Guerra, Lillian ( Transcriber )
Fonte: Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura; Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura ( Havana, Cuba ) Publicador: Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura; Biblioteca Nacional de Cuba José Martí, Fondo del Ministerio de Cultura ( Havana, Cuba )
Tipo: mixed material
Publicado em /1974/1953 SPANISH
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(Citation/Reference) Materials cited in Lillian Guerra _Visions of Power: Cuba Revolution, Redemption, and Resistance, 1959-1971_ as: Rolando Rodríguez, Oficina Dirección General del Instituto del Libro to Reñe Roca, Director Grupo III, 21 May 1971, DGICL-2852, in Caso Padilla, Estante 52, Anaquel 12, Legajo 1, BNJM-FGMC. (BNJM-FGMC: Cuba - Archivo de la Biblioteca Nacional Josḗ Martí, Havana ; Fondo General del Ministerio de Cultura); (Bibliography) Materials cited in: Lillian Guerra _Visions of Power in Cuba Revolution, Redemption, and Resistance, 1959-1971._ Chapel Hill, NC: University of North Carolina Press, 2012.

Decreto n⁰. 522 referente a la concesión para el dragado y mejoras de los puertos de Cuba; Decree no. 522 with reference to the concession for the dredging and improvement of the ports of Cuba; Concesión para el dragado y mejoras de los puertos de Cuba; Concession for the dredging and improvement of the ports of Cuba

Cuba
Fonte: Universidade da Flórida Publicador: Universidade da Flórida
Tipo: Artigo de Revista Científica Formato: 1 online resource (97 pages)
Publicado em //1913 SPANISH
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At head of title: República de Cuba, Poder Ejecutivo, Secretaría de Agricultura, Comercio y Trabajo = Republic of Cuba, Executive Power, Department of Agriculture, Commerce and Labor.; "Publicado por la Secretaría de Estado = Published by the Department of State."

Per a allò més tendre d'un poble... : trenquem el bloqueig a Cuba

Campanya Defensem Cuba
Fonte: [S.l.] : [S.n.], Publicador: [S.l.] : [S.n.],
Tipo: Image; Cartells polítics Formato: image/jpeg
Publicado em /]/[197 CAT
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L'illa de Cuba envoltada de taurons amb la bandera dels Estats Units que són atacats per un vaixell de paper amb la senyera de Catalunya

Spatiotemporal analysis of lung cancer incidence and case fatality in Villa Clara province, Cuba

Batista,Norma E.; Antón,Oscar A.
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2013 EN
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INTRODUCTION: Cancer has historically been a main cause of death in Cuba, with lung cancer the number one cause of cancer death in both sexes. Cancer morbidity and mortality rates are the basic measures of cancer impact in the community. Cancer mortality has been one of the major applications of geographic analysis and has made important progress in recent decades thanks to access to mortality statistics and to development and availability of geographic information systems. Cuba does not have a strong tradition of etiologic research using spatial analysis. High levels of lung cancer morbidity and mortality in Villa Clara and growing interest in spatial analysis as an epidemiologic tool motivated this study. OBJECTIVE: To identify spatial and/or spatiotemporal clusters of lung cancer morbidity and case fatality in the province of Villa Clara, and to demonstrate the value of cluster analysis as an epidemiologic tool. METHODS: Descriptive observational study based on administrative data, using the technique of space-time scan statistics. The study focused on new cases diagnosed in 2004 and case-fatality for those cases through 2009. Variables used were: cases diagnosed, deaths, date of diagnosis, date of death, municipality and Cartesian geocoding for each municipality. RESULTS: The study identified significant spatial and spatiotemporal clusters of greater than expected lung cancer incidence (municipalities of Encrucijada...

HIV/AIDS among women in Havana, Cuba: l986-2011

Oliva,Dinorah C.; Viñas,Arturo L.; Saavedra,Clarivel; Oliva,Maritza; González,Ciro; de la Torre,Caridad
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2013 EN
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INTRODUCTION: Women are being diagnosed with HIV infection in increasing numbers, and now account for 50% of cases worldwide. In Cuba, HIV is more frequent in men, but in recent years, a growing number of women have been diagnosed. OBJECTIVE: Describe patterns of HIV among women in Havana, Cuba, 1986-2011. METHODS: Descriptive study of women with HIV aged >14 years, residents of Havana, Cuba, who were diagnosed with HIV from 1 January 1986 through 31 December 2011. Information was obtained from the limited-access HIV/AIDS database of Cuba's Ministry of Public Health. Data were studied from all reported cases, a total of 1274 women. Variables selected were age at diagnosis, education, municipality of residence, screening group, year of HIV diagnosis, late presentation, AIDS-defining condition, year of diagnosis as AIDS case, vital status at the end of 2011, and year of death (if applicable). Incidence of HIV and AIDS, cumulative incidence by municipality of residence, and case fatality rates were calculated. RESULTS: Those aged 20-29 years were most affected by HIV. Almost half (46.7%) the women had completed middle school, and a further 35.4% had completed high school or middle-level technical studies. HIV incidence began to increase more steeply starting in 1998...

Neurofibromatosis 1 prevalence in children aged 9-11 years, Pinar del Río Province, Cuba

Orraca,Miladys; Morejón,Griselda; Cabrera,Niurka; Menéndez,Reinaldo; Orraca,Odalys
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2014 EN
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INTRODUCTION:Neurofibromatosis 1 is one of the most common heritable genetic disorders in humans. It is characterized by formation of neurofibromas, with marked variability in expression. Half the cases are due to autosomal dominant inheritance; the rest arise from de novo mutations. Prevalence varies by population, and prevalence in Cuba is unknown. OBJECTIVE: Determine the prevalence of neurofibromatosis 1 in a population of Cuban children aged 9-11 years old in Pinar del Río Province, Cuba. METHODS: A descriptive cross-sectional study was carried out in Pinar del Río Province in 2004, in which 19,392 children were assessed for neurofibromatosis 1. The study was conducted in two phases: the first, a survey of the entire population aged 9-11 years by genetic counselors in the province's schools; the second, assessment by clinical geneticists of children who met criteria for referral to the Provincial Medical Genetics Center. Neurofibromatosis 1 cases and first-degree relatives were examined to identify the origin of the mutation (de novo or inherited). Neurofibromatosis 1 prevalence was calculated, as well as history of a first-degree relative with the disease and frequency of several principal clinical signs-café au lait spots...

Immunoscintigraphy and radioimmunotherapy in Cuba: experiences with labeled monoclonal antibodies for cancer diagnosis and treatment (1993-2013)

Peña,Yamilé; Perera,Alejandro; Batista,Juan F.
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2014 EN
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ABSTRACT INTRODUCTION:The availability of monoclonal antibodies in Cuba has facilitated development and application of innovative techniques (immunoscintigraphy and radioimmunotherapy) for cancer diagnosis and treatment. OBJECTIVE: Review immunoscintigraphy and radioimmunotherapy techniques and analyze their use in Cuba, based on the published literature. In this context, we describe the experience of Havana's Clinical Research Center with labeled monoclonal antibodies for cancer diagnosis and treatment during the period 1993-2013. EVIDENCE ACQUISITION: Basic concepts concerning cancer and monoclonal antibodies were reviewed, as well as relevant international and Cuban data. Forty-nine documents were reviewed, among them 2 textbooks, 34 articles by Cuban authors and 13 by international authors. All works published by the Clinical Research Center from 1993 through 2013 were included. Bibliography was obtained from the library of the Clinical Research Center and Infomed, Cuba's national health telematics network, using the following keywords: monoclonal antibodies, immunoscintigraphy and radioimmunotherapy. RESULTS: Labeling the antibodies (ior t3, ior t1, ior cea 1, ior egf/ r3, ior c5, h-R3, 14F7 and rituximab) with radioactive isotopes was a basic line of research in Cuba and has fostered their use as diagnostic and therapeutic tools. The studies conducted demonstrated the good sensitivity and diagnostic precision of immunoscintigraphy for detecting various types of tumors (head and neck...

Acute myocardial infarction incidence, mortality and case fatality in Santa Clara, Cuba, 2007-2008

Morales,Alberto; Madrazo,Yuri; Ramírez,José I.; Castañeda,Luis; Machín,Wilfredo; Álvarez,Licet; Angulo,Regla; Dueñas,Raúl; Bermúdez,Roberto
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2011 EN
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INTRODUCTION: Information on acute myocardial infarction incidence and mortality is essential for determining the efficacy of the health system's cardiovascular disease prevention activities; however, in Cuba, sufficient data related to acute myocardial infarction are lacking, particularly at the local level. OBJECTIVE: Describe acute myocardial infarction incidence, mortality and case fatality rates from January 2007 through December 2008 in persons aged 45-74 in the municipality of Santa Clara, Villa Clara Province, Cuba. METHODS: A retrospective descriptive study was conducted. The World Health Organization MONItoring Trends and Determinants in CArdiovascular Disease Project (MONICA) methodology was used, but only in part, since out-of-hospital case fatalities were not investigated, resulting in insufficient data for such cases. Cases of acute myocardial infarction covered under MONICA definition 1 were included (non-fatal definite, fatal definite, fatal possible, and unclassifiable deaths). Hospitalized patients were followed for 28 days. Incidence, mortality and case fatality rates in the population were calculated by age group (45-54, 55-64 and 65-74 years) and sex. Age-standardized incidence and mortality rates were calculated using the direct method...

Dementia and other chronic diseases in older adults in Havana and Matanzas: the 10/66 study in Cuba

Llibre,Juan de Jesús; Valhuerdi,Adolfo; Calvo,Marina; García,Rosa M.; Guerra,Milagros; Laucerique,Tania; López,Ana M.; Llibre,Juan Carlos; Noriega,Lisseth; Sánchez,Isis Y.; Porto,Rudbeskia; Arencibia,Francis; Marcheco,Beatriz; Moreno,Carmen
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2011 EN
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INTRODUCTION: Chronic non-communicable diseases are the leading cause of death worldwide, except in Sub-Saharan Africa. Nonetheless, one of these conditions, dementia, is the major contributor to disability-adjusted life years in people aged >60 years. Few epidemiological studies exist of the prevalence and impact of dementia and selected chronic diseases in older adults in Latin America. OBJECTIVE: Describe prevalence of dementia, other chronic vascular diseases and cardiovascular risk factors, as well as resulting disabilities and care needs generated in adults aged >65 years in Havana City and Matanzas provinces, Cuba. METHODS: The 10/66 study is a prospective longitudinal study involving a cohort of 3015 adults aged >65 years in municipalities of Havana City and Matanzas provinces, divided into two phases: a cross-sectional door-to-door study conducted in 2003-2006, and a follow-up and assessment phase in 2007-2010. This article reports findings from the first phase. Hypertension diagnosis was based on criteria from the International Society for Hypertension; diabetes mellitus on American Diabetes Association criteria; stroke according to WHO definitions; and dementia according to criteria of the American Psychiatric Society's Diagnostic and Statistical Manual of Mental Disorders DSM-IV and the 10/66 International Dementia Research Group. Ischemic heart disease was defined by self-report of previous physician diagnosis. Study variables included age...

HIV-2 antibody detection after indeterminate or negative HIV-1 Western blot in Cuba, 2005-2008

Díaz,Dervel F.; Ortiz,Eva; Martín,Dayamí; Nibot,Carmen; Rizo,Adis; Silva,Eladio
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 EN
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INTRODUCTION Differentiating between HIV-1 and HIV-2 infection is the first step to understanding HIV transmission, epidemiology and pathogenesis in geographical areas where both viruses circulate. In Cuba, positive results in mixed HIV-1/2 screening assays are confirmed by HIV-1 Western blot. Indeterminate results constitute the main limitation of this test and HIV-2 infection is among their possible causes; hence the importance of second-stage screening and confirmatory tests for HIV-2 infection. OBJECTIVE Investigate the contribution of HIV-2 antibodies to negative or indeterminate HIV-1 Western blot results in serum samples from 2005 through 2008 in Cuba. METHODS HIV-2 reactivity was studied using the ELISA DAVIH-VIH-2 diagnostic kit (Cuba) in 1723 serum samples with negative or indeterminate results for HIV-1 Western blot from January 2005 through December 2008. Duplicate sera reactive by ELISA were confirmed by HIV-2 Western blot, results interpreted according to WHO criteria. The epidemiological interview established by Cuba's National Program for Prevention and Control Sexually-Transmitted Diseases and HIV/AIDS was applied to HIV-2 Western blot-positive patients. RESULTS Among all sera studied, HIV-2 ELISA identified 12 reactive serum samples (0.70%) and 1711 non-reactive (99.30%). Western blot analysis of the 12 ELISA-reactive samples confirmed two positive samples (16.67%)...

Anemia in children under five years old in Eastern Cuba, 2005-2011

Pita,Gisela M.; Jiménez,Santa; Basabe,Beatriz; García,René G.; Macías,Consuelo; Selva,Lisette; Hernández,Clarisa; Cruz,Margarita; Herrera,Roxana; O'Farrill,Regla; Calderius,Isabel; Paulí,Karelia; Leyva,Moraima; Arocha,Caridad; Herrera,Dania
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2014 EN
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INTRODUCTION Anemia is the main nutritional problem in Cuban preschool children, prompting several interventions to prevent and control it. An enhanced national strategy was established in 2008, and particular attention paid to the eastern provinces, the region with greatest challenges in social determinants of health. OBJECTIVE Determine anemia prevalence in children aged 6-59 months in Cuba's five eastern provinces in three separate years within a decade, as well as association of anemia with epidemiological and nutritional factors, to assess impact of Cuba's Comprehensive Plan for Prevention and Control of Iron-Deficiency Anemia in Cuba. METHODS Cross-sectional studies of children aged 6-59 months (completed) were conducted in 2005, 2008 and 2011. Hemoglobin levels were measured to diagnose anemia (hemoglobin <110 g/L) and data were collected on independent variables such as age, sex, area of residence (urban or rural), daycare center enrollment, birth weight, breastfeeding history, and maternal anemia during pregnancy. Frequency distributions were created and comparisons tested with the chi square, and odds ratios calculated with 95% confidence intervals. RESULTS Anemia prevalence in the region fell from 31.8% in 2005 to 26% in 2011; most of cases were mild (hemoglobin: 100-109 g/L). Prevalence was higher in children aged 6-23 months than in those aged 24-59 months throughout. No significant differences were found in anemia prevalence between boys and girls. Prevalence was higher in rural than in urban areas in 2005 (p = 0.026) and 2011 (p = 0.012). Daycare enrollment emerged as a protective factor in all three years. Low birth weight was associated with anemia only in 2011 (OR 1.74...

Antenatal testing for cystic fibrosis in Cuba, 1988-2011

Collazo,Teresa; López,Ixchel; Clark,Yulia; Piloto,Yaixa; González,Laura; Gómez,Manuel; García,Marileivis; Reyes,Lidice; Rodríguez,Fidel
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2014 EN
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INTRODUCTION:Cystic fibrosis is a multisystem autosomal recessive disease with wide variability in clinical severity. It is incurable and characterized by elevated and premature mortality, as well as poor quality of life. Its frequency, lethality and devastating impact on both the physical and psychological wellbeing of patients and their families, make it a serious health problem. Its frequency in Cuba is 1 in 9862 live births, where marked molecular heterogeneity of the CFTR gene makes molecular diagnosis difficult. Six mutations have been identified that together enable molecular characterization of only 55.5% of cystic fibrosis chromosomes. This paper presents national results of antenatal diagnostic testing, using direct and indirect methods, for detection of cystic fibrosis. OBJECTIVE: Characterize the Cuban public health system's experience with antenatal molecular testing for cystic fibrosis from 1988 through 2011. METHODS: A retrospective descriptive study was conducted with results of antenatal diagnostic testing of amniotic fluid, performed nationwide from 1988 through 2011, for 108 fetuses of couples with some risk of having children affected by cystic fibrosis, who requested testing. Polymerase chain reaction detected mutations p.F508del...

Acute myocardial infarction mortality in Cuba, 1999-2008

Armas,Nurys B.; Ortega,Yanela Y.; Noval,Reinaldo de la; Suárez,Ramón; Llerena,Lorenzo; Dueñas,Alfredo F.
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2012 EN
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INTRODUCTION: Acute myocardial infarction is one of the leading causes of death in the world. This is also true in Cuba, where no national-level epidemiologic studies of related mortality have been published in recent years. OBJECTIVE Describe acute myocardial infarction mortality in Cuba from 1999 through 2008. METHODS A descriptive study was conducted of persons aged >25 years with a diagnosis of acute myocardial infarction from 1999 through 2008. Data were obtained from the Ministry of Public Health's National Statistics Division database for variables: age; sex; site (out of hospital, in hospital or in hospital emergency room) and location (jurisdiction) of death. Proportions, age- and sex-specific rates and age-standardized overall rates per 100,000 population were calculated and compared over time, using the two five-year time frames within the study period. RESULTS A total of 145,808 persons who had suffered acute myocardial infarction were recorded, 75,512 of whom died, for a case-fatality rate of 51.8% (55.1% in 1999-2003 and 49.7% in 2004-2008). In the first five-year period, mortality was 98.9 per 100,000 population, falling to 81.8 per 100,000 in the second; most affected were people aged >75 years and men. Of Cuba's 14 provinces and special municipality...

Four decades of kidney transplantation in Cuba

Alfonzo,Jorge P.
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 EN
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This article describes the background, beginnings, development, evolution and outcomes of kidney transplantation in Cuba. Nephrology as a medical specialty in Cuba began in 1962 and was formalized in 1966. Conditions were created to implement renal replacement therapy (including transplants), bring nephrology care to the entire country and train human resources who would assume this responsibility, making Cuba one of the first countries with a comprehensive program for renal patient care. After three unsuccessful cadaveric-donor kidney transplantations in 1968-69, the ensuing history of kidney transplantation can be summarized in the following three stages. 1970-1975: In January 1970, cadaveric-donor kidney transplantation began at the Nephrology Institute. That year, 17 kidney transplantations were performed; four of these patients lived with functional kidneys for 15-25 years; 10-year graft survival was 23.5% (Kaplan-Meier survival curve); HLA typing began in 1974. By December 1975, 170 grafts had been done in three hospitals. 1976-1985: Seven transplantation centers performed 893 grafts during this period. HLA-DR typing was introduced in 1976 and the National Histocompatibility Laboratory Network was founded in 1978. The first related living-donor kidney transplantation was done in 1979. 1986-2011: The National Kidney Transplantation Coordinating Center and the National Kidney Transplantation Program were created in 1986; the first combined kidney-pancreas transplantation was performed the same year. In 1990...

Poliomyelitis and its elimination in Cuba: an historical overview

Beldarraín,Enrique
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2013 EN
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INTRODUCTION: Polio was first detected in Cuba in the late 19th century among residents of the US community on the Isla de Pinos (Isle of Pines, now Isle of Youth), apparently introduced through migration from the USA. The first outbreak was reported in 1906 on the Isle, with the first epidemic reported in the former province of Las Villas in 1909. The epidemics subsequently intensified, by 1934 becoming periodic every four to five years, and accompanied by high morbidity, mortality and crippling sequelae, primarily among children. OBJECTIVE: To review and analyze the history of polio and its control in Cuba, from the disease's first appearance in 1898 until WHO/PAHO certification of elimination in 1994. METHODS: The historiological method was used; archival documents, medical records, and available polio morbidity and mortality statistics from the Ministry of Public Health's National Statistics Division before 1959 and from 1959 through 2000 were reviewed. Crude morbidity and mortality rates were calculated using population estimates at mid-period. Reports and scientific publications describing polio vaccination campaigns and their results were also reviewed, and key informants were interviewed. RESULTS: After initial introduction of polio in Cuba...

Baseline research for action: adolescent alcohol consumption in Los Palacios Municipality, Cuba

Díaz,Yolanda; Espinosa,Yairelis
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2013 EN
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In Cuba, alcohol is an important contributor to morbidity, mortality and social problems. The foundation of Cuba's universal primary health care coverage, family doctor-and-nurse offices play a critical role in prevention, early detection and treatment of alcohol abuse. Los Palacios Municipality of the westernmost province of Pinar del Río, Cuba, is a socially complex, periurban area where alcohol abuse and alcoholism have been identified as important health problems. Adolescents constitute a population at high risk for alcohol abuse because of their receptivity to social influences, but the precise extent of the problem is unknown. This paper reports baseline findings from a survey and direct observation of alcohol consumption in the catchment area of a primary care center, conducted to inform planning for an educational intervention.

Developing nursing capacity for health systems and services research in Cuba, 2008-2011

Nelcy Martínez,MPH
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2012 EN
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INTRODUCTION: Health systems and services research by nursing personnel could inform decisionmaking and nursing care, providing evidence concerning quality of and patient satisfaction. Such studies are rather uncommon in Cuban research institutes, where clinical research predominates. OBJECTIVE: Assess the results of a strategy implemented between 2008 and 2011 to develop nursing capacity for health systems and services research in 14 national research institutes based in Havana. METHODS: The study comprised four stages: description of approaches to health systems and services research by nurses worldwide and in Cuba; analysis of current capacities for such research in Cuba; intervention design and implementation; and evaluation. Various techniques were used including: literature review, bibliometric analysis, questionnaire survey, consultation with experts, focus groups, and workshops for participant orientation and design and followup of research projects. Qualitative information reduction and quantitative information summary methods were used. Initially, 32 nursing managers participated; a further 105 nurses from the institutes were involved in research teams formed during intervention implementation. RESULTS: Of all published nursing research articles retrieved...