Sentinel Surveillance Detects Low Circulation of Vibrio cholerae Serotype Inaba in Haiti, 2011-2012.
Authors: Llanes R, Lazo A, Somarriba L, Mas P Abstract Over 700,000 cases of cholera were reported in Haiti between October 2010 and February 2015. In November 2011, the Cuban Medical Team serving in Haiti established a laboratory-supported sentinel surveillance system for cholera in 10 public hospitals (one in each of Haiti's 10 departments), to estimate the proportion of hospitalized patients with cholera and detect emergence of new Vibrio cholerae serotypes. Each month, the first ten stool samples collected from patients admitted with acute watery diarrhea were studied in all hospitals involved. Surveillance sys...
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Cuba's Urban Landscape Needs a Second Round of Innovation for Health.
Authors: Peña J Abstract Cuba's economy spiraled downward in the 1990s, reeling from the collapse of European socialism and a tightened US embargo. To mitigate the crash's drastic effects, measures were adopted that transformed our urban landscape, especially in large cities such as Havana, paradoxically linking the period to nascent health-promoting options. One of the most important was the introduction of bicycle lanes on city streets, paths daily ridden by people on the over one million bicycles imported to offset the nearly nonexistent public transport caused by fuel shortages. Second, urban gardens beg...
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Migration: Wall to Wall?
Authors: Editors of MEDICC Review Abstract It is no news to anyone that health transcends national borders, driven by cross-border movement of vectors, populations, health professionals, climate, even policy trends. There is an increasing recognition that it is, in fact, a small world: we are affected by and affect what happens to our neighbors, whether they live around the corner or on the other side of the globe. This conception underpins the shift from the term international health to global health in policy discussions. The new terminology reflects change across several dimensions: from an approach in which the...
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Reflections on Cuban Migration. Antonio Aja PhD, University of Havana's Center for Demographic Studies.
Authors: Reed G Abstract Dr Aja (pronounced á-ha) himself, is a product of the ebbs and flows of Cuban migration. His father, son of Lebanese merchant immigrants to Cuba, later studied medicine and emigrated to New York. There he met Antonio's mother, a garment worker and daughter in a poor family of Cuban émigrés. The young couple moved to Tampa, Florida-following a pattern of settlement for Cubans in the USA at the time-where Antonio was born in 1953. The whole family later returned to Cuba, amidst the 1950s rebellion against Batista. They stayed, but relatives are still sprinkled abroad&hell...
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Outcomes among Asylum Seekers in Atlanta, Georgia, 2003--2012.
CONCLUSION Network assessment appears to result in higher rates of positive case outcomes compared to the average for asylum seekers seen in the Atlanta circuit court. Areas for programmatic improvement include systematic followup and increased community awareness of Network services, since the Network may directly impact future case outcomes by offering assessment to more asylum seekers. Access to English language instruction and legal representation for asylum claimants may also contribute to more cases with positive outcomes. KEYWORDS Refugees, United Nations High Commissioner for Refugees (UNHCR), vulnerable population...
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Environmental, Nutrition and Health Issues in a US Refugee Resettlement Community.
CONCLUSIONS Direct service providers' experiences and observations working with a diverse resettlement population provide unique insight into consistent barriers to achieving good health that confront refugees. While refugees face many barriers, groups often have impressive strengths, such as agricultural skills, on which to focus. KEYWORDS Refugees, emigration, immigration, minority health, health care disparities, diet, environment, USA. PMID: 26947277 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

HIV-1 Genetic Variability in Cuba and Implications for Transmission and Clinical Progression.
CONCLUSIONS Our results suggest that B and non-B HIV-1 subtypes found in Cuba do not differ in transmissibility and in clinical disease progression. KEYWORDS HIV-1, AIDS, molecular epidemiology, transmissibility, clinical progression, subtypes, circulating recombinant forms, pathogenesis, Cuba. PMID: 26947278 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Safety and Immunogenicity of Cuban Antipneumococcal Conjugate Vaccine PCV7-TT in Healthy Adults.
CONCLUSIONS A single dose of candidate vaccine PCV7-TT was safe when used in healthy adults. Preliminary results showed that it was able to activate an immune response against the serotypes of Streptococcus pneumoniae used. KEYWORDS Invasive pneumococcal diseases, pneumococcal vaccines, conjugate vaccines, immunization, randomized clinical trial, safety, Cuba. PMID: 26947279 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Early Signs of Atherogenesis in Adolescents in a Havana Family Medicine Catchment Area.
CONCLUSIONS The high prevalence of ≥3 early signs of atherogenesis in this study suggests the need to initiate primary prevention before onset of adolescence, and even prior to birth, using a gender perspective, to conduct educational interventions designed to change the risk factors highlighted in the study and reduce cardiovascular risk in adolescents. KEYWORDS Adolescents, adolescent health, atherosclerosis, atherogenesis, arterial occlusive diseases, early detection of disease, risk factors, Cuba. PMID: 26947280 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

A Woman-centered Educational Program for Primary Prevention of Lung Cancer in a Cuban Municipality, 2012--2013.
Authors: Cruz A, Castillo Z, Pérez J, Abeledo A Abstract Lung cancer educational programs seek the involvement of different groups in efforts to promote healthier habits and lifestyles. Women are primary agents for targeting prevention actions because of their ability to foster healthy lifestyles within their families. The purpose of this study was to develop a woman-centered educational program to strengthen knowledge and promote responsible behavior aimed at primary prevention of lung cancer. Based on identified learning needs in 133 female participants concerning lung cancer self care, healthy habits and ...
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

The Debate in Cuba's Scientific Community on Sudden Cardiac Death.
Authors: Vilches E, Ochoa LA, Ramos L Abstract Sudden cardiac death poses a challenge to modern medicine because of its high incidence, the unexpected and dramatic nature of the event, and years of potential life lost. What's more, despite modest decreases in global mortality attributed to cardiovascular diseases, incidence of sudden cardiac death has not declined. Cuba, like most of the Americas, suffers from knowledge gaps that hamper adequate strategies to address sudden cardiac death as a population health problem. We suggest that a generally accepted operational definition of sudden cardiac death be agreed upo...
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

When Politics Trumps Health: Undocumented Latino Immigrants and US Health Care.
Authors: Ortega AN Abstract Donald Trump, an American reality-television celebrity and busi-ness mogul, is at this writing a front-running Republican in the bid for the US presidency. His opening salvo as a candidate included charges that Mexican immigrants, particularly the unauthorized, are rapists and criminals and that they bring their problems with them to the USA. He also tied immigration from Latin America to a potential increase in terrorism in the country. Trump may not be taken seriously by some, but his conjectures have revved up anti-immigration sentiment, with other Republican presiden-tial candidates ...
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Under the Cover of Night: Abortion Across Borders.
Authors: Landau C, Long L Abstract Jessica and Robert* had a three-year-old son and were excited about their second child, a daughter. When Jessica was 21 weeks pregnant, the routine ultrasound was normal. At 26 weeks, she was in a minor car accident and her obstetrician referred her for a specialized ultrasound, concerned about the baby's heart. This was how Jessica and Robert discovered that their daughter had a serious heart defect. After meeting with a perinatologist, a genetics counselor and a pediatric cardiologist, they realized the prognosis was dire. After birth, their daughter would need urgent open-heart...
Source: MEDICC Review - March 9, 2016 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Contextual and individual influences on diabetes and heart disease in Havana primary care catchment areas.
CONCLUSIONS: We confirmed interactions between individual and contextual (neighborhood and household) factors, whose effects on individual health are not entirely mediated by individual factors. Research needs to pay more attention to context beyond its direct effect on individual risk factors. PMID: 23686249 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Diabetes risk in a Cuban primary care setting in persons with no known glucose abnormalities.
CONCLUSIONS: Type 2 diabetes prevalence can be expected to increase substantially in this population over the next decade. We recommend design and timely implementation of intensive lifestyle change programs to eliminate or slow development of type 2 diabetes in at-risk individuals. We propose following cohorts identified by FINDRISK to assess its prognostic value in the Cuban population. PMID: 23686250 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Prognostic value of gated SPECT after reperfusion for acute myocardial infarction.
CONCLUSIONS: Cardiac-gated SPECT is useful to identify variables (including left ventricular systolic dysfunction and dilation of left cavities, particularly left end-systolic volume of>70 mL) predictive of major cardiac events in reperfused patients, independent of treatment modality. PMID: 23686251 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Nosocomial ventilator-associated pneumonia in Cuban intensive care units: bacterial species and antibiotic resistance.
CONCLUSIONS: The prevalence of antibiotic resistance in bacteria causing nosocomial ventilator-associated pneumonia is of concern. Colistin is the drug of choice among the antibiotics reviewed, but sensitivity to other antibiotics should be assessed to search for more appropriate broad-spectrum antibiotics for treating nosocomial ventilator-associated pneumonia. Our results also suggest the need to strengthen infection control efforts, particularly in intensive care units, and to reassess compliance with quality control procedures. Multidisciplinary research involving microbiologists, epidemiologists, internists and intens...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Poliomyelitis and its elimination in Cuba: an historical overview.
CONCLUSIONS: Cuba controlled polio with effective vaccination strategies and appropriate epidemiological measures, in the context of social, financial and political support. KEYWORDS History, poliomyelitis, epidemiology, disease control, vaccination, Sabin vaccine, Cuba. PMID: 23686253 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Baseline research for action: adolescent alcohol consumption in Los Palacios Municipality, Cuba.
Authors: Díaz Y, Espinosa Y Abstract 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...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Overview of evolving changes in Cuba's health services.
Authors: Iñiguez L Abstract This paper describes the evolution of basic indicators of health services, human resources, and infrastructure, starting with a general account of processes under way since the mid-1990s aimed at health sector recovery and focused on improving quality of service, system efficiency and effectiveness, while maintaining equity. Using this background, a description is provided of objectives and essential elements of transformations currently under way in the national health system, based on processes of reorganization, consolidation and regionalization of services. Finally, implicatio...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Cuban publishing on primary health care: an inexcusable absence.
Authors: Benet M Abstract Primary health care (PHC) constitutes the fundamental pillar of Cuba's universal public health system. The doctor-and-nurse teams next door, community polyclinics, maternity homes, mental health centers, seniors' day centers-all form part of a network of over 12,000 facilities dedicated to resolving some 80% of population health problems, compared to under 200 facilities at other levels of care.[1] The people and institutions in PHC are on the front lines of health promotion and disease prevention. Their work is critical to the impressive population health indicators Cuba has managed to ac...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

NCDs: can healthy synergies replace fatal interactions?
Authors: Abstract A growing global movement argues for health to take center stage in the post-2015 sustainable human development agenda, building on the Millennium Development Goals and improving measurement of outcomes and equity. Considered key is the urgent need to effectively stem chronic noncommunicable diseases (NCDs). The reasoning is straightforward and yet addresses the interactive complexities of NCD impact and the potential synergies to reduce it: NCDs constitute the most important, if until recently neglected, pandemic of our era. They accounted for over 65% of global deaths and 54% of the global dise...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Sounding the alarm on chronic kidney disease in farming communities: María Isabel Rodríguez MD. Minister of health, El Salvador. Interview by Conner Gorry.
Sounding the alarm on chronic kidney disease in farming communities: María Isabel Rodríguez MD. Minister of health, El Salvador. Interview by Conner Gorry. MEDICC Rev. 2013 Jul;15(3):8-10 Authors: Rodríguez MI Abstract In April 2013, a consortium of regional health ministries, nongovernmental organizations, aid agencies, clinical specialists and researchers from diverse sectors convened in San Salvador to discuss the epidemic of chronic kidney disease of unknown or non-traditional causes (CKDu) plaguing agricultural communities in Central America and beyond. The three-day meeting, ...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Prognostic factors in hemodialysis patients: experience of a Havana hospital.
Authors: Valdivia J, Gutiérrez C, Treto J, Delgado E, Méndez D, Fernández I, Abdo A, Pérez L, Forte M, Rodríguez Y Abstract INTRODUCTION: Knowledge of prognostic factors in end-stage renal disease patients has improved dialysis management and methods for reducing morbidity and mortality, underlining the importance of identification, prevention and control of these factors. OBJECTIVE: Identify factors affecting prognosis (survival or death) in hemodialysis patients at the Medical-Surgical Research Center in Havana over a ten-year period. METHODS: Descriptive, prospective st...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Spatiotemporal analysis of lung cancer incidence and case fatality in Villa Clara Province, Cuba.
CONCLUSIONS: Although the results are not explanatory, the spatial and spatiotemporal patterns of excess lung cancer risk and case-fatality can support hypothesis generation for research and eventual interventions for targeted prevention and management. PMID: 23934422 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Contribution of genome-environment interaction to pre-eclampsia in a Havana Maternity Hospital.
CONCLUSIONS: Familial aggregation of the disorder was demonstrated, the first Cuban epidemiological evidence of genetic and enviromental contributions to pre-eclampsia risk. Familial clustering among the husband's relatives demonstrates the fetal genome's importance in genesis of pre-eclampsia. The interaction of environmental risk factors with genetic ones produces increased pre-eclampsia risk, compared to expectations based on independent action of these variables. KEYWORDS Pre-eclampsia, toxemia of pregnancy, pregnancy outcome, environment, genetics, genome-environment interaction, genetic epidemiology, Cuba. PMID: ...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Predicting mortality from head injury: experience of Sancti Spíritus Province, Cuba.
Predicting mortality from head injury: experience of Sancti Spíritus Province, Cuba. MEDICC Rev. 2013 Jul;15(3):30-3 Authors: Rodríguez M Abstract INTRODUCTION: Better prognostic classification of patients who are severely injured or in critical condition has been associated with reduced case fatality from traumatic brain injury. OBJECTIVE: Determine the value of admission results (clinical, laboratory and imaging) and severity scales, for predicting mortality in traumatic brain injury patients. METHODS: A cross-sectional study of traumatic brain injury patients was conducted at t...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Sex education for children and adolescents with type 1 diabetes in Camagüey province, Cuba.
Sex education for children and adolescents with type 1 diabetes in Camagüey province, Cuba. MEDICC Rev. 2013 Jul;15(3):34-7 Authors: Granela K, Cardoso Y, Gutiérrez A, Carvajal M Abstract Education at the community level is indispensable for control of chronic non-communicable diseases and comprehensive patient care, with diabetes mellitus a case in point. The need is even more pronounced for type 1 diabetes, affecting children and adolescents. Families of diabetic adolescents naturally worry about vulnerability to sexually transmitted diseases, which create risks for glycemic control and t...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Care for pregnant diabetics in Cuba: achievements and challenges.
Authors: Cruz J, Márquez A, Lang J, Valdés L Abstract Establishment, progressive development, expansion and organization of Cuba's National Comprehensive Diabetes and Pregnancy Program is described, including changes in related health services since 1959. Currently implemented throughout the country, the Program is supervised by a working group and addresses diabetic women's reproductive health and care during pregnancy. The importance of preconception care for diabetic women is emphasized, as well as the need to increase Program uptake nationally, including screening for gestational diabetes in prima...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Are increased chronic diseases a potential legacy of Cuba's special period?
Authors: Reed GA Abstract Cuba is the only country I know to erect a monument to the egg….and so it should. Located on Havana's Fifth Avenue, the simple sculpture pays homage to the salva vida-literally the life saver of many a Cuban family, particularly in the 1990s. Those were the worst years of what was euphemistically called the "Special Period," when the economy careened ever downward, reeling from the loss of 85% of Cuba's aid and trade in the post-Soviet era. PMID: 23934427 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Mental health: it's not all in your head.
Authors: PMID: 24253342 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Approaches to substance abuse in Cuba: Ricardo A. González MD PhD DrSc. Psychiatrist and consulting professor, Eduardo B. Ordaz Psychiatric Hospital, Havana. Interviewed by Christina Mills.
Approaches to substance abuse in Cuba: Ricardo A. González MD PhD DrSc. Psychiatrist and consulting professor, Eduardo B. Ordaz Psychiatric Hospital, Havana. Interviewed by Christina Mills. MEDICC Rev. 2013 Oct;15(4):6-10 Authors: González R Abstract For over 40 years, he has done one of the most difficult jobs in medicine; 4000 of his patients are among those many might write off as "lost causes." Yet he radiates optimism, his stories and experience reflecting a belief in the human potential to change and grow and a vocation to help his patients do so. Now an internationally re...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Community mental health services in Cuba.
Authors: Gorry C PMID: 24253344 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Therapeutic clowns bring joy to Cuban patients.
Authors: Gorry C PMID: 24253345 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Tobacco and alcohol consumption among health sciences students in Cuba and Mexico.
CONCLUSIONS: The high prevalence of tobacco and alcohol use in these health sciences students is cause for concern, with consequences not only for their individual health, but also for their professional effectiveness in helping reduce these drugs' impact in both countries. PMID: 24253346 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Psychological, behavioral and familial factors in obese Cuban children and adolescents.
CONCLUSIONS: Psychological, behavioral, and familial factors known to foster development and perpetuation of obesity were observed in the majority of cases. This is a first diagnostic stage that will aid in design and implementation of a psychological intervention program for obese and overweight children and their families. PMID: 24253347 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

HIV/AIDS among women in Havana, Cuba: 1986-2011.
CONCLUSIONS: HIV infection in women is occurring in a predominantly young, relatively well-educated population. Increasing rates of HIV and AIDS in the past decade are a warning sign of the possible expansion of HIV infection in women, even though mortality is declining. PMID: 24253348 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Total cardiovascular risk assessment and management using two prediction tools, with and without blood cholesterol.
The objectives of this study were: to determine the distribution of cardiovascular risk in a Cuban population using the WHO/International Society of Hypertension risk prediction charts with and without cholesterol; and to assess applicability of the risk prediction tool without cholesterol in a middle-income country, by evaluating concordance between the two approaches and comparing projected drug requirements resulting from each (at risk thresholds of ≥20% and ≥30%) and for the single-risk-factor approach. METHODS: From April through December 2008, a cross-sectional study was conducted in 1287 persons (85.8% of ...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Depression in an older adult rural population in India.
CONCLUSIONS: Depression, particularly mild depression, is common in this rural population of older adults, particularly among women and widowed elderly. These study findings can help program managers implement a more comprehensive strategy in this community for timely interventions to promote mental health and prevent geriatric depression. PMID: 24253350 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Frequency and antimicrobial sensitivity of Ureaplasma urealyticum and Mycoplasma hominis in patients with vaginal discharge.
The objective of this research was to determine frequency and antimicrobial sensitivity of Ureaplasma urealyticum and Mycoplasma hominis in women with vaginal discharge through analysis of laboratory data from vaginal smears from 255 patients referred to the Municipal Hygiene and Epidemiology Center in Güines, Mayabeque Province, Cuba. Mycoplasma System Plus (Italy) was used for detection, identification, count and sensitivity testing. The finding of mycoplasmas in almost two thirds of specimens examined suggests that the sexually active female population should be screened for these bacteria and that barrier contrace...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Aging and dementia: Implications for Cuba's research community, public health and society.
Authors: Llibre Rodríguez Jde J Abstract Translated from the Spanish and reprinted with permission from the Revista Anales de la Academia de Ciencias de Cuba, [online] Vol. 2, No. 2, 2012. Original available at: http://www.revistaccuba.cu/index.php/acc/article/view/126 Dementia is a syndrome that has great repercussions for quality of life of patients and their families, as well as a high social cost. A [2009] systematic review of research evidence and consensus of expert opinions showed that 36 million people live with dementia worldwide, with 4.6 million new cases every year (similar to the global incidenc...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Burnout among Cuban nurses: out of the shadows.
Authors: Chacón M PMID: 24253353 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Decision on the part of HINARI's sponsors.
Authors: Brito AE PMID: 24392509 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Poliomyelitis and its elimination in Cuba: An historical overview.
Authors: Bermejo PM PMID: 24392510 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Poliomyelitis and its elimination in Cuba: An historical overview. Author reply.
Authors: Chaple EB PMID: 24392511 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Upstream, downstream: currents of health.
Authors: PMID: 24487668 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Well child care: a comprehensive strategy for Cuban children and adolescents.
This article describes the design of a strategy for comprehensive care of children and adolescents based on better quality of well child visits, defining visit components, age-specific activities for each visit, and guidelines for followup based on visit findings. Complementary to the strategy, indicators and standards are identified for systematic evaluation of visit quality, enabling collection of objective and specific information about individual visits and assessment of trends over time, which in turn facilitates further improvements in this strategy over the long term. PMID: 24487669 [PubMed - indexed for MEDLINE...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Cuba's human breast milk banks.
Authors: Gorry C PMID: 24487670 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Anemia in children under five years old in Eastern Cuba, 2005-2011.
Authors: Pita GM, Jiménez S, Basabe B, García RG, Macías C, Selva L, Hernández C, Cruz M, Herrera R, O'Farrill R, Calderius I, Paulí K, Leyva M, Arocha C, Herrera D Abstract 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 east...
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Frailty, dependency and mortality predictors in a cohort of Cuban older adults, 2003-2011.
CONCLUSIONS: Given the challenge for developing countries presented by demographic and epidemiologic transition; the high prevalence in older adults of frailty syndrome, dependency and chronic non-communicable diseases; and the association of all these with higher mortality, attention should be targeted to older adults as a risk group. This should include greater social protection, age-appropriate health services, and modification and control of cardiovascular risk factors. PMID: 24487672 [PubMed - indexed for MEDLINE] (Source: MEDICC Review)
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research