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1.
FEMINA ; 50(3): 184-192, 20220331. ilus
Article in Portuguese | LILACS | ID: biblio-1367574

ABSTRACT

Esta revisão narrativa procura discutir aspectos concernentes ao processo gestacional de mulheres negras, quais sejam: se existem diferenças de tratamento entre mulheres brancas e negras durante a gravidez e nos momentos do parto e pós-parto, como essas diferenças são influenciadas pelos aspectos fisiológicos de cada grupo étnico e como isso afeta as taxas de morbimortalidade. Para esta revisão, quatro bases de dados foram usadas (SciELO, LILACS, PubMed e MEDLINE) e 23 artigos foram lidos na íntegra, depois de selecionados por data de publicação, língua, país da pesquisa e análise dos títulos e resumos. Como principais resultados, os autores encontraram diferenças claras entre mulheres brancas e negras quanto ao acesso à saúde, sendo as negras mais propensas a usar os sistemas públicos e ter menos consultas pré-natal. Também foi observado que as mulheres negras reportaram maus-tratos mais vezes, tinham maiores chances de serem proibidas de ter um acompanhante durante o parto e recebiam menos anestesia para episiotomias. As características fisiológicas também foram apontadas várias vezes. Nesse sentido, altas taxas de anemia ferropriva e hipertensão durante a gravidez foram mais comuns entre as negras. Além disso, em se tratando de taxas de morbimortalidade, mulheres negras tinham uma chance consideravelmente maior de serem readmitidas pós-parto e maiores taxas de mortalidade, quando comparadas com mulheres brancas.(AU)


This review aims to discuss aspects related to the gestational process of black women, namely: if there is a difference in how black and white women are treated throughout pregnancy, partum and postpartum moments, how this difference is influenced by the physiological aspects of each ethnical group and how it affects their morbidity and mortality rates. For this review, four databases were used (SciELO, LILACS, PubMed and MEDLINE) and 23 articles were fully read, after being selected by publishing date, language, country of research, title and abstract analysis. The authors found as the main results clear differences between black women's and white women's access to health care, as black women are more likely to use public health care systems and have fewer prenatal appointments. It was also noticed that black women reported maltreatment more frequently, had a higher chance of being prohibited from keeping a companion during labor and suffering from less local anesthesia for episiotomy. The physiological characteristics were also pointed out several times, with high rates of iron deficiency anemia and hypertension during pregnancy being more common among black women. Moreover, when it comes to morbidity and mortality rates, black women had an extremely higher chance of being readmitted postpartum, and a higher mortality rate, when compared to white women.(AU)


Subject(s)
Female , Pregnancy , Pregnancy/ethnology , Parturition/ethnology , Pregnant Women/psychology , African Continental Ancestry Group , Postpartum Period/ethnology , Ethnic Violence , United States/ethnology , Brazil/ethnology , Databases, Bibliographic , Racism/ethnology
2.
Femina ; 50(1): 51-60, 20220131. ilus
Article in Portuguese | LILACS | ID: biblio-1358221

ABSTRACT

Estima-se que 40% das gestações no mundo sejam não planejadas. Em países de baixa renda, complicações no parto são a maior causa de morte entre mulheres de 15 a 19 anos. A disponibilidade de métodos contraceptivos reversíveis é necessária para o adequado planejamento reprodutivo. Entre os métodos reversíveis, os de longa ação (LARCs) são os mais efetivos. Métodos de curta ação (SARCs) são preferenciais para pacientes que desejam gestar a curto prazo e para as quais a gestação não será indesejada. O presente estudo é uma revisão narrativa da literatura, de artigos em inglês e português publicados entre 2009 e 2020, utilizando as bases de dados SciELO, Medline e Embase. O objetivo desta revisão é apresentar os LARCs e SARCs em uma tabela com dados comparativos que auxiliem na tomada de decisão do médico e da paciente e permita estabelecer estratégias para um planejamento familiar adequado.(AU)


It is estimated that 40% of pregnancies in the world are unplanned. In low-income countries, complications in childbirth are the major cause of death among women aged 15 to 19 years. The availability of reversible contraceptive methods is necessary for proper reproductive planning. Among the reversible methods, long-acting reversible contraception (LARCs) is the most effective. Short-acting reversible contraception (SARCs) methods are preferred for patients who wish to become pregnant in the short term and for whom pregnancy will not be undesirable. The present study is a narrative review of the literature, of articles in English and Portuguese published between 2009 and 2020, using the databases SciELO, Medline and Embase. The purpose of this review is to present the LARCs and SARCs in a table with comparative data that assist in the decision making of the doctor and the patient and allow to establish strategies for adequate family planning.(AU)


Subject(s)
Humans , Female , Pregnancy , Natural Family Planning Methods , Contraception/methods , Contraceptive Agents, Female , Long-Acting Reversible Contraception/methods , Databases, Bibliographic , Levonorgestrel/therapeutic use , Ethinyl Estradiol-Norgestrel Combination , Drug Implants , Eligibility Determination , Intrauterine Devices , Intrauterine Devices, Medicated
3.
Rev. ADM ; 78(6): 350-355, nov.-dic. 2021. tab
Article in Spanish | LILACS | ID: biblio-1355265

ABSTRACT

Introducción: Para un buen profesional de la odontología es necesaria la ética en todas las actividades que realice. La ética establece lo que es y debe ser, buscando siempre el bien y no hacer el mal o causar daño, y el odontólogo debe tener una serie de cualidades y aptitudes con el fin de llevar a cabo todo el tratamiento que amerite el paciente de manera correcta, honesta y responsable sin escatimar esfuerzos para devolverle su salud oral. La COVID-19 es una enfermedad que se ha convertido en pandemia y está afectando al mundo de manera importante. Entre los más afectados se encuentran los profesionales de la salud que arriesgan sus vidas por sanar al enfermo. Dada la situación actual, a los odontólogos se les presenta la duda si atender a sus pacientes en este periodo cumple o no con los principios éticos de la profesión. Objetivo: El objetivo del presente artículo fue realizar una revisión sistemática de la literatura con el fin de identificar el rol bioético del odontólogo ante la pandemia de COVID-19. Material y métodos: Para realizar la recolección de la literatura se compilaron artículos de diferentes bases de datos: PubMed, Cochrane, Nature y Lilacs producidos entre los años 2012 y 2020 con las palabras clave: ética, odontología, pandemia, COVID-19 y bioética en los idiomas español, inglés y portugués. Resultados: Se localizaron 70 artículos, de los cuales se escogieron finalmente 10 correspondientes a los criterios de búsqueda. Los artículos presentaron homogeneidad sobre el rol del odontólogo en la situación actual y coinciden en la búsqueda de alternativas y métodos de atención lo más seguras posibles, dando prioridad a quienes requieren atención de urgencias (AU)


Introduction: For a good dental professional, ethics is necessary in all the activities performed. Ethics stablish what is and what should be, always looking for the good and not the bad, the dentist should have a series of qualities and skills in order to perform every treatment that the patient needs in a correct, honest and responsible way without sparing efforts to give them back their oral health. COVID-19 is a disease that has converted into a pandemic affecting the world in an important manner. And, between the most affected are the health providers and professionals that risk their lives to heal the people suffering this disease. Given the current situation, dentists have been found in doubt regarding if treating their patients in this period meets or not the ethical principles of their profession. Objective: The objective of this article is to perform a systematic review of literature in order to identify the bioethics role of the dentist in face of the COVID-19 pandemic. Material and methods: To carry out the collection of literature the procedure included compiling different articles from the databases: PubMed, Cochrane, Nature, and Lilacs produced between the years of 2012 and 2020 with the key words: ethics, dentistry, pandemic, COVID-19, bioethics in the languages of Spanish, English and Portuguese. Results: 70 papers were located from which only 10 were chosen meeting the searching criteria. The papers presented homogenous results about the role of dentists in the current situation and the all agree in the search of alternatives and methods of care that are as secure as possible, giving priority to those who are in need of urgent care (AU)


Subject(s)
Humans , Bioethics , Ethics, Dental , Dentist's Role , COVID-19 , Databases, Bibliographic , Comprehensive Dental Care/standards , Infection Control, Dental , Pandemics
4.
Femina ; 49(12): 690-698, 20211130. ilus
Article in Portuguese | LILACS | ID: biblio-1358206

ABSTRACT

Esta revisão narrativa procura discutir aspectos concernentes ao processo gestacional de mulheres negras, quais sejam: se existem diferenças de tratamento entre mulheres brancas e negras durante a gravidez e nos momentos do parto e pós-parto, como essas diferenças são influenciadas pelos aspectos fisiológicos de cada grupo étnico e como isso afeta as taxas de morbimortalidade. Para esta revisão, quatro bases de dados foram usadas (SciELO, LILACS, PubMed e MEDLINE) e 23 artigos foram lidos na íntegra, depois de selecionados por data de publicação, língua, país da pesquisa e análise dos títulos e resumos. Como principais resultados, os autores encontraram diferenças claras entre mulheres brancas e negras quanto ao acesso à saúde, sendo as negras mais propensas a usar os sistemas públicos e ter menos consultas pré-natal. Também foi observado que as mulheres negras reportaram maus-tratos mais vezes, tinham maiores chances de serem proibidas de ter um acompanhante durante o parto e recebiam menos anestesia para episiotomias. As características fisiológicas também foram apontadas várias vezes. Nesse sentido, altas taxas de anemia ferropriva e hipertensão durante a gravidez foram mais comuns entre as negras. Além disso, em se tratando de taxas de morbimortalidade, mulheres negras tinham uma chance consideravelmente maior de serem readmitidas pós-parto e maiores taxas de mortalidade, quando comparadas com mulheres brancas.(AU)


This review aims to discuss aspects related to the gestational process of black women, namely: if there is a difference in how black and white women are treated throughout pregnancy, partum and postpartum moments, how this difference is influenced by the physiological aspects of each ethnical group and how it affects their morbidity and mortality rates. For this review, four databases were used (SciELO, LILACS, PubMed and MEDLINE) and 23 articles were fully read, after being selected by publishing date, language, country of research, title and abstract analysis. The authors found as the main results clear differences between black women's and white women's access to health care, as black women are more likely to use public health care systems and have fewer prenatal appointments. It was also noticed that black women reported maltreatment more frequently, had a higher chance of being prohibited from keeping a companion during labor and suffering from less local anesthesia for episiotomy. The physiological characteristics were also pointed out several times, with high rates of iron deficiency anemia and hypertension during pregnancy being more common among black women. Moreover, when it comes to morbidity and mortality rates, black women had an extremely higher chance of being readmitted postpartum, and a higher mortality rate, when compared to white women.(AU)


Subject(s)
Humans , Female , Pregnancy , Prenatal Care/ethics , Delivery, Obstetric/ethics , Pregnant Women/ethnology , Racism , Maternal Health Services/ethics , Databases, Bibliographic , African Continental Ancestry Group , Scientific and Technical Publications , Ethnic Violence/ethnology
5.
Femina ; 49(10): 631-635, 20211031. ilus
Article in Portuguese | LILACS | ID: biblio-1358197

ABSTRACT

Objetivo: Revisar a implicação e a relação existente entre a microbiota intestinal e a síndrome do ovário policístico (SOP). Métodos: Trata-se de uma revisão sistemática de artigos das bases de dados PubMed, Cochrane e Science Direct dos últimos cinco anos, nos idiomas inglês, português e espanhol. Resultados: A disbiose da microbiota intestinal ativa o sistema imunológico do hospedeiro. Tal ativação interfere na função do receptor de insulina, causando hiperinsulinemia, o que aumenta a produção de androgênio ovariano e dificulta o desenvolvimento de um folículo saudável. Além disso, pacientes com SOP apresentam o perfil taxonômico alterado, o qual se associou inversamente com excesso de andrógenos e inflamação da SOP. Foi evidenciado que o uso de probióticos pode regular a resposta inflamatória, diminuir os níveis totais de testosterona e contribuir para que a SOP não prejudique uma possível gravidez. Conclusão: Essa revisão sugere que há íntima associação entre a disbiose microbiana e as alterações patológicas que ocorrem na SOP. Assim, a suplementação de probióticos em tais pacientes pode ter grandes benefícios, como melhora dos sintomas e redução das repercussões da doença.(AU)


Objective: To review the implication and the relationship between the intestinal microbiota and polycystic ovary syndrome. Methods: This is a systematic review of articles from the PubMed, Cochrane and Science Direct databases, from the last five years, in English, Portuguese and Spanish. Results: Dysbiosis of the intestinal microbiota activates the host's immune system. Such activation interferes with the function of the insulin receptor, causing hyperinsulinemia, which increases the production of ovarian androgens and hinders the development of a healthy follicle. In addition, patients with PCOS have an altered taxonomic profile, which is inversely associated with excess androgens and PCOS inflammation. It was evidenced that the use of probiotics can regulate the inflammatory response, decrease the total testosterone levels and contribute so that PCOS does not harm a possible pregnancy. Conclusion: This review suggests that there is a close association between microbial dysbiosis and pathological changes that occur in PCOS. Thus, supplementation of probiotics in such patients can have great benefits, such as improving symptoms and reducing the repercussions of the disease.(AU)


Subject(s)
Humans , Female , Polycystic Ovary Syndrome/microbiology , Gastrointestinal Microbiome , Gonadal Steroid Hormones , Insulin Resistance , Databases, Bibliographic , Dysbiosis
6.
Femina ; 49(10): 636-640, 20211031.
Article in Portuguese | LILACS | ID: biblio-1358198

ABSTRACT

Objetivo: Abordar atualizações referentes à terapia medicamentosa para indução da ovulação nas mulheres diagnosticadas com síndrome dos ovários policísticos (SOP). Métodos: Revisão de literatura por meio de levantamento bibliográfico do período de 1975 a 2021, nas bases eletrônicas PubMed, SciELO e MedLine, complementado pela Diretriz Internacional Baseada em Evidências para a Avaliação e Manejo da SOP de 2018 e pelo manual da Febrasgo para SOP. Sete descritores que atendessem à finalidade da pesquisa foram utilizados. Resultados: A literatura aponta atualmente algumas drogas como opção na terapêutica para a indução de ovulação, como metformina, letrozol e citrato de clomifeno, evidenciando que o uso de letrozol isolado e em associação com a metformina apresentaram melhores taxas de ovulação, 71,5% e 75,4%, respectivamente. Conclusão: O uso do letrozol isolado ou combinado com a metformina apresentou os melhores resultados nas taxas de gravidez e ovulação, todavia o tratamento para indução ovulatória deve ser individualizado.(AU)


Objective: To address updates of medicinal therapy for ovulation induction in women diagnosed with polycystic ovary syndrome (PCOS). Methods: Reviewing Literature through a bibliographic survey from 1975 to 2021, on the electronic databases PubMed, SciELO and MedLine, complemented by the International Evidence-Based Guideline for the Evaluation and Management of PCOS 2018 and the Febrasgo guide for PCOS. Seven descriptors that matched to the purpose of the research were applied. Results: Some drugs are currently indicated in the literature as an option for ovulation induction therapy, such as: metformin, letrozole and clomiphene citrate, showing that the use of letrozole alone and in association with metformin had better ovulation rates, 71.5% and 75.4%, respectively. Conclusion: The use of letrozole alone or combined with metformin showed the best results in pregnancy and ovulation rates, however, treatment for ovulatory induction must be individualized.(AU)


Subject(s)
Humans , Female , Ovulation Induction/methods , Polycystic Ovary Syndrome/drug therapy , Infertility, Female/drug therapy , Databases, Bibliographic , Clomiphene/therapeutic use , Letrozole/therapeutic use , Metformin/therapeutic use
7.
Femina ; 49(9): 530-536, 20211030. ilus, tab
Article in Portuguese | LILACS | ID: biblio-1342322

ABSTRACT

A síndrome dos ovários policísticos (SOP) é uma condição endócrina frequente em mulheres em idade reprodutiva. O quadro clínico é manifesto por anovulação crônica hiperandrogênica, acompanhada muitas vezes de infertilidade; além disso, essa condição está associada ao aumento de distúrbios do metabolismo glicídico e a diversos outros riscos em longo prazo. Uma vez gestante, a mulher portadora de SOP apresenta risco aumentado em 2,8 vezes para o diabetes gestacional, em 2,0 a 4,0 vezes para o desenvolvimento de síndromes hipertensivas da gestação e em 2,3 vezes para internação em UTI neonatal. Independentemente do excesso de peso, que é comumente associado à síndrome e que certamente potencializa o risco de complicações, a SOP por si só promove alterações que cursam com a elevação dessas complicações. Esta é uma revisão narrativa sobre as potenciais complicações gestacionais relacionadas à SOP e compila a literatura mais atual sobre o tema.(AU)


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Polycystic Ovary Syndrome/complications , Pregnancy Complications , Pregnancy, High-Risk , Abortion, Spontaneous/etiology , Risk Factors , Databases, Bibliographic , Diabetes, Gestational/etiology , Hypertension, Pregnancy-Induced/etiology , Obstetric Labor, Premature/physiopathology
8.
Rev. cuba. estomatol ; 58(3): e3525, 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1347437

ABSTRACT

Introducción: El blanqueamiento dental interno forma parte de la práctica odontológica desde hace varias décadas, pero se han descrito riesgos biológicos de los cuales no existe mucha evidencia. Objetivo: Describir los riesgos biológicos provocados por el blanqueamiento dental interno en dientes no vitales. Métodos: Se realizó una revisión sistemática exploratoria en la base de datos bibliográfica PubMed empleando operadores booleanos y palabras clave que aparecen recogidas en los Descriptores en Ciencias de la Salud. Las variables estudiadas fueron: autor principal, título, año de publicación, tipo de artículo, revista donde se publicaron los artículos y riesgo biológico del blanqueamiento interno descrito. Se filtraron y procesaron los resultados en una base de datos y se analizaron los textos completos para evaluar su calidad y que estos cumplieran los criterios de inclusión y exclusión. Resultados: Fueron incluidos en el estudio 14 artículos, todos por investigaciones originales o revisiones sistemáticas. El 64,3 por ciento de los artículos proyectaba los hallazgos hacia la presencia de reabsorciones cervicales externas posterior al blanqueamiento dental interno. El resto no aportó evidencia alguna de riesgos biológicos luego del tratamiento descrito. Conclusiones: Más de la mitad de los artículos incluidos en el estudio concluyeron que la reabsorción cervical externa es el principal riesgo biológico que trae consigo el tratamiento blanqueador interno de dientes no vitales, apoyados por un factor desencadenante de historial de traumatismos dentarios que propician la aparición de estas afectaciones(AU)


Introduction: Internal tooth whitening has been a component of dental practice for several decades, but biological risks have been described about which not much evidence is available. Objective: Describe the biological risks posed by internal tooth whitening in nonvital teeth. Methods: An exploratory systematic review was conducted in the bibliographic database PubMed using Boolean operators and key words obtained from Health Sciences Descriptors. The variables analyzed were main author, title, year of publication, article type, journal where the articles were published and biological risk of the internal tooth whitening procedure described. Results were filtered and processed in a database and full texts were analyzed for quality and compliance with the inclusion and exclusion criteria. Results: A total 14 articles were included in the study, all of which were either original studies or systematic reviews. In 64.3 percent of the articles, findings had to do with the presence of external cervical resorption after internal tooth whitening. The remaining articles did not contribute any evidence of biological risks after the treatment described. Conclusions: More than half of the articles included in the study concluded that external cervical resorption is the main biological risk posed by internal whitening of nonvital teeth, supported by the triggering factor of a history of dental trauma leading to the occurrence of these disorders(AU)


Subject(s)
Humans , Tooth Bleaching/methods , Biological Products/therapeutic use , Hazardous Substances , Review Literature as Topic , Databases, Bibliographic , PubMed
9.
Rev. cuba. estomatol ; 58(3): e3052, 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1347436

ABSTRACT

Introducción: La enfermedad periodontal es un padecimiento inflamatorio, infeccioso y multifactorial crónico, caracterizado por la inflamación de los tejidos blandos periodontales. En estadios avanzados (periodontitis), produce la destrucción progresiva de los tejidos duros periodontales, lo que conduce a la posterior pérdida de dientes, si esta no es tratada. Objetivo: Determinar la efectividad clínica y radiográfica de las estatinas en el tratamiento de la periodontitis. Métodos: Se realizó una búsqueda de la literatura hasta abril del 2019, en las bases de datos biomé dicas: PubMed, Embase, SciELO, Science Direct, Scopus, Sistema de información sobre literatura gris en Europa, Literatura Latinoamericana y del Caribe en Ciencias de la Salud, Google Académico y el Registro Central de Ensayos Clínicos Cochrane. Se definieron como criterios de selección de los estudios que fueran ensayos clínicos aleatorizados, con una antigüedad máxima de cinco años y que reportaran los efectos clínicos y radiográficos (profundidad al sondaje, nivel de inserción clínica, índice de placa, índice de sangrado, índice gingival, defecto intraóseo y profundidad del defecto) de las estatinas en el tratamiento de la periodontitis. Se analizó el riesgo de sesgo de los estudios por el Manual Cochrane de revisiones sistemáticas de intervenciones. Resultados: La estrategia de búsqueda arrojó 19 artículos, de los cuales el 100 por ciento reportó que había diferencia en la profundidad al sondaje, nivel de inserción clínica, índice de placa, índice de sangrado, índice gingival, defecto intraóseo y profundidad del defecto de las estatinas en el tratamiento de la periodontitis. Conclusiones: La literatura revisada sugiere que el uso de estatinas es efectivo, clínica y radiográficamente, en el tratamiento de la periodontitis(AU)


Introduction: Periodontal disease is a chronic multifactorial infectious inflammatory condition characterized by inflammation of soft periodontal tissue. In advanced stages (periodontitis) it causes progressive destruction of hard periodontal tissue, leading to eventual tooth loss if not treated. Objective: Determine the clinical and radiographic effectiveness of statins in the treatment of periodontitis. Methods: A search was carried out in the literature published until April 2019 in the biomedical databases PubMed, Embase, SciELO, Science Direct, Scopus, System for Information on Gray Literature in Europe, Latin American and Caribbean Health Sciences Literature, Google Scholar, and Cochrane Central Register of Clinical Trials. The following selection criteria were defined for the studies: randomized clinical trials published in the last five years and reporting on clinical and radiographic effects (probing depth, clinical insertion level, plaque index, bleeding index, gingival index, intraosseous defect and defect depth) of statins in the treatment of periodontitis. Bias risk analysis was based on the Cochrane manual of systematic reviews of interventions. Results: A total 19 papers were retrieved, of which 100 percent reported differences in the probing depth, clinical insertion level, plaque index, bleeding index, gingival index, intraosseous defect and defect depth of statins in the treatment of periodontitis. Conclusions: The literature review conducted suggests that the use of statins is clinically and radiographically effective in the treatment of periodontitis(AU)


Subject(s)
Humans , Periodontal Diseases/etiology , Periodontitis/diagnostic imaging , Information Systems , Treatment Outcome , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Review Literature as Topic , Databases, Bibliographic
10.
Rev. cuba. estomatol ; 58(3): e3639, 2021. tab, graf
Article in English | LILACS, CUMED | ID: biblio-1347435

ABSTRACT

Introduction: Studies suggested that phytochemical products are considered potential solutions to smear layer removal due to their biological safety in cleaning root canal systems, lower toxicity, lower irritant effect and antimicrobial effect. Objective: The aim of the present study was to perform a systematic review to evaluate smear layer removal of root canal systems by different natural product solutions. Methods: systematic review. Search of the literature was performed on Pubmed, Scopus, Cochrane, Web of Science, Scielo and Google Scholar according the PRISMA protocol. Studies were included if they performed the experiments of smear layer removal on extracted permanent human teeth. Articles published in any language without restriction of year of publication were included in this review. The risk of bias assessment in the included studies was evaluated using the Joanna Briggs Institute Critical Appraisal Checklist for Quasi-Experimental Studies. The search strategy resulted in the retrieval of 6221 publications. After the eligibility criteria application, 8 articles were selected for analysis. Results: It was observed that some natural products solutions showed effects on smear layer removal, especially on coronal third. The phytochemical products such as Salvadora persica, chamomile alcohol extract and grape seed extract demonstrated good potential of smear layer removal, however, its effectiveness and clinical applicability are still unclear. Conclusions: Although the limitations of this study, it is possible to highlight those phytochemical products such as Salvadora persica, chamomile alcohol extract and grape seed extract that demonstrated good potential on SL removal(AU)


Introducción: Los productos fitoquímicos se consideran soluciones potenciales para la eliminación del barro dentinario debido a su seguridad biológica en la limpieza del sistema de conductos radiculares, menor toxicidad, menor efecto irritante y efecto antimicrobiano. Objetivo: Evaluar la eliminación del barro dentinario de los sistemas de conductos radiculares mediante diferentes soluciones de productos naturales. Métodos: La búsqueda de la literatura se realizó en Pubmed, Scopus, Cochrane, Web of Science, SciELO y Google Scholar, según el protocolo PRISMA. Los estudios se incluyeron si realizaron los experimentos de eliminación del barro dentinario en dientes humanos permanentes extraídos. En esta revisión se incluyeron artículos publicados en cualquier idioma, sin restricción de año de publicación. La evaluación del riesgo de sesgo en los estudios incluidos se evaluó mediante la lista de verificación de evaluación crítica del Instituto Joanna Briggs para estudios cuasiexperimentales. La estrategia de búsqueda resultó en la recuperación de 6221 publicaciones. Después de la aplicación de los criterios de elegibilidad, se seleccionaron 8 artículos para su análisis. Resultados: Se observó que algunas soluciones de productos naturales mostraron efectos sobre la eliminación del barro dentinario, especialmente en el tercio coronal. Los productos fitoquímicos como salvadora pérsica, extracto de alcohol de manzanilla y extracto de semilla de uva demostraron un buen potencial de eliminación del barro dentinario; sin embargo, su efectividad y aplicabilidad clínica aún no están claras. Conclusiones: A pesar de las limitaciones de este estudio, es posible destacar aquellos productos fitoquímicos como salvadora pérsica, extracto de alcohol de manzanilla y extracto de semilla de uva demostraron buen potencial de eliminación del barro dentinario(AU)


Subject(s)
Humans , Root Canal Irrigants/adverse effects , Biological Products/therapeutic use , Smear Layer , Phytochemicals/therapeutic use , Review Literature as Topic , Databases, Bibliographic , Grape Seed Extract/administration & dosage
11.
Rev. cuba. oftalmol ; 34(3): e997, 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1352032

ABSTRACT

Se realizó una revisión bibliográfica con el objetivo de obtener información actualizada acerca de las características, diagnóstico y tratamiento del síndrome del uno y medio. Se emplearon principalmente las bases de datos disponibles en Infomed, Google Scholar y Pubmed. El síndrome del uno y medio es una entidad infrecuente, que se caracteriza por parálisis de la mirada conjugada horizontal y alteración del fascículo longitudinal medial ipsilateral secundario a diversas etiologías, entre las que se incluyen la enfermedad cerebrovascular y la esclerosis múltiple. Clínicamente se presenta con exotropía y nistagmo a la abducción. Su diagnóstico puede ser establecido en la exploración por las alteraciones típicas de los movimientos oculares, mientras que la imagen de resonancia magnética cerebral resulta indispensable para el diagnóstico diferencial y etiológico(AU)


One and a half syndrome is an infrequent condition characterized by conjugate horizontal gaze palsy and ipsilateral medial longitudinal fasciculus alteration secondary to various etiologies, including cerebrovascular disease and multiple sclerosis. Clinically, it presents with exotropia and abduction nystagmus. Its diagnosis may be established during exploration, due to the typical eye movement alterations, whereas brain magnetic resonance imaging is indispensable for differential and etiological diagnosis. A bibliographic review was conducted to obtain updated information about the characteristics, diagnosis and treatment of one and a half syndrome. Use was made of the databases available in Infomed, Google Scholar and Pubmed(AU)


Subject(s)
Humans , Magnetic Resonance Imaging/methods , Cerebrovascular Disorders/etiology , Exotropia/diagnosis , Diagnosis, Differential , Multiple Sclerosis/etiology , Review Literature as Topic , Databases, Bibliographic
12.
Rev. cuba. oftalmol ; 34(3): e925, 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1352031

ABSTRACT

La enfermedad de la superficie ocular incluye a un grupo de patologías con diversas etiologías, síntomas y hallazgos clínicos que comparten la producción de reacción inflamatoria y daño de esta superficie. El uso de derivados hemáticos para el tratamiento de patologías de la superficie ocular se ha incrementado en el área de la oftalmología, ya que su composición es análoga a la de la lágrima natural. Con el objetivo de mostrar la terapia celular como una nueva disciplina científica a aplicar en nuestro medio, se realizó una búsqueda automatizada sobre el tema, teniendo en cuenta las publicaciones de los últimos 5 años. Se utilizó la plataforma Infomed, cuya información fue resumida para la elaboración del informe final, donde se expone que los colirios de hemoderivados proveen estrategias de tratamiento eficaces y seguras para pacientes con afecciones oftálmicas. El colirio de plasma rico en plaquetas ofrece una opción exitosa de tratamiento en numerosas afecciones de la superficie ocular. Sin embargo, estudios adicionales son necesarios para establecer la seguridad y la eficacia de este tipo de terapias(AU)


Ocular surface diseases are a group of conditions of different etiologies, symptoms and clinical findings with the common features of developing an inflammatory reaction and damaging the ocular surface. Use of blood-derived products for the treatment of ocular surface disorders has increased in ophthalmic care, since their composition is similar to that of natural tears. With the purpose of presenting cell therapy as a new scientific discipline that could be used in our environment, an automated search was conducted about the topic which included publications from the last five years. The search was performed on the Infomed platform, and the information obtained was summarized into a final report stating that blood-derived eye drops provide effective and safe treatment strategies for patients with ophthalmic conditions. Platelet-rich plasma eye drops are a potentially successful treatment option for many ocular surface disorders. However, further studies are required to establish the safety and effectiveness of this type of therapy(AU)


Subject(s)
Humans , Ophthalmic Solutions/adverse effects , Blood-Derivative Drugs , Platelet-Rich Plasma/drug effects , Review Literature as Topic , Databases, Bibliographic , Research Report
14.
Rev. cuba. cir ; 60(3): e1117, 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1347393

ABSTRACT

Introducción: El plastrón apendicular es una tumoración inflamatoria constituida por el apéndice inflamado, vísceras adyacentes y epiplón mayor. Puede contener o no pus (absceso/flemón). Objetivo: Precisar si está indicada la apendicectomía de urgencia o de intervalo en los pacientes con plastrón y/o absceso apendicular sometidos a tratamiento no quirúrgico inicial. Métodos: Se realizó una revisión en las bases de datos bibliográficas Web of Science, PubMed, Medline y Lilacs, mediante el motor de búsqueda Google académico. Se seleccionaron 28 artículos en inglés y español; 20 (71,2 por ciento) correspondieron al quinquenio 2016-20 y el 96,4 por ciento de autores extranjeros. Desarrollo: El estándar actual es el tratamiento no quirúrgico inicial del plastrón y el drenaje percutáneo del absceso. La apendicectomía de intervalo tiene un beneficio mínimo y puede conducir a un aumento de los costos, estancia hospitalaria, antibioticoterapia intravenosa y de la morbilidad. Se debe realizar un seguimiento cuidadoso en enfermos con riesgo de enfermedad inflamatoria intestinal o cáncer de colon, sin importar qué opción se elija (operación de intervalo u observación). Conclusiones: La apendicectomía de urgencia no es recomendable porque el componente inflamatorio la hace técnicamente difícil, puede necesitar una colectomía y aumentar la morbilidad, aunque actualmente, la apendicectomía laparoscópica de urgencia puede ser más rentable y segura. La decisión posterior de la apendicectomía a intervalos sigue siendo discutible. El intervalo recomendado varía entre 6 y 8 semanas, tres y seis meses después de la normalización clínico humoral(AU)


Introduction: Appendiceal plastron is an inflammatory tumor made up of inflamed appendix, adjacent viscera and greater omentum. It may or may not contain pus (abscess/phlegmon). Objective: To specify whether emergency or interval appendectomy is indicated in patients with appendicular abscess and/or plastron who had undergone initial nonsurgical treatment. Methods: A review was carried out in the bibliographic databases Web of Science, PubMed, Medline and Lilacs, using the search engine Google Scholar. Twenty-eight articles were selected, in English and Spanish; twenty (71.2 percent) corresponded to the quinquennium 2016-20, while 96.4 percent were written by foreign authors. Development: The current standard is the initial nonsurgical treatment of the plastron and percutaneous drainage of the abscess. Interval appendectomy has minimal benefits and can lead to increased costs, hospital stay, intravenous antibiotic therapy and morbidity. Patients at risk for inflammatory bowel disease or colon cancer should be carefully followed up, regardless of which option is chosen (interval operation or observation). Conclusions: Emergency appendectomy is not recommended because the inflammatory component makes it technically difficult; it may require colectomy and increase morbidity, although currently, emergency laparoscopic appendectomy may be more profitable and safer. The subsequent decision for interval appendectomy remains debatable. The recommended interval varies from six to eight weeks, three and six months after clinical-humoral normalization(AU)


Subject(s)
Humans , Appendectomy/methods , Inflammatory Bowel Diseases/epidemiology , Abscess/etiology , Emergencies , Databases, Bibliographic , Colectomy/methods , Search Engine/methods
15.
Aval. psicol ; 20(3): 369-378, jul.-set. 2021. ilus, tab
Article in English | LILACS, INDEXPSI | ID: biblio-1345372

ABSTRACT

Despite the prevalence of personality disorders (PD) and their association with several harmful health outcomes, previous reports found a low number of studies on PDs conducted in Brazil. We conducted a narrative review to investigate the current state of research in Brazil focusing on PDs. The search was performed in BVS-Psi, PePSIC, and Google Scholar databases. We focused on papers published in Brazilian journals as a criterion to select studies conducted in Brazil and/or coordinated by Brazilian researchers. A total of 177 papers were included. Approximately 60% of papers were empirical studies, although only 47.17% of them had clinical samples. Borderline and Antisocial were the most recurrently investigated PDs. Two scales were usually administered, IDCP and PID-5. SCID-II was administered in less than 5% of empirical studies. We proposed an agenda for research on PDs in Brazil, including guidelines and directions eminently urgent to the studies to be conducted in Brazil. (AU)


Apesar da prevalência dos transtornos da personalidade (TP) e a associação com diversas consequências prejudiciais, estudos prévios encontraram um número escasso de pesquisas conduzidas no Brasil. Nós conduzimos uma revisão narrativa para investigar o estado atual de pesquisas no Brasil com foco em TP. A busca foi realizada nas bases BVS-Psi, PePSIC e Google Acadêmico. Nós focamos em artigos publicados em periódicos brasileiros como critério para seleção de estudos conduzidos no Brasil e/ou coordenados por pesquisadores brasileiros. No total, 177 artigos foram selecionados. Aproximadamente 60% eram estudos empíricos, embora apenas 47.17% destes, incluíram amostras clínicas. Os TPs mais investigados foram Borderline e Antissocial. As duas escalas mais aplicadas foram o IDCP e o PID-5. A SCID-II foi aplicada em menos de 5% dos estudos empíricos. Nós propomos uma agenda para pesquisas sobre TP no Brasil, incluindo diretrizes e direções urgentes para estudos a serem conduzidos no Brasil. (AU)


A pesar de la prevalencia de los trastornos de la personalidad (TP) y su asociación con varias consecuencias nocivas, estudios previos han encontrado un escaso número de estudios realizados en Brasil. Se realizó una revisión narrativa para pesquisar el estado actual de la investigación en Brasil con un enfoque en el TP. La búsqueda se realizó en las bases de datos BVS-Psi, PePSIC, y Google Scholar. Priorizando artículos publicados en revistas brasileñas como criterio de selección de los estudios realizados en Brasil y/o coordinados por investigadores brasileños. En total, 177 artículos fueron seleccionados. Aproximadamente el 60% fueron estudios empíricos, aunque solo el 47.17% de estos incluyeron muestras clínicas. Los TP más investigados fueron Borderline y Antisocial. Las dos escalas más aplicadas fueron el IDCP y el PID-5. La SCID-I se aplicó en menos del 5% de los estudios empíricos. Se propuso una agenda para la investigación sobre TP en Brasil, incluyendo las directrices y orientaciones eminentemente urgentes a los estudios que se llevarán a cabo. (AU)


Subject(s)
Personality Disorders/psychology , Periodicals as Topic , Borderline Personality Disorder/psychology , Brazil , Databases, Bibliographic , Antisocial Personality Disorder/psychology
16.
Aval. psicol ; 20(3): 341-351, jul.-set. 2021. ilus, tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1345369

ABSTRACT

(AU)A Psicologia tem buscado compreender como ocorrem os processos de interesse e percepção sexual, contudo essa área ainda carece de estudos. Buscando compreender o estado da arte da área dos erros de percepção sexual, esta pesquisa realizou uma revisão integrativa da literatura utilizando o termo "sexual misperception" obtido do APA Thesaurus. Foram pesquisadas as bases PsycNet, Pubmed, Web of Science™, Lilacs, Wiley e Sage Journals. Foram obtidos, ao final dos processos de inclusão e exclusão, 19 artigos. Foi observada uma concentração das pesquisas nos Estados Unidos, com foco nas diferenças de gênero na percepção sexual. Outras variáveis investigadas estavam relacionadas ao consumo de álcool e comportamentos violentos. Os resultados apontam para poucas pesquisas realizadas nos contextos concretos e com elevada utilização de amostras WEIRD (ocidentais, com alto grau de alto escolaridade, de sociedades industrializadas, ricas e democráticas), as quais devem inspirar estudos em outras realidades. (AU)


Psychology tries to understand how the processes of sexual interest and perception occur however this area still needs further investigation. Focusing on understanding the state of the art in the field of ​​sexual perception errors, we carried out a systematic review of the literature using the term sexual misperception obtained from the APA Thesaurus. We reviewed the following databases; PsycNET, PubMed, Web of Science, Lilacs, Wiley, and Sage Journals. After the inclusion and exclusion processes, we obtained 19 articles. Most studies were performed in the United States, with a focus on gender differences in sexual perception. Other variables investigated were alcohol consumption and violent behavior. We identified a small number of studies carried out in real contexts, using exclusively WEIRD (white, educated, industrialized, rich, and democratic) samples, which should inspire studies in other realities. (AU)


La psicología ha buscado comprender cómo ocurren los procesos de interés y percepción sexual, sin embargo, esta área aún carece de estudios. Buscando comprender el estado del arte en el campo de los errores de percepción sexual, esta investigación llevó a cabo una revisión integradora de la literatura, utilizando el término sexual misperception obtenido del APA Thesauros. Se realizaron búsquedas en las siguientes bases de datos: PsycNet, Pubmed, Web of Science ™, Lilacs, Wiley y Sage Journals. Al finalizar los procesos de inclusión y exclusión, se obtuvieron 19 artículos. Se observó una concentración de investigación en los Estados Unidos con enfoque en las diferencias de género en la percepción sexual. Otras variables investigadas fueron el consumo de alcohol y el comportamiento violento. Se identificó un pequeño número de investigaciones realizadas en contextos reales y con alto uso de muestras WEIRD (occidentales, con alto grado de educación, sociedades industrializadas, ricas y democráticas), que deberían inspirar estudios en otras realidades. (AU)


Subject(s)
Perceptual Distortion , Sexual Behavior/psychology , Sex Offenses/psychology , Alcohol Drinking/psychology , Sex Characteristics , Periodicals as Topic , Sex Factors , Databases, Bibliographic , Individuality
17.
Rev. cuba. endocrinol ; 32(2): e274, 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1347400

ABSTRACT

Introducción: Los cuestionarios son instrumentos estandarizados que se utilizan en la vigilancia global de la actividad física en las personas con diabetes mellitus y obesidad. Estos constituyen una técnica costo-efectiva más viable pero menos precisa en comparación con los métodos objetivos que se utilizan para medir la actividad física a nivel poblacional. Sin embargo, son la herramienta más empleada por los especialistas por su interacción directa con los pacientes que se incluyen en las investigaciones sobre la diabetes y la obesidad. Objetivos: Identificar los cuestionarios como una opción factible en Cuba para medir el nivel de actividad física en estudios epidemiológicos en personas con diabetes mellitus y obesidad. Métodos: Se realizó una revisión integradora de la bibliografía durante el periodo 2013-2020, a partir de los criterios de inclusión. La búsqueda se efectuó a través de PubMed, Cochrane, LILIACS y SciELO. Las palabras o criterios empleados fueron: actividad física, actividad física/cuestionarios, actividad física/técnicas de medición, enfermedades no transmisibles, diabetes mellitus y obesidad. Se identificaron 68 artículos, de los cuales fueron seleccionados 29 que contribuyeron al resultado final. Conclusiones: Las nuevas evidencias expuestas propician elementos sólidos para identificar los cuestionarios validados por sensores de movimiento como una opción factible que debe ser utilizada en Cuba para medir el nivel de actividad física en estudios epidemiológicos en personas con diabetes mellitus y obesidad(AU)


Introduction: The questionnaires are standardized instruments, which are used in full monitoring of physical activity in people with diabetes mellitus and obesity. They are a more viable cost-effect technique, but less precise in comparison with the objective methods that are used to measure physical activity in the population level. However, they are the most used tool by the specialists due to its direct interaction with patients included in researches on diabetes and obesity. Objectives: Identify the questionnaires as a feasible option in Cuba to measure the level of physical activity in epidemiological studies in people with diabetes mellitus and obesity. Methods: An integrative review of the bibliography was carried out from the inclusion criteria during the period 2013-2020. The search was carried out through PubMed, Cochrane, LILACS and SciELO to answer the question of the review: What is the physical activity´s measurement technique that can be used in people with diabetes mellitus and obesity in the Cuban population, taking into account the new empirical evidence on the subject? Physical activity, physical activity / questionnaires, physical activity / measurement techniques, non-communicable diseases, diabetes mellitus and obesity; were the words or criteria used. 68 articles were identified, and 29 of them were selected so, they contributed to the final result. Conclusions: The new evidences presented provide solid elements to identify the questionnaires validated by motion sensors as a feasible option that should be used in Cuba to measure the level of physical activity in epidemiological studies of people with diabetes mellitus and obesity(AU)


Subject(s)
Humans , Exercise , Surveys and Questionnaires , Diabetes Mellitus/etiology , Noncommunicable Diseases/epidemiology , Obesity/etiology , Review Literature as Topic , Epidemiologic Studies , Databases, Bibliographic
18.
Rev. cuba. endocrinol ; 32(2): e281, 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1347403

ABSTRACT

Introducción: La asociación entre la diabetes mellitus y las periodontopatías se ha reportado en numerosos estudios. Se acepta que la interrelación entre ambas es bidireccional. Un alto porcentaje de los estudios epidemiológicos, así como de los estudios en animales de experimentación, sugieren que la presencia de una condición tiende a aumentar el riesgo y la severidad de la otra. Objetivo: Consolidar núcleos teóricos y evidencias clínicas que esclarezcan la relación entre la enfermedad periodontal inmunoinflamatoria crónica y el descontrol metabólico del paciente diabético. Métodos: Se realizó una revisión de la literatura disponible a través de la búsqueda automatizada en las bases de datos: PubMed, Scielo y Google Académico, en el período de enero - junio de 2020. La estrategia de búsqueda se realizó a nivel de título, resumen y palabras clave de los artículos, con el uso de conectores lógicos. Se evaluaron artículos de revisión, de investigación, metaanálisis, de autores cubanos e internacionales que hicieran referencia específicamente al tema de estudio a través del título. Resultados: Fueron seleccionados 29 textos científicos, escritos en idioma español e inglés, publicados entre el año 2005 y el 2019, de los cuales 27 eran artículos científicos de revistas y 2 libros de texto. Conclusiones: La mayor parte de las publicaciones revisadas sobre el tema, avalan la relación entre enfermedad periodontal y descontrol metabólico diabético, basados en estudios clínicos y hemoquímicos. Existen investigadores que sugieren continuidad de estudios para perfeccionar metodologías, esclarecer teorías y sobredimensionamiento de la asociación. La valoración de las periodontopatías, como factor de riesgo para el descontrol metabólico del diabético, debe pasar de una interrogante a una estrategia promocional, preventiva y terapéutica(AU)


Introduction: The association between Diabetes Mellitus and periodontopathies has been reported in numerous studies. It is accepted that the interrelation between the two is bidirectional. A high percentage of epidemiological studies, as well as studies in experimental animals, suggest that the presence of one condition tends to increase the risk and severity of the other. Objective: Consolidate theoretical nuclei and clinical evidence that clarify the relationship between chronic immune-mediated inflammatory periodontal disease and the metabolic decontrol of the diabetic patient. Methods: A review of the available literature was performed through the automated search in the following databases: PubMed, Scielo and Google Scholar, in the period January-June 2020. The search strategy was carried out through the title, abstract and keywords levels of the articles, with the use of logic connectors. Review, research and meta-analysis articles and by Cuban and international authors ones were assessed and that make specific reference to the studied topic through the title. Results: 29 scientific texts were selected; those were written in Spanish and English, published between 2005 and 2019, of which 27 were articles from a scientific journal and 2 were textbooks. Conclusions: Most of the publications reviewed on the subject endorse the relation between periodontal disease and diabetic metabolic decontrol, based on clinical and hemochemical studies. There are researchers who suggest continuity of studies to improve methodologies, clarify theories and oversize the association. The evaluation of periodontopathies as a risk factor for the metabolic decontrol of the diabetic must go from a question to a promotional, preventive and therapeutic strategy(AU)


Subject(s)
Humans , Periodicals as Topic , Periodontal Diseases/epidemiology , Risk Factors , Diabetes Mellitus/etiology , Review Literature as Topic , Epidemiologic Studies , Databases, Bibliographic
19.
Femina ; 49(8): 494-500, 20210831. ilus
Article in Portuguese | LILACS | ID: biblio-1342420

ABSTRACT

Introdução: A gravidez na adolescência é considerada um problema global de saú- de pública, visto que 11% dos nascimentos em todo o mundo são oriundos de gestações em mulheres adolescentes. A taxa de reincidência de gestação durante a adolescência é de 61%, no Brasil, em adolescentes entre 10 e 19 anos, e de 17% a 35%, nos Estados Unidos, sendo ainda maior em países subdesenvolvidos. Objeti- vo: Realizar um levantamento dos conteúdos científicos sobre o uso de métodos contraceptivos e da reincidência de gestações em mulheres adolescentes. Méto- dos: Trata-se de um artigo de revisão sistemática. A busca foi realizada nas bases de dados Cochrane, LILACS e PubMed, por meio das palavras-chave Adolescent e Contraception. Foram incluídos artigos em inglês, português e espanhol publica- dos entre 2010 e 2020. Resultados: Foram encontradas 526 publicações, tendo sido excluídas 113 por duplicidade, 234 após a leitura de título, 155 após a leitura de resumo e 14 após a leitura na íntegra. Fizeram parte desta revisão oito publicações. Discussão: A amostra total contou com 2.492 adolescentes, com idade majoritária entre 14 e 19 anos, as quais, em sua maioria, eram primíparas. Nos grupos de bai- xa escolaridade, havia menos conhecimento e uso de métodos contraceptivos de longa duração (LARCs) e mais tendência ao uso de métodos de curta duração ou a relações sexuais desprotegidas. Os métodos contraceptivos pós-parto mais uti- lizados apresentavam menos eficácia, principalmente o preservativo. Conclusão: A promoção do acesso aos métodos de alta eficácia, principalmente LARCs, e o acompanhamento por meio de entrevista motivacional são capazes de reduzir a reincidência gestacional em adolescentes.(AU)


Introduction: Adolescence pregnancy is considered a global public health problem since 11% of births worldwide are from pregnancies in adolescent women. The rate of a second pregnancy during adolescence is up to 61% in Brazil in adolescents bet- ween 10 and 19 years old and 17%-35% in the United States of America, being even higher in underdeveloped countries. Objective: To survey scientific content on the use of contraceptive methods and the recurrence of pregnancies in adolescent women. Methods: This is a systematic review article. The search was carried out in Cochrane, LILACS, and PubMed databases, using the keywords Adolescent and Contraception. Articles in En- glish, Portuguese and Spanish published between 2010 and 2020 were included. Results: We found 526 publications, of which 113 were excluded due to duplication, 234 excluded af- ter reading the title, 155 after reading the abstract, and 14 after reading the full text. Eight publications were part of this review. Discussion: The total sample was made of 2,492 ado- lescents, aged between 14 and 19 years old, most of whom were primiparous. In the less educated groups, there was less knowledge about contraception, less use of long-term con- traceptive methods (LARCs), and a greater tendency to use short-term methods or unprotected sex. The postpartum con- traceptive methods most used were those with the least ef- fectiveness, mainly the condom. Conclusion: The promotion of access to highly effective methods, mainly LARCs and follow- -ups through motivational interviews are capable of reducing gestational recurrence in adolescents.(AU)


Subject(s)
Humans , Female , Pregnancy , Adolescent , Pregnancy in Adolescence , Pregnancy Rate , Contraception/methods , Databases, Bibliographic , Journal Article , Sexual and Reproductive Health
20.
Rev. cub. inf. cienc. salud ; 32(2): e1622, 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1341365

ABSTRACT

El estudio de la producción científica en salud en Cuba es un interés permanente para todos los especialistas. Con el objetivo de caracterizar la producción científica de las Ciencias Biomédicas en la provincia de Santiago de Cuba se realizó un estudio bibliométrico en la base de datos SCOPUS durante el período 1920 a 2018. Se emplearon estrategias de búsqueda y variables relacionadas con la productividad científica; se cuantificó la productividad de los autores a través del índice de Lotka; se recuperaron 919 artículos con un total de 2 484 autores y se identificó un alto porcentaje de pequeños productores. La institución con mayor aporte a la producción científica en salud fue la Universidad de Oriente. El Hospital Provincial "Saturnino Lora" sobresale con los mayores niveles de producción científica en el sector de la salud; el año más productivo fue el 2013 y los autores más prolíficos fueron Alicia Pons-Porrata, Zenén Fernández Rodríguez y Ricardo Hodelín Tablada. El análisis de los aspectos importantes de la producción científica permitió caracterizar la actividad investigadora y su evolución a lo largo del tiempo. Son bajos los índices de producción científica de los profesionales de la Salud en Santiago de Cuba en comparación con otras instituciones. Se advierte la necesidad de aumentar las colaboraciones con investigadores a nivel internacional y la necesidad de tomar decisiones con vistas a elevar la productividad y la visibilidad de los autores, y se sugiere que los autores e instituciones mantengan una firma única para sus publicaciones(AU)


The study of health scientific production in Cuba is a field of permanent interest for all specialists. A bibliometric study covering the period 1920-2018 was conducted in the database Scopus to characterize biomedical scientific production in the province of Santiago de Cuba. Use was made of search strategies and variables related to scientific productivity. Authors' productivity was quantified with Lotka's index. A total 919 papers were retrieved published by 2 484 authors. A high percentage of small producers was identified. The University of Oriente was the institution contributing the largest health scientific production. Saturnino Lora Provincial Hospital achieved the highest scientific production levels in the health sector. The most productive year was 2013, and the most prolific authors were Alicia Pons-Porrata, Zenén Fernández Rodríguez and Ricardo Hodelín Tablada. Analysis of important aspects of scientific production made it possible to characterize research activity and its evolution over time. Scientific production rates are low among Santiago de Cuba health professionals in comparison with other institutions. Evidence was found of the need to increase collaboration with international researchers and to take decisions aimed at enhancing the productivity and visibility of authors. It is suggested that authors and institutions maintain a single signature for their publications(AU)


Subject(s)
Humans , Health Strategies , Bibliometric Indicators , Publications for Science Diffusion , Databases, Bibliographic
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