Prevalencia del síndrome de desgaste laboral en residentes del Hospital Roosevelt y Hospital General San Juan de Dios en el año 2015

Contexto: El Síndrome de Desgaste Laboral es un padecimiento que consiste en una respuesta prolongada de estrés en el organismo ante los factores estresantes emocionales e interpersonales que se presentan en el trabajo, que incluye: fatiga crónica, ineficacia y negación de lo ocurrido. Objetivo: Se realizó este estudio para establecer la existencia del Síndrome de Desgaste Profesional en los residentes del Hospital General San Juan de Dios y Hospital Roosevelt utilizando el cuestionario MBI. Diseño Experimental: Se condujo este estudio en los hospitales San Juan de Dios, y Roosevelt. En la población de 260 residentes de las especialidades: Gineco-obstetricia, Pediatría, Cirugía General y Medicina Interna que aceptaron voluntariamente formar parte del estudio. Métodos: Se utilizó el cuestionario de Desgaste Laboral de Maslash (MBI) el cual consiste en 22 preguntas agrupadas en 3 categorías: cansancio emocional, despersonalización, y realización personal. Resultados: El 42% de residentes de este estudio mostro un Síndrome de Desgaste Laboral, siendo 24% del Hospital General San Juan de Dios y 18% del Hospital Roosevelt. Conclusiones: Los residentes del Hospital General San Juan de Dios presentan más incidencia de Síndrome de Desgaste Laboral en comparación de los residentes del Hospital Roosevelt. La Pediatría es la especialidad que más SDL presento al momento del estudio

Context: the burnout syndrome is a condition that involves prolonged stress response in the body to the emotional and interpersonal stressors that occur at work, including chronic fatigue, inefficiency and denial of what happened. Objective: This study was conducted to establish the existence of professional burnout syndrome in residents of Hospital General San Juan de Dios and Hospital Roosevelt using the MBI questionnaire. Experimental Design: This study was conducted in the hospitals Roosevelt and San Juan de Dios. In 260 residents of the specialties: Gineco-obstetrics, Pediatrics, General Surgery and Internal Medicine who volunteered to be part of the study. Method: the questionnaire Maslash Work Wear (MBI) which consists of 22 questions grouped into 3 categories: emotional exhaustion, depersonalization, and personal accomplishment was used. Results: 42% of residents in this study showed burnout syndrome, being 24% of Hospital General San Juan de Dios and 18% of the Hospital Roosevelt. Conclusions: Residents of the Hospital General San Juan de Dios have more burnout syndrome than those in Hospital Roosevelt, at specialties level, Pediatrics is the one that presented most Burnout Syndrome at the time of the study

Primer reporte de Neisseria polysaccharea en Cuba / First report of Neisseria polysaccharea in Cuba

The National Laboratory of Reference of Pathogenic Neisserias of "Pedro KourÝ" Tropical Medicine Institute studied 58 strains which had been previously identified as Neisseria meningiditis and isolated from nasopharyngeal carriers from 1985-1998. They were applied the knapp detection scheme plus the glutamiltransferase production test. The latter and the polyscharide production based on 5 sacarose allowed to make a differential diagnosis between N. meningitidis and Neisseria polyccharea. It was possible to identify a N. polysaccharia strain, a species that is reported for the first time in Cuba.

Susceptibilidad antimicrobiana de cepas de Neisseria gonorrhoeae por difusión con discos / Antimicrobial susceptibility of Neisseria gonorrhoeae strains determined by disk diffusion

The Gonoccocus Laboratory of "Pedro KourÝ" Tropical Medicine Institute carried out a study of in vitro susceptibility of Neisseria gonorrhoeae to penicillin, tetracycline, cefuroxime ceftriaxone, cefotaxine and ciprofoxacin by means of a disk diffusion method with the culture medium agar base GC plus supplement. In the first phase, the method was standardized and the reference N. gonorrhoeae ATCC 49226 strain was used whereas in the second phase, 50 gonococcal strains isolated in 8 provinces during 1995 and 1996 were examined. The results of such standardization confirmed that the antimicrobial susceptibility values were within the allowable limits. 52 and 34 of strains were resistant to penicillin and tetracycline respectively and all of them showed susceptibility to the rest of evaluated antimicrobial drugs. We recommend the use of the disk diffusion method for surveillance of gonococci resistance to these drugs in our country.

Tratamento ortodôntico-cirúrgico da Classe III / Surgical orthodontic treatment of Class III

As desarmonias esqueléticas sempre desafiaram os limites da ortodontia, pois em sua maioria, näo podem ser totalmente corrigidas somente com a terapia ortodôntica, requisitando também movimentaçöes cirúrgicas. Este trabalho ressalta alguns itens considerados essenciais para a planificaçäo do tratamento ortodôntico-cirúrgico das Classes III, visto que o mecânica ortodôntica difere em muitos aspectos quando aplicada em um caso cirúrgico

Esófago de Barrett / Barrett's esophagus

Una complicación de la enfermedad de reflujo gastroesofágico avanzado (GERD), puede ser un esófago con epitelio columnar conocido como Esófago de Barrett. Se revisan la etiología, epidemiología, características patológicas y manifestaciones clínicas, al igual que los métodos diagnósticos como el esofagograma en bario, la endoscopía gastrointestinal superior, el ultrasonido endoscópico y la fluorescencia inducida por laser. La terápia médica usualmente se basa en los antagonistas de los receptores H2 y el omeprazol. La cirugía antirreflujo (Fundoplicatura de Nissen o calibración cardial), no se ha demostrado que cause una regresión del epitelio columnar; pero las nuevas técnicas de cirugía más agresiva o técnicas de ablación con laser, pueden proporcionar la mejor terapia potencial para el esófago de Barrett