Capacidad de procesamiento de los nanofiltros empleados en la purificación de la proteína recombinante del dominio de unión al receptor del coronavirus tipo 2 del síndrome respiratorio agudo severo / Processability of nanofilters used in the purification of the recombinant receptor-binding domain protein of severe acute respiratory syndrome type 2 coronavirus

En el Centro de Inmunología Molecular se producen el ingrediente farmacéutico activo y la materia prima biológica empleados para la formulación de las vacunas SOBERANAS®. El antígeno de estas vacunas es la proteína del dominio de unión al receptor del coronavirus tipo 2 del síndrome respiratorio agudo severo. La producción de esta proteína recombinante se basa en el cultivo de células de ovario de hámster chino en biorreactores tipo tanque agitado. El proceso tecnológico a escala industrial consta de varias etapas: preparación de medios de cultivo y soluciones, fermentación, clarificación de sobrenadante y purificación. En los procesos biotecnológicos derivados de líneas celulares de origen animal, la contaminación viral endógena o adventicia constituye un riesgo potencial. Por tal motivo, en el proceso de purificación se emplea un paso específico para la remoción viral mediante la nanofiltración. Los nanofiltros empleados son materiales desechables que influyen significativamente en el costo del proceso. Actualmente se desconoce la capacidad de procesamiento de los nanofiltros en el proceso de purificación en cuestión, siendo el objetivo de la presente investigación con vistas a reducir los costos de producción. Se determinó la capacidad de procesamiento de los filtros Virosart CPV, siendo de 239,74 g/m2 (71,67 por ciento de saturación) y 1.259 g/m2 (67,82 por ciento de saturación) para la especie dímero y la mezcla, respectivamente. Se determinó la disminución del costo de producción de la etapa de nanofiltración, que representa una disminución del 54,85 por ciento del costo de filtración de la especie dímero y un 25 por ciento de la mezcla(AU)

The active pharmaceutical ingredient and the biological raw material, used for the formulation of the SOBERANA® vaccines, are produced at the Molecular Immunology Center. The antigen of these vaccines is the receptor-binding domain protein of the severe acute respiratory syndrome type 2 coronavirus. The production of this recombinant protein is based on the culture of Chinese hamster ovary cells in stirred tank bioreactors. The technological process on an industrial scale consists of several stages: preparation of culture media and solutions, fermentation, clarification of supernatant and purification. In biotechnological processes derived from cell lines of animal origin, endogenous or adventitious viral contamination is a potential risk. For this reason, a specific step for viral removal by nanofiltration is used in the purification process. The nanofilters used are disposable materials that significantly influence the cost of the process. The processing capacity of the nanofilters in the purification process in question is currently unknown, being the objective of the present investigation with a view to reducing production costs. The processing capacity of the Virosart CPV filters was determined to be 239.74 g/m2 (71.67percent saturation) and 1,259 g/m2 (67.82percent saturation) for the dimer species and the mixture, respectively. The decrease in the production cost of the nanofiltration stage was determined, representing a 54.85percent decrease in the filtration cost for the dimer species and a 25percent decrease for the mixture(AU)

Inhibition of incipient caries lesion progression by different fluoridated varnishes

Abstract The aim of this in vitro study was to evaluate the potential of different fluoridated varnishes to inhibit the progression of incipient caries lesions after cariogenic challenge. Seventy-five enamel specimens of bovine teeth were prepared and selected based on the initial surface microhardness (SMH). The specimens were first subjected to artificial demineralization (in buffer solution) after which SMH was re-analyzed (SM1). They were then randomly assigned to five experimental groups: 1- CONTROL (pH cycling), 2 - MI VAR (MI Varnish with RECALDENTTM - CPP-ACP), 3 - PROFL (Profluorid®), 4 - CLIN (ClinproTM White Varnish with TCP), and 5 - DUR (Duraphat®) (n=15). The varnishes were applied in a thin layer and the specimens were then subjected to pH cycling for eight days. The SMH and cross-sectional microhardness (CSMH) were then analyzed (SM2). The fluoride and calcium ion concentrations in the solution were analyzed by the indirect method and atomic absorption spectrophotometry, respectively. Data were statistically analyzed by Student's t-test, ANOVA/Tukey-Kramer, or Kruskall-Wallis/Dunn tests for individual comparisons (p˂0.05). All varnishes led to significantly higher surface and subsurface remineralization compared with the control group but did not differ from each other. The varnishes with the highest fluoride release were: PROFL and CLIN, followed by MI VAR and DUR. The varnishes with significantly higher release of calcium were: DUR, CLIN, and PROFL. In conclusion, all commercial fluoridated varnishes tested have good potential to inhibit the progression of demineralization, regardless of the ion release mechanisms.

Resumo O objetivo deste estudo in vitro foi avaliar o potencial de diferentes vernizes fluoretados em inibir a progressão de lesões de cárie incipientes. Setenta e cinco espécimes de esmalte de dentes bovinos foram preparados e selecionados com base na microdureza superficial inicial (MDS/SM). Os espécimes foram submetidos à desmineralização artificial (em solução de Buskes), sendo então a MDS (SM1) reanalisada. Foram então distribuídos aleatoriamente em cinco grupos experimentais: 1- CONTROLE (pH cycling), 2 - MI VAR (MI Varnish with RECALDENTTM - CPP-ACP), 3 - PROFL (Profluorid®), 4 - CLIN (ClinproTM White Varnish with TCP), and 5 - DUR (Duraphat®). Os vernizes foram aplicados em camada fina e os espécimes foram então submetidos à ciclagem de pH por oito dias. A MDS final (SM2) e a microdureza transversal (CSMH) foram então analisadas. As concentrações de flúor e íons cálcio em solução foram analisadas pelo método indireto e espectrofotometria de absorção atômica, respectivamente. Os dados foram analisados estatisticamente pelo teste T de Student, ANOVA/Tukey-Kramer ou testes de Kruskall-Wallis/Dunn para comparações individuais (p˂0,05). Todos os vernizes levaram a uma remineralização superficial e subsuperficial significativamente maior em comparação com o grupo controle, não diferindo significativamente entre si. Os vernizes com maior liberação de flúor foram: PROFL e CLIN, seguidos de MI VAR e DUR. Os vernizes com liberação significativamente maior de cálcio foram: DUR, CLIN e PROFL. Pôde-se concluir que todos os vernizes fluoretados comerciais testados apresentam bom potencial de inibição da progressão da desmineralização, independentemente dos mecanismos de liberação de íons.

Síndrome hemolítico urémico secundario a Streptococcus pneumoniae. Reporte de un caso clínico / Streptococcus pneumoniae associated hemolytic uremic syndrome. Case report

El síndrome hemolítico urémico secundario a Streptococcus pneumoniae (SHU-Sp) es una complicación poco frecuente de las enfermedades invasoras por S. pneumoniae. Presenta una alta morbimortalidad, con requerimiento de transfusiones de glóbulos rojos y plaquetas, terapia de sustitución de la función renal de inicio precoz y más prolongada, así como mayores complicaciones a largo plazo, comparado con las formas secundarias a infección entérica por Escherichia coli productora de toxina Shiga. Presentamos el caso clínico de una preescolar de dos años, previamente sana, vacunada con tres dosis de PCV13, que desarrolló una insuficiencia renal aguda, anemia hemolítica y plaquetopenia, en el contexto de una neumonía con empiema y bacteriemia por S. pneumoniae.

Streptococcus pneumoniae associated hemolytic uremic syndrome (Sp-HUS) is an uncommon complication of invasive pneumococcal infections. Patients with Sp-HUS have a higher mortality and long term morbidity than those due to HUS from Shiga toxin-producing Escherichia coli infections (STEC-HUS). They often require more red blood cells and platelet transfusions, and early initiation of renal substitution therapy, presenting a higher rate of arterial hypertension and chronic renal disease in the long term, compared to STEC-HUS. We report a healthy 2 year-old infant, vaccinated with three doses PCV13, that developed acute renal failure, hemolytic anemia and thrombocytopenia in the course of a complicated pneumococcal pneumonia with empyema and bacteremia.

Evaluación de la gestión editorial de las revistas médicas de Villa Clara / Evaluation of the editorial management in Villa Clara medical journals

Ante el gran número de publicaciones científicas digitales existentes, la evaluación se hace ineludible, porque es la que garantiza que dichos productos alcancen niveles cada vez mayores de calidad, por lo original de las investigaciones que publican, y que han pasado previamente por un riguroso arbitraje. Se realizó una investigación de desarrollo con enfoque cualitativo de las cuatro revistas médicas de Villa Clara, para evaluar la gestión editorial en el período comprendido de enero 2019 a diciembre 2021, según los estándares establecidos por el Centro Nacional de Información.

Evaluation has become unavoidable given the large number of existing digital scientific publications; it guarantees that these products reach increasingly higher levels of quality due to the originality of the published research and the rigorous review process. A developmental research with a qualitative approach was carried out on four of the journals from Villa Clara province in order to evaluate their editorial management from January 2019 to December 2021 according to the standards established by the National Information Center.

Monthly variation in diagnosis of acute lymphoblastic leukemia and survival outcome in children and adults: 15-year trends at a single center

ABSTRACT Background: The date of acute lymphoblastic leukemia (ALL) diagnosis has been studied regarding potential etiologic roles with contrasting results and the issue remains controversial. The principal aim of this study was to analyze monthly variation of ALL diagnosis in a large homogenous Hispanic Latin American cohort over 15 years; its association with survival rates was also assessed. Methods: Clinical files and electronic records of 501 consecutive patients of all ages with ALL in northeastern Mexico over the years of 2004-2018 were scrutinized. Patients were divided into children <18 and adults >18 years. The Chi-square heterogeneity analysis was used to test for non-uniform variation. The Poisson regression analysis was used to fit sinusoidal (harmonic) models to the data, using the month of diagnosis as a covariate in a separate model. Results: During the study period 363 children (72.5%) and 138 adults (27.5%) (p < 0.001) were diagnosed with ALL. Heterogeneity across the months of diagnosis was confirmed (p = 0.019) and the Poisson regression analysis confirmed a significant monthly variation (p < 0.001) (95% CI, 3.024-3.745), a higher annual peak being observed in the month of March (p = 0.002), followed by a second peak in October (p = 0.026). The five-year OS for children was 68.2% (95% CI, 67.64-68.74) and for adults, 43.7% (95% CI, 42.67-44.71) (p < 0.001). No significant association between the month of diagnosis and OS was found (p = 0.789). Conclusion: The monthly variation of ALL diagnosis was documented; these results confirm the heterogeneous behavior of the disease and appear to be consistent with an interplay of environmental and biologic factors. Further studies are needed to examine putative candidate agents.

Infarto agudo de miocardio con elevacion del segmento ST. Guía de Práctica Clínica

RESUMEN La implementación de las Guías de Práctica Clínica, con intervenciones eficaces basadas en la evidencia, ha mejorado los resultados del manejo de pacientes con infarto agudo de miocardio con elevación del segmento ST en países de altos ingresos, sin embargo, no ocurre lo mismo en países con medianos y bajos ingresos, donde existen grandes brechas en su implementación, debido a múltiples factores. La presente Guía de Práctica Clínica se refiere a los pacientes que presentan síntomas isquémicos o sus equivalentes y una elevación persistente del segmento ST en el electrocardiograma. Esta guía no aborda los elementos relacionados directamente con los procedimientos de intervencionismo coronario percutáneo ni la revascularización miocárdica quirúrgica.

ABSTRACT The implementation of Clinical Practice Guidelines, with effective evidence-based interventions, has improved the results of managing patients with ST-segment elevation acute myocardial infarction in high-income countries, however, the same is not true in countries with medium and low incomes, where there are large gaps in its implementation, due to multiple factors. This Clinical Practice Guideline refers to patients presenting with ischemic symptoms or their equivalents and persistent ST-segment elevation on the electrocardiogram. This guideline does not address elements directly related to percutaneous coronary intervention procedures or surgical myocardial revascularization.

Shame from Smiling and Speaking Due to Oral Health Problems in Brazilian Adolescents: A Nationwide Population-Based Study

Abstract Objective: To investigate the association between oral health problems and being ashamed of smiling or speaking among Brazilian adolescents. Material and Methods: This was a population-based cross-sectional study carried out with secondary data from 7,328 12-year-old Brazilian adolescents from the latest Brazilian national oral health survey (SB Brasil 2010). The question "In the previous 6 months, have you been ashamed of smiling or speaking due to your teeth?" was the outcome variable. Calibrated examiners performed clinical examinations on adolescents for the diagnosis of dental caries (DMF-T), dental trauma, dental fluorosis and occlusal alterations. Data were analyzed descriptively and by Poisson unadjusted and adjusted Poisson regression analysis (p<0.05). The final model was controlled by family income. Results: The prevalence of being ashamed of smiling or speaking was 13.6%. The following variables were associated with the outcome: female sex (PR= 1.33; 95% CI: 1.17-1.53), cavitated dental caries on upper incisors (PR= 1.81; 95% CI: 1.51-2.15), dental trauma (PR= 1.36; 95% CI:1.16-1.60), increased maxillary overjet (PR= 1.36; 95% CI:1.18-1.57), dental crowding (PR= 1.60; 95% CI:1.40-1.83), midline diastema (PR= 1.30; 95% CI:1.11-1.44), tooth loss (PR= 1.45; 95% CI:1.16-1.80), mild/questionable dental fluorosis (PR= 1.23; 95% CI:1.06-1.44) and moderate/severe dental fluorosis (PR= 1.67; 95% CI:1.15-2.44). Conclusion: Oral health problems that impact dental aesthetics were predisposing factors for being ashamed of smiling or speaking in Brazilian adolescents (AU).

Administración crónica de cafeína evita la alteración de la glucosa postprandial en ratas / Chronic caffeine administration prevents postprandial glucose disturbance in rats

La administración crónica de cafeína evita la alteración de la glucosa postprandial en ratas. El aumento en el consumo de la cafeína alrededor del mundo no es discutible, es así como su investigación se ha vuelto extensa en sus diferentes campos. Objetivo. Analizar los efectos de la administración crónica de cafeína en ratas alimentadas con dieta de cafetería, a través de evaluar índices de consumo, antropométricos y bioquímicos. Materiales y métodos. La dieta de cafetería es un modelo dietético equivalente a las características de la dieta occidental típica que origina síndrome metabólico en humanos. En esta investigación se realizó la administración crónica vía intraperitoneal de cafeína por ocho semanas a ratas adultas macho Wistar alimentadas con dieta de cafetería. Dada la poca evidencia acerca de los efectos biológicos y comportamentales de la administración crónica de dicha sustancia frente a un modelo de dieta de cafetería se evaluaron parámetros de consumo, antropométricos y bioquímicos. Resultados. La dieta de cafetería ocasionó anomalías asociadas al síndrome metabólico; no obstante, la administración de cafeína en las ratas alimentadas con esa dieta resultó ser un factor protector en la glucosa postprandial, más no en la alteración de la tolerancia a la glucosa o perfil lipídico. Conclusiones. La cafeína permitió proteger los niveles de glucosa postprandial al término del experimento y un descenso en el peso corporal y consumo de alimento solo en la primera semana. Sin embargo, no se observaron mejoras significativas en el perfil de lípidos, adiposidad, tolerancia a la glucosa y glucosa plasmática(AU)

Chronic caffeine administration prevents postprandial glucose disturbance in rats. The increase in caffeine consumption is not debatable, this is how his research has become extensive in his different fields. Objective. To analyze the effects of chronic administration of caffeine in rats fed a cafeteria diet, by evaluating consumption, anthropometric and biochemical indices. Previous studies refer to administering caffeine in diets high in carbohydrates and / or in fat that induce obesity or symptoms of metabolic syndrome. Material and methods. The cafeteria diet is a dietary model equivalent to the characteristics of the typical western diet that causes metabolic syndrome in humans. In this research, chronic intraperitoneal administration of caffeine was performed for 8 weeks to adult male Wistar rats fed a cafeteria diet. Given the little evidence about the biological and behavioral effects of the chronic administration of this substance against a cafeteria diet model, consumption, anthropometric and biochemical parameters were evaluated. Results. After eight weeks it was found that the cafeteria diet given to the controls caused abnormalities associated with the metabolic syndrome; regarding the administration of caffeine in the rats fed this diet, the treatment turned out to be a protective factor in postprandial glucose, but not in the alteration of glucose tolerance or lipid profile. Conclusions. Caffeine allowed to protect postprandial glucose levels at the end of the experiment and a decrease in body weight and food consumption only in the first week. However, no significant improvements were seen in lipid profile, adiposity, glucose tolerance, and plasma glucose(AU)

Modelo matemático para predecir la formación de agregados en el proceso de purificación de un anticuerpo monoclonal / Mathematical model for predicting the formation of aggregates in the purification process of a monoclonal antibody

El uso de anticuerpos monoclonales en la lucha contra el cáncer se convierte cada día más en la terapia de elección. Para la introducción de anticuerpos monoclonales en mercados internacionales de alta demanda y con elevados requerimientos de calidad se requiere su producción a gran escala. El incremento de la presencia de dímeros en el producto final afecta su calidad y, por tanto, la eficiencia y eficacia del proceso. El objetivo del presente trabajo fue obtener un modelo matemático que permita relacionar el porcentaje de dímeros con las variables de operación de mayor influencia. Se realizó el ajuste de un modelo de regresión lineal múltiple usando el programa Statgraphics Centurion XVII versión 17.2.00. El modelo se validó con lotes de producción, logrando errores relativos inferiores al 20 por ciento. Las variables significativas obtenidas fueron: masa de IgG en el sobrenadante; masa de IgG en el producto de salida del paso de captura de proteína A; pH en el producto de salida del paso de captura de proteína A; pH del producto ajustado y conductividad de salida en la membrana de intercambio aniónico. El modelo permitió encontrar un intervalo de trabajo de las variables de mayor influencia en la formación de dímeros para reducirlos hasta valores inferiores al 3 por ciento(AU)

The use of monoclonal antibodies in the fight against cancer is becoming more and more the selected therapy. The introduction of monoclonal antibodies highly demanded in international markets, with high quality requirements needs the production of monoclonal antibodies on a large scale. The increase of dimers in the final product affects its quality, therefore, the efficiency and effectiveness of the process. The objective of this work was to obtain a mathematical model to relate the percentage of dimers with the most influential operating variables. A multiple linear regression model was obtained using Statgraphics Centurion XVII version 17.2.00 software. The model was validated with new production data with a mean error of validation below 20 percent. The significant variables were: supernatant IgG mass; IgG mass in the effluent from Protein A capture column; pH of the effluent from Protein A capture column; pH of the adjusted product and conductivity of the effluent from anionic exchange membrane. A working interval for each of the influential variables were established, in order to reduce dimers below 3 percent(AU)

Estructura y composición arbórea en un gradiente altitudinal del Área Natural Protegida Metzabok, Chiapas, México / Tree structure and composition in an altitude gradient of the Metzabok Protected Natural Area, Chiapas, Mexico

Introducción: Las selvas albergan más de la mitad de las especies del planeta, a pesar de la biodiversidad que poseen son los ambientes más amenazados, principalmente por actividades antrópicas, y su complejidad con relación a la altitud alberga vacíos de información a pesar de los valores que representa. Objetivo: Describir la estructura y diversidad de árboles en un gradiente altitudinal. Métodos: En cinco estratos altitudinales (EA) se establecieron 21 unidades de muestreo (UM) de 20 x 50 m: seis en el EA1, cinco en EA2, cuatro en EA3, tres en EA4 y 5. La estructura se caracterizó mediante las categorías diamétricas y de altura, y de los índices de valor de importancia (IVI) y forestal (IVF). La diversidad se analizó con los índices de Shannon-Wiener (H´) y Simpson (S), mientras la semejanza florística con el coeficiente de Sørensen (IS). Resultados: Se registraron 209 especies, ocho registradas en la Norma Oficial Mexicana-059-Secretaría de Medio Ambiente y Recursos Naturales-2010 (NOM-059-SEMARNAT-2019). Las especies con los mayores IVI e IVF fueron: Haematoxylum campechianum y Manilkara zapota en EA1; Rinorea guatemalensis y Pouteria reticulata en EA2; M. zapota y Brosimum alicastrum en EA3; Guatteria anomala y Pseudolmedia spuria en EA4; y Terminalia amazonia y Pouteria durlandii en EA5. En los cinco EA se identificaron tres rangos de altura y seis de diámetro, el mayor número de individuos se encontró en la primera categoria diamétrica. La diversidad de las especies fue menor a mayor altitud. En los EA 2 y 3 se presentó la mayor semejanza (IS = 58.7 %). Conclusión: La estructura y diversidad de las especies arbóreas, presentan mayores cambios en intervalos altitudinales más amplios, relacionados con la necesidad ambiental de cada especie.

Introduction: The forests are home to more than half of the planet's species, despite of their biodiversity, they are the ecosystems most threatened mainly by anthropic activities, but their complexity in relation to altitude has information gaps despite of the values it represents. Objective: Describe the structure and diversity of trees on an altitudinal gradient. Methods: In five altitudinal strata (EA) 21 sampling plots (UM) of 20 x 50 m were established: six in EA1, five in EA2, four in EA3, three in EA4 and 5. The structure was characterized by the categories diametric and height, and the importance value indexes (IVI) and forestry (IVF). Diversity was analyzed with the Shannon-Wiener (H´) and Simpson (S) indices, while the floristic similarity with the Sørensen coefficient (IS). Results: It was registered 209 tree species, eight are listed in the Official Mexican Standard-059-Secretariat of the Environment and Natural Resources-2010 (NOM-059-SEMARNAT-2019) as vulnerable species. The species with the highest IVI and IVF were Haematoxylum campechianum and Manilkara zapota in EA1; Rinorea guatemalensis and Pouteria reticulata in EA2; M. zapota and Brosimum alicastrum at EA3; Guatteria anomala and Pseudolmedia spuria in EA4; and Terminalia amazonia and Pouteria durlandii at EA5. In the five EAs, three ranges of height and six of diameter were identified, the largest number of individuals was found in the first diametric range. Species diversity was lower at higher altitudes. In EA 2 and 3 the greatest similarity was presented (IS= 58.7 %). Conclusion: The structure and diversity of the tree species present greater changes in wider altitude ranges, related to the environmental need of each species.

Childhood T-cell acute lymphoblastic leukemia in a single Latin American center: impact of improved treatment scheme and support therapy on survival

ABSTRACT Background and objective T-cell acute lymphoblastic leukemia (T-ALL) in children represents a high-risk disease. There is a lack of studies assessing the outcome of T-ALL in Hispanic populations, in which it is a rare malignancy. We report the characteristics and results of treatment for childhood T-cell ALL in children over 14 years at a Latin American reference center. Material and methods From January 2005 to December 2018, there occurred the analysis of twenty patients ≤ 16 years of age from a low-income open population diagnosed at a university hospital in Northeast Mexico. Clinical and laboratory characteristics, treatment regimens and outcomes were assessed by scrutinizing clinical records and electronic databases. Diagnosis was confirmed by flow cytometry, including positivity for CD-2, 5, 7 and surface/cytoplasmic CD3. Survival rates were assessed by the Kaplan-Meier method. Results There was a male preponderance (70 %), with a 2.3 male-to-female ratio (p= .074), the median age being 9.5 years. Leucocytes at diagnosis were ≥ 50 × 109/L in 13 (65 %) children, with CNS infiltration in 6 (30 %) and organomegaly in 10 (50 %). The five-year overall survival (OS) was 44.3 % (95 % CI 41.96-46.62), significantly lower in girls, at 20.8 % (95 % CI 17.32-24.51) vs. 53.1 % (95 % CI 50.30-55.82), (p= .035) in boys; there was no sex difference in the event-free survival (EFS) (p= .215). The survival was significantly higher after 2010 (p= .034). Conclusion The T-cell ALL was more frequent in boys, had a higher mortality in girls and the survival has increased over the last decade with improved chemotherapy and supportive care.

Competencia del traductor en una universidad médica / Competence of the translator in a medical university

RESUMEN La traducción médica es, sin dudas, una actividad fundamental para el desarrollo de la comunicación científica y el conocimiento médico. A diferencia de lo que se suele creer, dominar uno o varios idiomas y tener cierto conocimiento básico de la lengua materna y del idioma al cual se va a traducir, no son condiciones suficientes para poder traducir un texto científico. Se necesita: contar con una competencia traductora, tener o adquirir diversas subcompetencias y una excelente capacidad de documentación (uso de bases de datos y consulta de textos paralelos), dominar la terminología y la fraseología médica, conocer conceptos médicos básicos, trabajar en equipo y colaboración, poseer conocimientos extralingüísticos sobre las culturas de las lenguas involucradas y, además, saber utilizar correctamente las herramientas informáticas. Ser traductor médico no es un asunto sencillo, esta labor demanda una superación y autopreparación constante.

ABSTRACT Medical translation is undoubtedly a fundamental activity for the development of medical knowledge and scientific communication. Contrary to what most people think, to be fluent in one or several languages is not a sufficient condition to be able to translate a scientific text, as well as, to have some basic knowledge of the mother tongue and the target language. You need to have a translation competence, have or acquire various subcompetences and excellent documentation ability (use of databases and consultation of parallel texts), master medical phraseology and terminology, know basic medical concepts, work in teams and collaboration, possess extra-linguistic knowledge about the cultures of the languages involved and also, know how to use computer tools correctly. Being a medical translator is not a simple matter, this work demands a self-preparation and a constant improvement.

Visibilidad de la producción científica de los docentes de la Universidad de Ciencias Médicas, Villa Clara / Visibility of the scientific production of the teachers of the University of Medical Sciences, Villa Clara

RESUMEN Introducción: la difusión del conocimiento científico sucede cuando la producción intelectual llega al usuario; es decir, va más allá del trabajo de investigación, y requiere hacer visible sus resultados. Objetivo: caracterizar la producción científica de los docentes de la UCM-VC, desde la perspectiva de su visibilidad. Métodos: se realizó una investigación cuanti-cualitativa y descriptiva sobre el desarrollo de la producción científica, durante el período enero-diciembre 2017. El universo estuvo constituido por la totalidad de publicaciones científicas declaradas: 3140 (libros, CD-Room, artículos de revistas, monografías, entre otras). Resultados: se diseñó una encuesta con el objetivo de preguntar cuestiones relacionadas con prácticas de publicación. Se encuestaron un total de 600 docentes; la categoría más representada fue la de asistente, 312 (52); de ellos, 447 (74,5 %) expresaron tener de 1 a 5 publicaciones; 238 (39,66 %) publicaron con sistematicidad como coautor y autor principal indistintamente; la BVS fue el recurso más usado para la búsqueda de investigación científica; el idioma en que más publican es el español, 582 (97 %); la revista en la que más han publicado es Medicentro Electrónica, 238 (39,66 %); la opción de visibilidad que más han utilizado es redes sociales, 294 (49 %); y el 100 % de los entrevistados desconocen la política institucional sobre visibilidad de la Universidad. Conclusiones: la presencia de artículos de autores cubanos en el área de la salud en prestigiosas bases de datos, se ha incrementado en relación con los últimos 10 años; sin embargo, aún es insuficiente, lo que atenta contra la visibillidad de la productividad científica de nuestros profesionales.

ABSTRACT Introduction: the dissemination of scientific knowledge happens when intellectual production reaches the user; that is, it goes beyond research work, and requires making its results visible. Objective: to characterize the scientific production of the teachers of the University of Medical Sciences of Villa Clara, from the perspective of their visibility. Methods: a qualitative and quantitative descriptive research was carried out on the development of scientific production, during the period January-December 2017. The universe was constituted by all the scientific publications declared: 3140 (books, CD-Room, journal articles, monographs, among others). Results: a survey was designed to ask questions related to publication practices. A total of 600 teachers were surveyed; the most represented teaching category was assistant one, 312 (52); 447 of them (74.5%), expressed having 1 to 5 publications; 238 (39.66%) published systematically as co-author and lead author interchangeably; the Virtual Health Library was the most used resource for the search of scientific research; the most published language is Spanish, 582 (97%); the journal in which they have published the most is Medicentro Electrónica, 238 (39.66%); the visibility option they have used the most is social networks, 294 (49%); and 100% of those interviewed are unaware of the institutional policy on visibility of the University. Conclusions: the presence of articles by Cuban authors in the area of health in prestigious databases has increased in relation to the last 10 years; however, it is still insufficient, which undermines the visibility of the scientific productivity of our professionals.