Pesquisa de hipertensión arterial en una población mayor de 15 años de un consultorio médico de Santiago de Cuba / Hypertension investigation in a population over 15 years from a doctor´s office in Santiago de Cuba

Se realizó un estudio descriptivo y transversal de 568 pacientes de 15 años y más, que no estaban diagnosticados como hipertensos, pertenecientes al consultorio médico No. 17 del consejo popular Veguita de Galo, del Policlínico Ramón López Peña de Santiago de Cuba, con vistas a identificar la morbilidad oculta de hipertensión arterial en la citada población, desde diciembre de 2014 hasta enero de 2016. En la casuística se diagnosticaron 15 hipertensos, la mayoría de grado 1, entre los cuales predominaron el sexo femenino y los grupos etarios de 35-44 y de 55-64 años. Como principales factores de riesgo detectados primaron el color negro de la piel, la dieta inadecuada, el sedentarismo y la adicción tabáquica. Se concluye que la pesquisa activa resultó útil, pues permitió detectar casos no diagnosticados hasta ese momento

A cross-sectional descriptive study of 568 patients with 15 years and over that were not diagnosed with hypertension was carried out. They belonged to the doctor´s office 17 in Veguita de Galo, from Ramón López Peña polyclinic in Santiago de Cuba, with the purpose of identifying the hidden morbidity of hypertension in that population from December, 2014 to January, 2016. Fifteen patients with hypertension were diagnosed in the case material, most of them grade I, among which the female sex and 35-44 and 55-64 age groups prevailed. Black skin, inadequate diet, physical inactivity and nicotine addiction were the main risk factors detected. It was concluded that the active investigation was useful because it allowed to detect non diagnosed cases up to that moment

A spectrum of hidden morbidities among spousal caregivers for patients with cancer, and differences between the genders: a review of the literature.

OBJECTIVE: To explore the spectrum of hidden morbidities and gender differences in the spousal caregiving experience with regard to cancer patients across the cancer trajectory, and to discuss directions for future research and the implications for interventions to improve the caregiving experience. METHODS: A systematic search was conducted to identity articles published in English or Chinese from January 2000 to July 2012. Studies were located using an electronic search, a manual search, and an author search. RESULTS: A total of 19 articles were identified and included in this review. This review of the literature revealed that female spousal caregivers, in general, experienced more mental morbidity (higher levels of distress, depression, and anxiety, lower levels of mental health), physical morbidity (lower physical health scores, poorer physical functioning, and loss of physical strength), and social morbidity (lower marital satisfaction and less social support) than male spousal caregivers. CONCLUSIONS: This review of the literature revealed that spousal caregivers, particularly female spousal caregivers for cancer patients, are at a high risk of falling victim to a wide spectrum of hidden morbidities due to their caregiving experience. The cultural influences on the couples and their patterns of communication that influence the caregiving experience for cancer patients should be further explored. A tailored-made intervention for spousal caregivers, both males and females, in the context of cancer care should be developed to cater to the needs of this population, which suffers from a spectrum of hidden morbidities.