A case at the "Ramón Guevara Montano" Stomatology Clinic in Baracoa, Guantánamo province, with diagnosis of hyperplastic pulpitis at the second upper right premolar (tooth 15) was presented. The diagnosis was made following the principles of the clinical method and support of diagnostic aids. Biopulpectomywas performed and the patient progress was satisfactory being respected the basic principles of endodontics: diagnosis, biomechanical instrumentation and closed of the canal or root in length and width.

Introduction: The World Health Organization, through the active aging document, presented a political framework, which offered a new paradigm in the promotion of a satisfactory aging in the key of life. Aging and development must be understood as simultaneous and permanent processes throughout life. Objective: to offer an emerging epistemological conception of gender equity that contributes to dismantling the androcentric vision since the aging of women in the Cuban revolutionary context. Method: a critical theoretical study of androcentrism was carried out, since the aging of women, an emergent epistemological conception of gender equity was constructed that allowed us to focus on new points of view. Results: studies with a gender approach allow us to explain the origin and the forms that androcentrism adopts especially; they have contributed to the criticism of relativism that places this type of practices in terms of cultural variability, allowing to justify discrimination. Conclusions: The studies of aging are not carried out with a gender perspective, this situation makes women invisible, fundamentally in their aging and their lives mark the effects of the social androcentric vision.

Introduction: when vision is diminished or absent it causes disabilities for children and slow learning. Objective: to determine the ocular affections of pediatric patients in Neurophthalmology consultation at the ophthalmological Hospital Amistad-Algeria-Cuba, El Oued, from January to June 2016. Method: an observational and descriptive study was carried out; also the universe was constituted by 825 children. The variables were studied: age, sex, ophthalmological diagnosis and type of treatment received by children. Results: 65.5% of patients were males; the most represented age was between 11-14 years for 48.5%. Refractive amblyopia and strabismus were the most frequent ophthalmological affections, in 60.6 and 15.8% of cases respectively. Conclusions: the work of the neurophthalmologist and his health team contributes to the treatment of amblyopia receiving most of the children optical correction in consultation.

Introduction: the registration of maternal patient care is a social requirement. Objective: to specify mortality and maternal morbidity in the intensive care unit of the Hospital "Dr. Agostinho Neto"since 2015 to 2017. Method: an observational, prospective and longitudinal study was conducted of the maternal patients admitted to the unit based on socio demographic, biological variables and obstetric management. Results: the average age of the group of patients was 23.4 ± 5.8 years; with medical record of arterial hypertension (13.2%), 35.3% of the patients were ventilated artificially, 54.1% were admitted due to some obstetric diseases and 45.9% due to a non-obstetric disease, respectively the most frequent were eclampsia - severe pre-eclampsia (19.3%) and bacterial pneumonia (8.7%). In 72.2%, criteria of severe maternal morbidity were identified. Four patients died (2.5%). Conclusions: in the unit, maternal mortality is low, but the morbidity is remarkable.

Introduction: Computing in society is a necessity for the development of a nation. Cuba is not far in this aspect, it is carried out at all levels with the intention of putting Information and Communication Technologies at the service of the economic and social development of the country, where health is one of the essential pillars. Objective: develop a web application to manage information on patients with disabilities. Method: the XP software as methodology was used for its implementation, such as programming languages Python 2.7, HTML, CCS, and JavaScript; as an Apache 2.0 web application server, SQLite 3.3 as a database manager and Django 1.9 as a framework. Results: the computer proposal uses all the information of the patients and the programming of their consultations. Shows a report of the number of registered according to their disabilities; as well as monthly and quarterly reports on official models that can be exported to Excel. Conclusions: the registration and processing of information is improved quickly, with greater consistency, security; which raises the level of efficiency from the organizational, control and analytical point of view.

Introduction:community-acquired pneumonia (CAP) is one of the most frequent infections in the world; its incidence is variable and is related to age, presence of concomitant diseases and some specific risk factors such as: smoking and alcohol abuse. Objective: to identify the microorganisms that cause pneumonia acquired in the community from the expectorated sputum sample. Method: a descriptive and cross-sectional study was carried out from January to June 2016. The studied universe was compound by 88 patients, who also constituted the sample, with clinical and radiological diagnosis of pneumonia acquired in the community by the family doctor. Laboratory procedures were applied described in literature and were recognized internationally. Results: 72 (81.8%) sputum samples were identified, of which 56 (77.7%) samples are positive for bacterial culture. Pseudomonas eruginosa, Staphylococcus aureus and Streptococcus pneumonia were more found than Moraxella catarrhalis, Haemophilus influenzae, Achromobacter and Aspergillus spp. Conclusions: Klebsiellap pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus, Streptococcus pneumoniae, Moraxella catarrhalis, Haemophilus influezae and Achromobactersp are identified as microorganisms that produce pneumonia in the community, showing marked resistance to various antimicrobials.

Introduction: The World Health Organization, through the active aging document, presented a political framework, which offered a new paradigm in the promotion of a satisfactory aging in the key of life. Aging and development must be understood as simultaneous and permanent processes throughout life. Objective: to offer an emerging epistemological conception of gender equity that contributes to dismantling the androcentric vision since the aging of women in the Cuban revolutionary context. Method: a critical theoretical study of androcentrism was carried out, since the aging of women, an emergent epistemological conception of gender equity was constructed that allowed us to focus on new points of view. Results: studies with a gender approach allow us to explain the origin and the forms that androcentrism adopts especially; they have contributed to the criticism of relativism that places this type of practices in terms of cultural variability, allowing to justify discrimination. Conclusions: The studies of aging are not carried out with a gender perspective, this situation makes women invisible, fundamentally in their aging and their lives mark the effects of the social androcentric vision.

Introduction: the disabled patient is a prioritized group in Cuban dental care since his or her oral health is influenced by several factors. Objective: to determine risk factors, oral diseases, as well as the need for stomatological treatment of disabled patients according to the diagnostic category of the Special School "Luis Ramirez Lopez". Method: a cross-sectional and descriptive study was conducted in the period 2016-2017. The universe was constituted by the 72 students enrolled in the school. Results: the diagnosed category that prevailed was mild mental retardation with 79.2%. 55.6% of the studied population presented adequate oral hygiene, with mild mental retardation being the most representative category. 62.5% of children had dental caries, 60.0% periodontal disease and 33.3% malocclusion. Of the population, 62.5% required conservative treatment, 33.3 orthodontic treatments and 9.7 periodontal treatments. Conclusions: children with mild Mental retardation predominated with adequate oral hygiene, dental caries also conditioning a high need for conservative treatment.

Introduction: intrahospital infections are complications in which several risk factors are combined, which can be susceptible to prevention and control. Objective: to characterize the infections associated with health care at Santiago de Jinotepe Regional Hospital in Carazo, Nicaragua during the period January to December 2016. Method: a descriptive cross-sectional study was carried out. The universe was constituted by the 153 infections reported in this hospital. The variables studied were age group, sex, hospitalization service and type of infection. The results were organized in frequency tables, the variables were expressed in numbers and percentages. Results: the infection rate was 1.02 per 100 discharges. The female patients reported the highest number of infections with 115 (75%), the ages of greatest incidence were those included in the groups 15-30 years and 31-45 years with 66 (43%) and 30 (20%) respectively. 77.1% of the infections were identified in the surgical services. According to type of infection, sepsis of surgical wounds with 76 cases (50%) followed by septic episiorrhaphies with 35 and the 23% occupied the top. Conclusions: the infection rate is lower than the world average. Three quarters of the affected patients were women. Surgical services exhibited the highest number of septic cases and infections of surgical wounds were the most frequent.

Introduction: Nursing professionals must have a training that guarantees quality assurance of the challenges imposed by the complexity of the critical patient. Objective: to validate a book of good nursing practices in intensive care for patient safety. Method: methodological triangulation by criteria of 20 experts by the Delphi method and pre-experiment with entrance and exit test in the Intensive Care Unit of the General Teaching Hospital "Octavio de la Concepcion y de la Pedraja" of Baracoa, Guantanamo, since 2016 to 2017. Results: the general consensus of the experts was "very much in agreement" for the foundations that support patient safety in good nursing practices in the ICU and the quality of the proposed book. The qualifications of the nursing procedures of the exit test, corresponding to the pre-experiment, were significantly higher than the entrance tests. Conclusions: the book of good nursing practices in the ICU for patient safety is accepted as valid and feasible.

Introduction: sublingual immunotherapy makes its way into allergological practice and numerous studies confirm its effectiveness and safety. Objective: to characterize the results with the use of Valergen sublingual vaccines in asthmatic patients of Cabaiguan municipality. Method: a descriptive-prospective investigation was conducted from January 2013 to December 2016 in patients diagnosed with intermittent bronchial asthma, persistent, slow and moderate. The universe was constituted by 467 patients. The sample was of 44 patients, of all ages and sexes, who met these conditions, were seen in consultation during the studied period and evaluated each patient after three years of treatment with immunotherapy. The data were obtained from the clinical records and the vaccination record of the allergy department. Results: female patients between 5-14 years (34.1%), and Dermatophagoide pteronyssinus was the mite with the highest sensitivity and use (45.4%), after 3 years of treatment, patients with a better control of their symptoms (72.7%), there were no adverse events (79.5%) in the patients, those presented were classified as local and mild systemic (20.5%). Conclusions: sublingual immunotherapy for bronchial asthma proved to be safe and clinically favorable in the patients.

Introduction: vaginal infections affect women of all ages, who have mostly presented the disease at some point in their lives; no differences are related to race or ethnic origin. Objective: to design an educational intervention that increase the level of knowledge about vaginal infection in pregnant women of the medical office "El Gremio No. 1", Baracoa, Guantanamo, from October 2015 to May 2017. Method: it was carried out a pre-experimental study of educational intervention in an intentional non-probabilistic sample of 16 pregnant women. The study was carried out in three stages: diagnostic stage, intervention stage and evaluation stage. The primary data was obtained from the survey applied before and after the intervention. The results were presented in contingency tables and the summary measure the percentage. The variation percentage was used to measure the effectiveness of the intervention. Results: before the intervention, there was evident knowledge about the types of vaginal infection, risk factors and methods of prevention of vaginal infection in pregnancy and application of the technique of cleanliness and the use of boiled water. The study permited to increase the level of knowledge about the infection after the intervention. Conclusions: the level of knowledge was increased, an aspect that demonstrates the effectiveness of the intervention proposal.

A male patient of 68 years was presented who consulted Dermatology to present vegetating and cauliflower lesions in the left inguinal, pubic and perineal region, 10 years of evolution and never treated. Tumor of Buschke-Löwensteinor giant condyloma is a benign epithelial tumor is caused by the human papillomavirus, sexually transmitted and in rare cases can become it in malignant. Surgical excision and histopathological examination of the inguinal lesion was done, the remaining lesions were removed with trichloroacetic acid, topical treatment, achieving complete regression thereof and administered levamisole and systemic immunomodulator. The postoperative course was satisfactory.

Introduction: the actions were carried out at the Faculty of Health Technology requiring an evaluation of the management of science and technological innovation in order to achieve better results. Objective: to design a model for evaluating the management of Science and Technological Innovation, which promotes the unification of criteria in integrated development in the Faculty of Health Technology Method: theoretical-level methods were used such as : Analytical-synthetic, historical-logical, structural-functional, inductive-deductive and modeling Results: a model for evaluating the management of science and technological innovation was defined for this faculty, which was structured by the following components: I. Epistemological framework; II. Objective; III. Social context in which the system is inserted; IV. Graphic representation; V. Forms of instrumentation; VI. Evaluation. Conclusions: the implementation of the model designed and its evaluation by specialists enabled the demonstration of its viability to solve the problems that limited the management of science and technological innovation.

The case of a neonate in Regional Hospital Suddie of Guyana with neck tumor, was presented and diagnosed as cystic lymphangioma, rare malformation and whose diagnosis is made early in pregnancy by prenatal ultrasound evaluation of the region of the neck of the fetus. Excessive expansion or increased translucency in the hindhead may be related to a cystic lymphangioma. Congenital malformations are structural defects present at birth caused by a prenatal disorder during morphogenesis. Prenatal ultrasound performed in the first and second trimester of pregnancy by trained personnel is an average economic diagnosis and non-invasive allowing early diagnosis and taking behavior early in resource-poor countries.

A case was presented in the Department of Urology of "Guido Valadares" National Hospital in East Timor, diagnosed with complete retention of urine, post renal, obstructive and acute renal failure, bilateral hydronephrosis and urethral stricture and hypospadias, in order to demonstrate the use of prepucial mucosa for hypospadias that concomitan with urethral stricture. The surgical treatment consisted urethroplasty with preputial mucosa. Total reconstruction of the affected urethra was done with good aesthetic and functional outcomes. The use of oral mucosa was very useful in patient management.

Introduction: acute intestinal failure can cause mortalityin critically patients. Objective:provide the health professionals essential theoretical foundations that support their selfpreparationfor the prevention, diagnosis and treatment of acute intestinal failure. Method: a literature review was done at the Faculty of Medical Sciences of Guantanamo, between January and July 2018, with a theoretical systematization on the subject. 45 articles found 145 that were published between 2010 and 2018 in electronic databases that were studied. Results: a case-study on the acute intestinal failure was developed which contained the following kernel of knowledges: definition, pathophysiology, etiology, diagnosis and treatment: Conclusions: it is unavoidable enabling professionals to prevention and early diagnosis of acute intestinal failure because it is determinedsepsis, multiple organ failure and mortality on critically ill patients.

Introduction: in Cuba attention to oral health is prioritized, which is determined by various factors, including incidence of periodontal disease that now a day is recognized as a health problem, it damages the individual as well as biopsicosocial well-being. Objective: stomatologists provide the theoretical bases that allow them to enrich their preparation on the subject periodontal disease thus improve their contribution to prevent primary care level to oral health. Method: the references related to periodontal disease in the Faculty of Medical Sciences of Guantanamo are systematized, from January to July 2017. Results: first stage of periodontal disease is known as gingivitis. Periodontal disease affects 20% of the world population. The gingiva care to prevent periodontal disease requires the individual to appropriate the essential knowledges that will enable this purpose, so that they are able to perceive the risk of it and contribute to actions with the aim of protecting periodontal health. Conclusions: theoretical basis for understanding the need to develop in patients offer culture of gingival care by a periodontal health. The value of stomatology, family, school, community media and reiterated responsible for education as social agents of the population depending on periodontal health promotion and prevention of periodontal diseases.