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Search Results: 1 - 10 of 192601 matches for " Georgia Díaz-Perera "
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Punto de corte de la circunferencia de la cintura para el diagnóstico del Síndrome metabólico
Pérez León,Sandra; Díaz-Perera Fernández,Georgia;
Revista Habanera de Ciencias M??dicas , 2012,
Abstract: circumference is a useful tool in primary care units it doesn't exist a cuban cut-off point of waist circumference to diagnose the metabolic syndrome. objective:to establish a cut-off point level of waist circumference for the diagnosis of the metabolic syndrome by making a study at camilo cienfuegos community in havana city. methods:it was made a cross sectional study in 116 adults at camilo cienfuegos community in 2009. waist circumference was measured taking into consideration the adult treatment panel criteria (atp iii).roc curve was obtained by using spss system plotting the values of waist circumference related to metabolic syndrome. results:they were established 89,5 cm and 93 cm as cut-off points of waist circumference to diagnose metabolic syndrome in women and men respectively. conclusions:the established cut-off point level of waist circumference in women to diagnose the metabolic syndrome is similar to the one proposed by the atp iii criteria.
Enfoque de la desigualdad social en periodo de crisis: experiencia cubana
Díaz-Perera Fernández,Georgia; Alema?y Pérez,Eduardo;
Revista Habanera de Ciencias M??dicas , 2011,
Abstract: the design of a social strategy under the principles of equity and justice is embedded in the cuban revolutionary transformations. a core component of this strategy deeply rooted in the cardinal principles of no exclusion and universal equality of rights, was a policy to cope with poverty and disparities, . starting from the years 1989-90, after the collapse of the soviet union, cuba was exposed to the effects of the severe economic crisis known as "special period". in these critical circumstances the country was forced to develop a process of adjustments and economic transformations, without abandoning the planned regulation of the economy, or the social control of the society over the course of the socialist development. signs of social stratifications emerged that led to an abrupt and quick process of expansion of the socioeconomic inequalities.
CARACTERIZACION DE LA SALUD FAMILIAR EN UN CONSULTORIO MEDICO: PLAZA DE LA REVOLUCION. 2006
García Carmenate,Mayra; Díaz-Perera Fernández,Georgia;
Revista Habanera de Ciencias M??dicas , 2008,
Abstract: the family is the environment were it is initially established the behavior and decisions in health matters, being the first supporting net that the individuals have for all their lives. a descriptive transversal study was done with the families that belonged to the outpatient clinic no. 22 with the aim to characterize them and determine their functionality. 127 families were studied out of the 152 that were our universe. the data were processed in excel and the spss data base. we found a high proportion of nuclear families, medium ones and those in contraction phase, according to the variables applied for the familiar characterization. the main difficulties of the families were those related with the non accomplishment of the economic and educative functions, given by their medications acquirement and their unemployment, as well as, having in consideration the factors that influence the material conditions of their lives, families had difficulties because of the cram index and the satisfaction with income, predominating those mildly satisfied and unsatisfied ones. all of which has a repercussion in family function.
Circunferencia de la cintura en adultos, indicador de riesgo de aterosclerosis
Pérez León,Sandra; Díaz-Perera Fernández,Georgia;
Revista Habanera de Ciencias M??dicas , 2011,
Abstract: introduction: the circumference of the high waist has been associated to a bigger cardio metabolic risk. this anthropometric measure is frequently used in the diagnosis of the metabolic syndrome and it is a substituted marker of abdominal obesity. material and methods: it was made a descriptive study of cross sectional cut in 116 adults patients from consulting room 5 in camilo cienfuegos polyclinic in 2010 to determine the abdominal fat accumulation degree and its association to other risk factors and the consequent diseases of atherosclerosis. results: the average abdominal circumference obtained was 92 cm in women and 91.5 cm in men. the waist circumference was associated to triglycerides with pearson 0,44 and 0,52(p< 0,01). the main risk factors identified were obesity, hypertriglyceridemia and hypertension. conclusion: persons who had a bigger circumference of waist presented higher levels of triglycerides, glycaemia and high blood pressure.
Patrones de concentración social de factores de riesgo aterosclerótico y enfermedades del corazón en La Habana Patterns of social concentration of atherosclerosis and heart disease risk factors in La Habana province
Jorge Bacallao Gallestey,Georgia Díaz-Perera Fernández,Eduardo Alema?y Pérez
Revista Cubana de Salud Pública , 2012,
Abstract: Objetivos: identificar factores de concentración social en la carga de morbilidad por hipertensión, diabetes tipo 2, hábito de fumar y enfermedades del corazón, y su descomponibilidad con respecto al contexto; confirmar la existencia de dimensiones no explícitas en relación con las cuales hay diferencias que se manifiestan en los factores de riesgo y en las enfermedades consecuentes de la aterosclerosis. Métodos: se realizó un estudio transversal en 840 familias pertenecientes a 12 consultorios del médico y la enfermera de la familia. Se utilizaron indicadores objetivos de la condición socioeconómica y un indicador subjetivo basado en la percepción individual. A escala de la vivienda se calcularon densidades de morbilidad. Resultados: la desigualdad es principalmente dentro de las poblaciones atendidas por los consultorios y no entre ellos. La concentración de la carga de morbilidad es baja con respecto a indicadores objetivos y ligeramente alta con respecto a un indicador subjetivo de la condición socioeconómica. Conclusiones: hay bajos niveles de covariación entre la dimensión socioeconómica y la dimensión salud. Se identifica una subpoblación con cargas elevadas de morbilidad, que presenta también una configuración singular de los indicadores socioeconómicos. Objectives: to identify social concentration factors in the burden of morbidity for hypertension, type II diabetes, smoking and heart diseases, and their contextual decomposability; and to confirm the existence of latent dimensions across which there are differences in the distribution of risk factors and atherosclerosis-related diseases. Methods: a cross-sectional study was conducted in 840 families from 12 family doctor's offices. Some objective indicators of the socioeconomic condition as well as one subjective indicator based on self-assessed economic situation were used. At the household level, several indicators of morbidity density were also measured. Results: total inequality mainly occurs within the populations cared for by the family doctor's offices and not among them. The concentration of the morbidity burden is low with respect to objective indicators, and slightly high with respect to the subjective indicator based on self-assessed economic condition. Conclusions: the levels of co-variation between the socioeconomic and the health dimensions are low. A population segment with high levels of morbidity and singular configuration of the socioeconomic indicators was identified.
Relación entre la dimensión socioeconómica y la dimensión salud en familias cubanas Relationship between the socio-economic dimension and the health dimension in Cuban families
Georgia Díaz-Perera Fernández,Jorge Bacallao Gallestey,Eduardo Alema?y Pérez
Revista Cubana de Salud Pública , 2012,
Abstract: Objetivos: evaluar la magnitud de la relación entre la dimensión socioeconómica y la dimensión salud en familias pertenecientes a diferentes consultorios del médico y la enfermera de la familia. Métodos: se realizó un estudio transversal en 840 familias pertenecientes a 12 consultorios pertenecientes a siete áreas de salud en La Habana. L a dimensión socioeconómica estuvo representada por condiciones de la vivienda y de la familia, y la de salud por las densidades de hipertensión, diabetes y hábito de fumar. Resultados: no existió asociación entre el nivel de escolaridad y la densidad de diabéticos y fumadores, solo en relación con la hipertensión se apreció algún indicio de asociación lineal con la escolaridad, no hubo indicios de asociación entre las variables de salud y la posesión de equipos de primera y segunda necesidad en la vivienda. Los tres factores de riesgo exhibieron claras tendencias en relación con la percepción de la situación económica. Entre los que aprecian que su condición económica es mala o muy mala, hay densidades altas de las tres entidades, las desigualdades socioeconómicas no se asociaron con la densidad de los factores de riesgo. Conclusiones: la relación entre las desigualdades socioeconómicas y la situación de salud en Cuba es baja. Objectives: to evaluate the relationship of the socioeconomic dimension and the health dimension in Cuban families cared for by several family physician's offices. Methods: a cross-sectional study of 840 families from 12 family physician's offices located in seven health areas of Havana was conducted. The socioeconomic dimension was represented by the conditions of the house and of the family, and the health dimension was represented by the hypertension, diabetes and smoking densities. Results: there was no relation between schooling and the density of diabetics and smokers; just hypertension was observed to have some linear relation with schooling. No signs of association between the variables health and the ownership of first and secondary need appliances at home. The three risk factors exhibited clear tendencies in terms of the perception of economic situation. There exist high densities of the three factors among those who considered their economic conditions as bad or very bad; the socio-economic inequalities had no relation with the density of risk factors. Conclusions: there is low association between socio-economic inequalities and health situation in Cuba.
Family medicine in Cuba
Eduardo Alema?y Pérez,Georgia Díaz-Perera Fernández
Medwave , 2013, DOI: http://dx.doi.org/10.5867/medwave.2013.03.5634
Abstract: Over the past 50 years, the Cuban health system has been developing a roster of programs to ensure its social mission: to achieve a health status of the population consistent with the priority established by the highest authorities of the country. In response to the call of the Commander in Chief, Fidel Castro Ruz, to create a different doctor and a new specialist that would take into account the needs of the Cuban population; the family doctor model was implemented. Thus, in the decade of the eighties, the “Family Doctor and Nurse Working Program” was established, together with the corresponding polyclinic and hospital. At the same time, comprehensive general medicine as a medical specialty was created to serve the primary health care services. Both actions constituted a vital component in the development of Cuban public health services in recent decades. This article presents an account of the unique characteristics of these processes, while highlighting their impact on health indicators, as well as the participation of this specialty in the training of human resources for the health system.
Circunferencia de la cintura en adultos, indicador de riesgo de aterosclerosis Waist circumference in adults, a risk indicator factor of atherosclerosis
Sandra Pérez León,Georgia Díaz-Perera Fernández
Revista Habanera de Ciencias M??dicas , 2011,
Abstract: Introducción: La circunferencia de la cintura elevada se ha asociado a un mayor riesgo cardiometabólico. Esta medida antropométrica se usa con frecuencia en el diagnóstico del síndrome metabólico y como marcador sustituto de la obesidad abdominal. Material y métodos: Se realizó un estudio descriptivo de corte transversal, para determinar el grado de acumulación de grasa abdominal y su asociación a otros factores de riesgo y enfermedades consecuentes de la aterosclerosis, en 116 pacientes adultos del Consultorio núm. 5 del Policlínico Camilo Cienfuegos, en el 2010. Resultados: La circunferencia abdominal media obtenida fue 92 cm en la mujer y 91,5 cm en el hombre. La circunferencia de la cintura se asoció a los triglicéridos con Pearson 0,44 y 0,52 (p<0.01). Los principales factores de riesgo identificados fueron la obesidad, la hipertrigliceridemia y la hipertensión arterial. Conclusiones: Los individuos con mayor circunferencia de la cintura presentaron mayores niveles de triglicéridos, glicemia y tensión arterial sistólica. Introduction: The circumference of the high waist has been associated to a bigger cardio metabolic risk. This anthropometric measure is frequently used in the diagnosis of the metabolic syndrome and it is a substituted marker of abdominal obesity. Material and methods: It was made a descriptive study of cross sectional cut in 116 adults patients from consulting room 5 in Camilo Cienfuegos polyclinic in 2010 to determine the abdominal fat accumulation degree and its association to other risk factors and the consequent diseases of atherosclerosis. Results: The average abdominal circumference obtained was 92 cm in women and 91.5 cm in men. The waist circumference was associated to Triglycerides with Pearson 0,44 and 0,52(P< 0,01). The main risk factors identified were obesity, hypertriglyceridemia and hypertension. Conclusion: Persons who had a bigger circumference of waist presented higher levels of triglycerides, glycaemia and high blood pressure.
CARACTERIZACION DE LA SALUD FAMILIAR EN UN CONSULTORIO MEDICO: PLAZA DE LA REVOLUCION. 2006 Characterization of family health in an outpatient clinic: Plaza de la Revolución. 2006
Mayra García Carmenate,Georgia Díaz-Perera Fernández
Revista Habanera de Ciencias M??dicas , 2008,
Abstract: La familia es el entorno donde inicialmente se establecen el comportamiento y las decisiones en materia de salud, constituyendo la primera red de apoyo que posee el individuo durante toda su vida. Se realizó un estudio descriptivo transversal con las familias pertenecientes al Consultorio Núm. 22 con el objetivo de caracterizar las mismas y determinar su funcionalidad. Fueron estudiadas 127 familias de las 152 que componen nuestro universo. Los datos fueron recogidos en una base de datos creada en Microsoft Excel y procesados con el sistema SPSS. Encontramos en nuestro estudio un predominio de las familias nucleares, las medianas y aquellas en etapa de contracción según las variables aplicadas para la caracterización familiar. Las principales dificultades en el cumplimiento de las funciones básicas de las familias estuvieron relacionadas con incumplimiento de las funciones económicas y educativas, dado por la adquisición de medicamentos y la desvinculación laboral, así como, teniendo en cuenta los factores que influyen en las condiciones materiales de vida, las familias presentaron mayores dificultades en la presencia de hacinamiento y en la satisfacción con los ingresos predominando las medianamente satisfechas y las insatisfechas todo lo cual repercute en el funcionamiento familiar. The family is the environment were it is initially established the behavior and decisions in health matters, being the first supporting net that the individuals have for all their lives. A descriptive transversal study was done with the families that belonged to the outpatient clinic No. 22 with the aim to characterize them and determine their functionality. 127 families were studied out of the 152 that were our universe. The data were processed in Excel and the SPSS data base. We found a high proportion of nuclear families, medium ones and those in contraction phase, according to the variables applied for the familiar characterization. The main difficulties of the families were those related with the non accomplishment of the economic and educative functions, given by their medications acquirement and their unemployment, as well as, having in consideration the factors that influence the material conditions of their lives, families had difficulties because of the cram index and the satisfaction with income, predominating those mildly satisfied and unsatisfied ones. All of which has a repercussion in family function.
Enfoque de la desigualdad social en periodo de crisis: experiencia cubana Focus of social inequality in crisis periods: cuban experience
Georgia Díaz-Perera Fernández,Eduardo Alema?y Pérez
Revista Habanera de Ciencias M??dicas , 2011,
Abstract: El dise o de una estrategia social bajo los principios de equidad y justicia es consustancial a las transformaciones revolucionarias en Cuba. Esta estrategia implicó una política de enfrentamiento a la pobreza y a las desigualdades, sustentada, a su vez, en los principios cardinales de la no exclusión y la igualdad de derechos. A partir de los a os 1989-90, tras el derrumbe de la Unión Soviética, Cuba sufrió la severa crisis económica conocida como "período especial". En estas críticas circunstancias, el país se vio en la necesidad de iniciar un proceso de ajustes y transformaciones económicas, sin abandonar la regulación planificada de la economía, ni el control social sobre el curso del desarrollo socialista. Se produjeron manifestaciones de reestratificación social que llevaron a un brusco y acelerado proceso de ensanchamiento de las desigualdades socioeconómicas. The design of a social strategy under the principles of equity and justice is embedded in the Cuban revolutionary transformations. A core component of this strategy deeply rooted in the cardinal principles of no exclusion and universal equality of rights, was a policy to cope with poverty and disparities, . Starting from the years 1989-90, after the collapse of the Soviet Union, Cuba was exposed to the effects of the severe economic crisis known as "special period". In these critical circumstances the country was forced to develop a process of adjustments and economic transformations, without abandoning the planned regulation of the economy, or the social control of the society over the course of the socialist development. Signs of social stratifications emerged that led to an abrupt and quick process of expansion of the socioeconomic inequalities.
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