Algunas recomendaciones para atletas jóvenes corredores de 400 metros planos con problemas en el sistema cardiovascular.

La carrera de 400 metros en todas las pruebas de atletismo ha sido durante mucho tiempo un punto de atracción debido a las características biológicas que se llevan a cabo en este deporte. Esto, a su vez, ha generado mucho interés por parte de los entrenadores que buscan diversos recursos para conocer los factores limitantes del rendimiento, así como las características cardiovasculares más importantes de esta disciplina. Con el objetivo de: Describir los efectos de las sobrecargas de entrenamiento en jóvenes corredores de poca profundidad de 400 m. Se desarrolló un breve resumen de la literatura disponible sobre las características del corazón del atleta joven. Las revisiones se realizaron en las bases de datos de Web of Science, Pubmed, EBSCO y Sports Discus hasta el 15 de diciembre de 2020. No se establecieron restricciones en el idioma de búsqueda. Los términos utilizados para la búsqueda fueron: Cardiolo* o Cardiovas* y Atletas Jóvenes. Los criterios de inclusión considerados fueron: (i) Definiciones, (ii) hallazgos importantes, (iii) factores influyentes, (iv) estudios empíricos y (v) población entre 10 y 15 años. Como resultado, se obtienen recomendaciones para jóvenes corredores de 400 metros con problemas del sistema cardiovascular.

Gabriela Alexandra Villalba Garzón, Soledad Ríos Tapia, Vladimir Quizhpe Luzuriaga, Luis Rafael Valverde Jumbo

40-53

Fibrodysplasia Ossificans Progressiva: Case report.

Introduction: Fibrodysplasia Ossificans Progressiva is a rare, severely disabling autosomal dominant disease. In most patients it is due to a new mutation in previously unaffected families. It is characterized by progressive heterotopic ossification of connective tissue, aponeurosis, fascia, ligaments, tendons, and skeletal muscle. Early diagnosis improves the prognosis and quality of life despite the fact that there is no definitive treatment, so the objective is to show the results of a patient admitted and studied with the diagnosis of Fibrodysplasia Ossificans Progressiva. Methodology A descriptive, cross-sectional study is carried out, where The results obtained through the study of a patient with a diagnosis of Fibrodysplasia Ossificans Progressiva are shown at the Elíseo Noel Camaño Provincial Pediatric Hospital of the Province of Matanzas in the period of November 2019. Results: The evolution and results obtained in the study are shown performed on a 4-year-old patient where the diagnosis of a rare disease called Fibrodysplasia Ossificans Progressiva. Conclusions: a more serious cause of heterotopic ossification in skeletal muscles, fasciae, tendons and ligaments without effective treatment and that evolves by pushing.

Pavel Amigo Castañeda, Maylin Rodríguez Díaz, Caridad María Castañeda Gueimonde, Pavel Alejandro Amigo Rodríguez

78-87

Doctors and pharmaceutical biochemists in personalized health care with the magistral formulation.

Introduction. The shortage of drugs, the prescription of expensive brand name drugs and the underutilization of the Pharmaceutical Biochemist's knowledge to formulate personalized drugs, reduce quality and health coverage. Objective. To learn the management given to magisterial formulations (MF) by Pharmaceutical Physicians and Biochemists (BQFs). Methodology. Descriptive, cross-sectional study, carried out in Riobamba in May and June 2018 with 101 doctors and 20 BQFs. Variables: knowledge, opinion, intention and application of the MF. Descriptive statistics, Ch2 and Likert scale analysis were obtained. Results. At α = 0.05, there is no association between types of doctors and study variables. Knowledge: 75% of doctors insufficient and regular, and 25% acceptable and excellent; 54% BQF insufficient and fair, and 46% acceptable and excellent. Opinion: For doctors, 45.29% personalization, low costs, dose flexibility and that they cover the shortage of medicines are not advantages, for 54.7% yes; disadvantages: lack of production premises, obsolete, without sanitary registration, and they are not applicable to all specialties, for 47% they are not disadvantages, for 53% they are; BQFs agree more with the advantages and less with the disadvantages. Application: 59.3% doctors prescribe very little. The BQFs: 45% elaborate very little, 80% indicate that they are prepared to elaborate them and 100% consider them a job opportunity; meanwhile, for 43% of doctors there are no professionals who prepare MF. Intention: 81.7% doctors and 97.5% BQFs wish to expand their knowledge and attend updating programs. Conclusion. Doctors prescribe very little, have little knowledge to do so, and are unaware of quality control and the variety of magisterial formulas. Most of the BQFs do not prepare them and have a lack of knowledge, especially about pharmacopoeias and legislation. Most of the patients never ask for magistral formulas.

Nelly Ivonne Guananga Diaz, Valeria Isabel Rodríguez Vinueza, Verónica Mercedes Cando Brito, Junior Alfredo Escobar Torres

99-121

The age and recovery capacity of health personnel who care for patients with Covid-19. Case of the city of Ambato.

Introduction. Introduction. The COVID-19 pandemic can generate stressful events and an aggressive work environment that can influence the ability to successfully adapt to adversity or resilience of hospital health personnel who care for coronavirus patients on the front line. Objective. The psychometric properties in the health personnel of the hospitals of the city of Ambato who work directly with patients infected by COVID-19 were evaluated using the Connor-Davidson resilience scale (CD-RISC) at different ages. Methodology. The level of: Strength, Optimism, Objectives and Resources was determined by applying a digital questionnaire of 22 questions on a scale of 5 levels of affectation: a) very low, b) low, c) medium, d) high and e) very high a sample of 70 health workers using the CD-RISC method. Finally, the incidence of age in the final value of the resilience scale by gender was verified. Results. It was determined that the highest resilience level value is for female health personnel with a value of 632 at the age of 32, on the other hand, the highest resilience level was found for the male gender with a value from 327 to an age of 26. Likewise, the highest levels of Strength, Optimism, Objectives and Resources were determined with values ​​of: 225, 223, 186 and 217 respectively at 32 years of age. Conclusion. The highest level of resilience for health personnel in the city of Ambato is found in the female population at the age of 32, surpassing male personnel by 51.57%.

Paulina del Roció Gordón Villalba, Manolo Alexander Córdova Suárez, Edison Patricio Villacres Cevallos, Enrique Mauricio Barreno Avila

122-131

Coping with academic stress in students of Medical Sciences.

Introduction: the term stress, one of the most currently used by different health professionals, was introduced in 1926 by the Canadian doctor Hans Selye, who defined it as the body's general response to any stressor stimulus. Stress is one of the problems that most affects the physical and mental health of students, particularly in the Medicine career, where the study is characterized by a constant and growing academic demand that demands adaptation efforts from the student. Objective: to assess the stress coping strategies that can be used by students of Medical Sciences. Method: a bibliographic review was carried out, using the resources available in the Infomed network, among which we can mention: SciELO and Ebesco, through the databases: Medline, Academic Search Premier and Medic Latina. Searches were conducted in English and Spanish. The Google Scholar search engine was used. The quality, reliability and methodological validity of the selected articles were analyzed to carry out an adequate review and current trends in the subject were assessed. Results: task overload, the type of work required, evaluations and exams are considered the main stressors in students, probably due to the decrease in time to carry out other activities of a family and social nature. There are various ways of coping with stress in Medical Sciences students, among them the following stand out: setting goals and priorities, managing time well, having an optimistic attitude and being systematic in studying. In addition to the Jacobson's progressive muscle relaxation method.

Liana Borges Sierra, Jorge César Cairo Martínez, María Magdalena Pedroso González, Luis Efraín Velastegui López

170-180

The equine therapy like a therapeutic alternative directed to the treatment of the infantile disability and their impact in the process of Rehabilitation

The equine therapy is a treatment form for people with diverse pathological processes that it uses as therapeutic element the patient's relationship affected with the horse, so much in it mounts it as in the care of the animal, and that it takes advantage of the movement multidimensional of the horse with a therapeutic sense. The therapeutic sense of the activity comes given by the form in that the professional uses the horse, for the individuality of the actions that develops in relation to each patient's specific characteristics and the evolutionary moment in that she is. The main objective is that they can have an experience gratificante and positive that helps them to improve its quality of life and its personal well-being.  It is unfavorable on the other hand that a great part of the professionals of the health and the special education ignore the foundations of this therapeutic modality that it could be a complementary alternative element of value to the activities that daily the children disability develop. At the present time many institutions in charge of promoting the infantile rehabilitation don't include the equine therapy inside their recommendations.  This activity of social interest has been little studied from the angle of its therapeutic value what outlines a Problem to the Science and the Technology for its importance for Cuba, an underdeveloped country that he/she has been able to introduce novel technologies in the environment of the health in spite of the provoked lack of resources for more than 61 years of blockade.  

José Díaz Valdés, Eugenio Rodolfo González Pérez, Luisa María Torres García, Luis Efraín Velastegui López

181-194