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Vol. 1 (2021)

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Authors in this issue:

Carlos Oscar Lepez Ania Gómez Lima Mario Gutiérrez Martínez Yoel Mora Ignacio Tamara Lugo Torres Rodrigo Carballo Flores ,

Published: July 12, 2021


2021-11-01 Editorial
The Invaluable Value of Interdisciplinary Rehabilitation

In an era marked by speed and constant change, it is essential to adopt an integrative and interdisciplinary approach in all fields of knowledge, especially in underrepresented areas of health sciences, where rehabilitation is no exception. With the increasing complexity of medical challenges and the varied needs of patients, it is no longer sufficient to approach rehabilitation from a single angle. Hence the importance of our journal, Interdisciplinary Rehabilitation / Rehabilitación Interdisciplinaria.
The journal arises as a response to the imperative of unifying different disciplines, both in research and clinical practice. In our pages, we explore everything from physical rehabilitation techniques to the emotions evoked through music therapy. We discuss the profound psychological impact that can accompany injury or illness and how these challenges can be mitigated. We delve into the miracles of neuroplasticity and how, through neurological rehabilitation, brain connections can be reestablished and reconfigured. We also dive into the world of sports, offering solutions to recover our athletes and enable them to perform at their best.

By Carlos Oscar Lepez

2022-11-20 Original
Educational intervention for the management of Acute Coronary Syndrome

Introduction: Acute Coronary Syndrome (ACS) is a serious and costly health problem that remains a challenge for medical professionals in making appropriate decisions.
Methods: A pre-experimental study was carried out to evaluate the effectiveness of the application of an intervention program to modify knowledge related to ACS by resident physicians and interns of the Internal Medicine service at the "Roberto Rodríguez Fernández" Provincial Hospital of Morón. We worked with a sample of 30 physicians, 11 residents and 19 interns, of the service. The Mc.Nemar statistical test was used to find significant differences between the level of knowledge about ACS, before and after the application of the educational program, nonparametric test for two paired samples with dichotomous variables, and the Wilcoxon signed ranks test was also used for the analysis of ordinal variables in related samples.
Results: Participants had a good initial mastery of the definition of ACS and its most common causes. The initial level of knowledge was inadequate for most of them regarding predisposing factors, diagnostic elements, complications and therapeutic management; in these last four aspects there was a significant increase in the percentage of professionals with an adequate level of knowledge, as well as in the general level of knowledge, in which more than half of the participants ended up with a high level.
Conclusion: ACS is a serious health problem worldwide, which requires updated medical preparation for adequate diagnosis and treatment.

By Ania Gómez Lima

2021-11-21 Original
Behavior of ventilatory modalities in the Neonatology Service

In recent years the survival of high risk and sick newborns has increased, these neonates require special intensive care and their life depends, in many occasions, on ventilatory support. With the aim of describing the behavior of invasive and non-invasive modalities of mechanical ventilation in the Neonatology Service of the "Iván Portuondo" Hospital during the period from January 2020 to July 2021. We conducted a descriptive, retrospective, longitudinal study in which our universe was 597 newborns who required admission to the neonatal intensive care unit, and as a sample 112 of them who required assisted ventilation, during the period covered by the research. The invasive or non-invasive modalities were related to variables such as: gestational age, sex, birth weight, reasons and complications of ventilation, in addition to the duration of ventilation and survival of these newborns. It was possible to conclude that the application of the invasive modality predominated in male newborns weighing less than 1500 g and with a gestational age of less than 30 weeks. Coinciding with the literature, Hyaline Membrane Disease remained as the first cause requiring the use of mechanical ventilation, it has been possible to shorten the ventilation time, and there were fewer complications and better survival in the non-invasive modality.

By Mario Gutiérrez Martínez

2021-11-25 Original
Educational intervention on alternative therapies for arthropathies

A pre-experimental before-after study was carried out to evaluate the effectiveness of the application of an educational intervention program to increase knowledge related to alternative therapies for arthropathies in clinic 5 of the Baraguá polyclinic, in the period from January 2021 to January 2022. The universe was constituted by 236 patients belonging to this area, a sample of 70 patients was chosen by means of a simple random sampling. The Mc. Nemar statistical test was used to find significant differences between the level of knowledge before and after the intervention. The participants had a low level of knowledge about alternative treatments for their pathologies. It was possible to increase the level of knowledge since almost all the patients finished the research with an adequate general level of knowledge.

By Yoel Mora Ignacio

2021-11-25 Original
Educational intervention on risk factors that trigger angina pectoris

A before and after educational intervention was carried out through a pre-experimental study to evaluate the effectiveness of the application of an educational intervention program and to increase knowledge related to the risk factors that trigger angina pectoris in patients in the municipality of Venezuela, during the period between June 2020 and May 2021. The Mc.Nemar statistical test was used to find significant differences between the level of knowledge before and after. The study universe was constituted by 242 young adult patients of both sexes, between 30 and 45 years of age, who belonged to the Consultorio Médico de la Familia # 18, of the health area of the Venezuela polyclinic. We worked with a sample of 20 patients where a questionnaire was applied to evaluate the level of knowledge before and after the intervention. Before the intervention, the patients had inadequate knowledge about risk factors that trigger angina, and after the intervention there was a significant change in the final evaluation. The intervention was effective because it raised the level of knowledge on the subject.

By Tamara Lugo Torres

2021-11-30 Original
Application of the TRIPS score in neonates requiring interhospital transfer

With the implementation of neonatal intensive care units and new technologies for comprehensive neonatal care, neonatal survival has improved significantly. These results should always include the possibility of referral to another center, in order to provide or complete more appropriate treatments. Not all problems can be recognized in time to refer the pregnant mother, and many emergencies at birth may occur, making it necessary to transfer the child. A prospective, intervention and cross-sectional study was carried out from July 2020 to July 2021, the universe and sample consisted of 91 neonates who required referral to a more complex center, with the aim of assessing the effectiveness of applying the TRIPS Score (Transport risk index of physiology stability), data were obtained from the patient's medical history, The neonates who required transfer suffered a total loss of stability; this deterioration was greater the lower the weight and gestational age, the greater the distance, the presence of respiratory disorder and the poor transfer conditions. Finally, the research was completed with the creation of a uniform protocol for all the sending centers, in the hope that it will lead to improved transfer conditions and minimize the complications that this procedure entails.

By Rodrigo Carballo Flores

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