Introduction: the prevention of puerperal infection is a social requirement. Objective: to specify the association between rupture of ovular membranes, cervicovaginal infection and chorioamnionitis and the presentation of puerperal infection in puerperal women attended in the Obstetrics Service of the Hospital Dr. Agostinho Neto during the years 2016-2018. Method: a study was conducted of cases and controls. The universe was formed by all puerperal puerperal infections (n=622), and of the latter a sample was selected for convenience of 60 patients, which constituted the group of cases; a group of patients without puerperal infection (n=120) who formed the control group was chosen. The following variables were studied: age in years, time of rupture of ovular membranes, diagnosis of cervicovaginal infection and chorioamnionitis and birth pathway. Results: ages between 20 and 29 years predominated in cases (41.7%) and controls (48.3%). There was statistically significant evidence, with a reliability of 95%, that the rupture of membranes over 24 hours, cervicovaginal infection and chorioamnionitis were risk factors for puerperal infection. The vaginal route predominated in the cases (60%) and controls (61.7%), which was not statistically significant associated with puerperal infection. Conclusions: puerperal women with ruptured ovular membranes over 24 hours, cervicovaginal infection and chorioamnionitis presented a higher risk of puerperal infection.

Introduction: mental disorders are a pathology that occurs in all cultures, appearing at any age. Objective: to characterize hospital admissions in the Crisis Intervention Unit of the Provincial Psychiatric Hospital "Luís Ramírez López" of Guantánamo, during the period 2015-2017. Method: a retrospective descriptive study was conducted with the patients admitted to the Crisis Intervention Unit during the study period (n = 550). The primary data was obtained from the review of the clinical histories to characterize the study group (n = 538). The variables were studied: age, sex, origin, diagnosis, and length of stay in the service. Results: most hospital admissions corresponded to patients aged between 18 and 23 years old for 21.9%, followed by 60 years old and more with 16.3%, female gender represented 53.9% of income. The patients of the Guantánamo municipality predominated with 42.0%, the most frequent diagnosis was the depressive adjustment disorder with 27.9%, followed by the personality disorder with 24.2%. 66.4% of the patients showed a hospital stay of less than 7 days. Conclusions: in the Crisis Intervention Unit, patients were admitted to the productive stage of life, especially women with depressive disorders, which shows the social relevance of their study.

Introduction: in the intensive care unit of the General Teaching Hospital "Dr. Agostinho Neto" the influence of the seasons of the year on the profile of morbidity and mortality has not been clarified.Objective: to determine the influence of the variability of season of the year on the morbidity and mortality profile of the ICU of the General Teaching Hospital "Dr. Agostinho Neto" during the year 2018.Method: a retrospective study was made of the total number of admitted patients (n = 549) and a random sample of 365 patients was selected. The variables studied were: age, sex, reason for admission, severity index, stay in the unit, need for mechanical ventilation, discharge status. All were related to the weather.Results: the largest number of patients admitted during the summer (31.8%). There was no significant relationship between the weather station and the sex variable (p <0.05), but with age, APACHE II, stay in the unit and need for mechanical ventilation (p <0.05). In spring and summer the most common disease was cerebrovascular, while in autumn and winter the most common was community-acquired severe pneumonia. The variables stay in the unit, patient entry for diseases of a clinical nature according to the type of clinical patient and mortality were significantly related to the weather station (p <0.05).Conclusions: the climatic variability of the Guantanamo context influenced the morbidity profile of the intensive care unit and measured the prognosis of patients admitted with critical illness.

Introduction: temporomandibular disorders (TMD) are a painful skeletal muscle condition that affects the muscles of the mastication, the temporomandibular joint (TMJ) and various anatomical structures of the stomatognathic system.Objective: to compare the quality of life; determined with the OHIP instrument 49-Mx, of older adults with temporomandibular disorders (TMD) vs. free of TTM.Method: an analytical observational study was conducted in the elderly population in a Gerontological Unit of Puebla, Mexico. The diagnosis of TMD was established in the facilities; with the diagnostic criteria for TTM proposed by Dworkin and improved by Schiffman in 2014 by a previously trained researcher. Additionally, the quality of life (OHIP 49-Mx) was evaluated by the same researcher. The statistical management was performed with Mann-Whitney U (medium contrast) with significant value =0.05, in the SPSSv.21 program.Results: 192 older adults were evaluated; 131 (68.2%) with TTM; 84% women Patients with TMD had higher medians in most dimensions of the OHIP instrument 49 Mx: limitación funcional Md=16 vs. 13, p=0,06; dolor Md=8,0 vs. 4,0 p=0.02; incomodidad psicológica Md=3 vs. 3, p=0,31; inhabilidad física Md=11 vs. 3, p=0,00; inhabilidad psicológica Md=1 vs. 1; p=0,03; inhabilidad social, Md=0 vs. 0; p=0,90 e incapacidad Md=1 vs. 1, p=0,03.Md=16 vs. 13, p=0.06; pain Md=8.0 vs. 4.0, p=0.02; psychological discomfort Md=3 vs. 3, p=0.31; physical disability Md=11 vs. 3, p=0.00; psychological disability Md=1 vs. one, p=0.03; social disability Md=0 vs. 0, p=0.90 and disability Md=1 vs. 1, p=0.03.Conclusions: the elderly with TMD, showed a lower quality of life related to oral health; specifically in the dimensions of functional limitation, physical, psychological and pain disability.

Introduction: Guantanamo does not specify the surgical treatment of patients with thyroid tumors. Objective: to specify the surgical treatment of patients with thyroid nodules in the General Surgery Department of the General Teaching Hospital "Dr. AgostinhoNeto"during the period 2016-2018. Method: a descriptive, prospective and longitudinal study was made. The results of the paraffin biopsy, TIRADS classification (ThyroidImaging Reporting and Data System), surgical techniques and postoperative complications were studied. Results: thyroid carcinoma was more frequent (52.8%). 29.1% of the patients were grouped in the TIRADS II category. In the TIRADS III category, multinodular goiter was more common (n=6); in TIRADS IV, the carcinoma (n=4); all patients in categories V and VI presented carcinomas. The most used technique was hemithyroidectomy with itsmectomy (47.2%). Complications were recorded in 7 patients and the most common was transient recurrent paralysis. Conclusions: Thyroid carcinoma was more frequent. The usefulness of the TIRADS classification for the management of these patients is revealed. It was under the registry of complications.

Introduction: the search for therapeutic alternatives for patient care with pathology of the spine is a social requirement, for which the use of ozone therapy is promoted. Objective: to characterize the clinical response of patients with spinal pathologies treated with paravertebral ozone therapy at the Dr. Agostinho Neto Guantanamo General Teaching Hospital during the period between September 2017 and August 2018. Method:a observational, prospective and cross-sectional study in the Neurosurgery service in 78 patients with diseases of the spine, intentionally selected and consciously involved in a preexperiment that consisted in the application of a cycle of ten sessions of ozone therapy by paravertebral route, during a period two weeks The following variables were controlled: lumbar pain intensity measured by the analogical evaluation scale; functional disability assessed by the Oswestry scale. Results: the majority of patients went to a lower pain category and 80.7% were evaluated in the mild-moderate category after ozone therapy. This made it possible for the highest percentage to decrease the degree of functional disability and the proportion with a minimum degree of disability function increased by 46.0%. Conclusions: Paravertebral ozone therapy is an alternative that can help in the conservative treatment of patients with vertebral pathology.