The Hermanos Ameijeiras Hospital, officially the Hospital Clínico Quirúrgico "Hermanos Ameijeiras", is located in Barrio San Lazaro and is the premier hospital in Cuba, its tower prominently visible from the Malecón between the historic center and the uptown Vedado neighborhood. It was opened in 1982. According to EcuRed, the Cuban state wiki, it was "created by the Revolution to offer the people service in a best-in-class, world-class environment" ("creada por la revolución para brindar al pueblo una atención en el ámbito de los mejores centros de su clase en el mundo")The hospital is located at San Lázaro and Belascoaín streets in Centro Habana. It has a footprint of 35,500 square metres (8.8 acres), and 79,500 square metres (856,000 sq ft) of floor space. The monumental lobby measures 75 metres (246 ft) by 45 metres (148 ft) with a 15-metre-high (49 ft) ceiling and murals by Romanian-Cuban artist Sandú Darié.
Background: Cardiogenic shock complicating ST-segment elevation myocardial infarction (STEMI) carries high in-hospital mortality, but evidence from low- and middle-income countries remains limited. Objectives: The objective of the study was to compare clinical presentation, pharmacological treatment use, and in-hospital outcomes according to shock onset before vs after arrival at a reperfusion center (ARC). Methods: We performed a retrospective cohort analysis with data from RECUIMA, a multicenter registry of patients with STEMI admitted to 4 Cuban hospitals. Patients with cardiogenic shock complicating STEMI were classified as having shock prior to arrival at a reperfusion center (PRC) or ARC. Multivariable logistic regression assessed the association between shock timing and in-hospital mortality. Results: Among 4,113 patients with STEMI, 435 (10.6%) developed cardiogenic shock; 134 (30.8%) were PRC and 301 (69.2%) ARC. PRC patients had greater clinical severity, including lower systolic blood pressure and left ventricular ejection fraction, worse renal function, and higher Global Registry of Acute Coronary Events scores (all P < 0.01). Inpatient best available medical therapy was less frequent in PRC than ARC patients (32.8% vs 51.8%; relative risk: 0.63; 95% CI: 0.49-0.83; P < 0.001). Unadjusted mortality was higher in PRC patients (50.0% vs 38.2%; relative risk: 1.31; 95% CI: 1.05-1.63; P = 0.021). In the multivariable logistic regression model, shock timing was not statistically significantly associated with mortality (OR: 1.65; 95% CI: 0.86-3.18; P = 0.13). Conclusions: PRC patients presented with greater severity, received less inpatient best available medical therapy, and had higher unadjusted mortality. However, in the multivariable logistic regression model, shock timing was not statistically significantly associated with mortality.
Introducción: Los meningiomas quísticos son tumores infrecuentes. El diagnóstico preoperatorio es complejo debido a su confusión con otros tumores intracraneales de origen glial con componentes quísticos o con metástasis. Objetivo: Presentar un caso de meningioma quístico, de aparición infrecuente en la práctica neuroquirúrgica. Caso clínico: Paciente femenina, de 54 años de edad, con cuadro clínico de trastornos conductuales y cefalea holocraneal de gran intensidad, de alrededor de un mes de evolución y difícil control con analgésicos. Los estudios de neuroimagen mostraron una lesión ocupativa de espacio en la región frontal izquierda, con nódulo tumoral y quiste asociados. Los estudios de extensión de metástasis fueron negativos. Se realizó una craneotomía frontal y una exéresis tumoral total guiada por endoscopia. El examen histopatológico evidenció meningioma meningotelial de grado 1. La evolución de la paciente fue satisfactoria. Conclusiones: El diagnóstico erróneo de los meningiomas quísticos puede ocasionar tratamientos inadecuados.
The principal objective of this investigation is to implement a portable and low-cost system for the real-time analysis of blood flow using mobile technology. The methodology employs a specialized application developed in Kotlin for the Android platform. This software captures audio signals from a continuous-wave Doppler ultrasound device and applies digital signal processing techniques, including high-pass filtering and the Fast Fourier Transform (FFT), to generate high-resolution spectrograms. The results demonstrate that the application accurately calculates essential hemodynamic parameters, such as mean blood velocity, pulsatility index, and resistive index, directly on the mobile device. The principal conclusion is that this tool significantly advances the Point-of-Care Ultrasound (POCUS) model by providing a reliable and accessible solution for the early detection of subclinical atherosclerosis, particularly in environments with limited clinical resources.
This manuscript describes the characteristics of a dataset with EEG recordings of 173 participants: 87 confirmed COVID-19 cases (positive Reverse Transcription Polymerase Chain Reaction RT-PCR) and 86 healthy close contacts (negative PCR). EEG was acquired using a 10–20 standard montage. Resting EEG was recorded for 8 minutes in all participants with eyes closed. Afterwards, it was also recorded 2 minutes of alternating closed and open eyes, followed by 2 minutes of recovery. All participants underwent physical, neurological, and clinical evaluations, including a retrospective neurological survey and the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) version 2.1.
