Squamous cell carcinoma is a malignant neoplasm of the lining of the oral cavity, and it is considered the one with the highest incidence and frequency. We present the case of a 78-year-old male patient, white skin color, with a history of basal cell carcinoma in the facial regions, and prolonged exposure to ultraviolet radiation, who developed a squamous cell carcinoma in the left frontal region with moderately metastases. differentiated in parotid region. The diagnosis was confirmed by fine needle aspiration biopsy and surgical treatment was used as a therapeutic option. Squamous cell carcinoma ranks second in frequency among malignant cutaneous neoplasms in the world. Given its clinical suspicion, all necessary precautions must be taken to corroborate the diagnosis and impose the appropriate treatment quickly, in order to reduce mortality and avoid the compromise of other organs.
Introduction : g allstone ileus is an infrequent cause of bowel obstruction. It is an urgency with a difficult diagnosis and high risk of death because of its low incidence and unspecific clinical manifestations. Objective : to describe the surgical treatment of gallstone ileus . M ethod : the following databases were consulted PubMed /MEDLINE, SciELO , ScienceDirect and Google Scholar . Key words such as ileus , cholelithiasis , fistula, and intestinal obstruction were used. Afte r analyzing the obtained data, a total of 29 bibliographic references were selected, 70 % of them correspond ed to the last five years. Development : t he treatment of g allstone ileus is surgical and its main objective is the resolution of bowel obstruction , for which there are three options: enterolithotomy alone; enterolithotomy , cholecystectomy and fistula closure or enterolithotomy alone and cholecistectomy and fistula closure in a second stage. Th ey can be performed through open surgery or laparoscopy. Because of patient’s comorbidities and mortality, alternative procedures have been taken into account, for example, endoscopic techniques. Conclusions : t he standard treatment is the surgical resolution, but there is no consensus about what technique to employ. Enterolithotomy is the election method in high-risk patients. Laparoscopic approach is a valid and safe option, but open surgery keeps being the most diffused.
Introduction : new addictions are frequent and include the abusive use of the Internet, computer or mobile phone, social networ- ks, video games, cybersex and, to a lesser extent, those related to products containing caffeine. Objective : to characterize the behavior of non-substance-related addictions in first-year medical students of the “General Calixto Garcia” Faculty during the period from October to 2020. Method : an observational, descriptive, cross-sectional study was carried out. The universe con- sisted of 36 students and it was worked with in its entirety. The variables analyzed were: age, sex, dependency and educational abilities. Results : the average age was 18.5 years and the female sex predominated in 72.2%. 30.5% of the students presented mild dependence, 61.1% moderate and 8.3% severe. The most frequent were the use of cell phones with 77.8% and the Inter- net with 44.4%. Educational skills were generally favorable. Planning for the future, thinking about negative consequences and resistance to group pressure were identified as the most representative. The least frequent were self-control, impulsiveness in problem solving and anger management. Conclusions : in the students of the Calixto Garcia School, moderate dependence on the use of cell phones and Internet access predominates. The educational abilities of the students for the prevention of addictive behaviors were favorable.
Introduction: the presence of malocclusions is usually accompanied by asymmetric alterations at different levels of the body. Objective: t o determine the relationship between malocclusion with body posture and footprint in students of the primary school ¨Carlos Manuel de Cespedes¨ in the municipality of Cienfuegos. Materials and methods: an observational, correlational cross-se ctional study was carried out at the “ Carlos Manuel de Cespedes ” primary school in Cienfuegos, from September 2019 to January 2020. The universe was studied completely, and consisted o f 127 students. The variables studied were: age, sex, malocclusion, body posture and footprint. Descriptive and inferential statistics were used. Results: 11-year-old students predominated, representing 42.52 %, as well as male students (52.76 %). Angle's class II was the most frequent malocclusion, with 44.09 %, as were incorrect body postures and footprints, in which scoliosis and flat feet stood out in 29.13 % and 64.57 %, respectively . There was no statistically significant relationship between the types of maloc clusion and posture (p = 0.550 ), nor was an association between malocclusion an d footprint verified (p = 0.192 ). Conclusions: malocclusions are not always accompanied by postural problems and in the cases in which an abnormal footprint is detected, it does not necessarily imply the presence of a malocclusion in association with it. Despite their high frequency of presentation, these variables were not statistically significant.
Introduction: Video-assisted thoracoscopic surgery is a minimally invasive technique that allows complex intrathoracic surgical intervention through minimal incisions. Objective: To describe the main results of the application of video-assisted thoracic surgery at the Comandante Manuel Fajardo” Clinical Surgical University Hospital. Material and methods: An observational, descriptive, cross-sectional study was carried out on a series of hospitalized patients, in the period from October 2016 to October 2019, at the “Comandante Manuel Fajardo” University Clinical Surgical Hospital; the universe and the sample coincided with 27 patients, sociodemographic and surgical variables were analyzed. The results were collected and analyzed in tables using Microsoft Excel 2016 software. Results: There were 17 male patients (63%) and the average age was 51. The 10 pleurisy occupied the first place of surgical indications( 37%). There were 13 procedures of scarification, pleurectomies with or without resection of bullae or pulmonary suture (48%) and 22 of the patients did not present postoperative complications (81.5%). The average hospital stay recorded was 4,5 days. Conclusions: The application of videothoracoscopic surgery in the selected period had successful results and similar to those proposed by other national and international studies.
