<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182022000400004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Actividad asistencial neurológica en Manzanillo]]></article-title>
<article-title xml:lang="en"><![CDATA[Neurological care activity in Manzanillo]]></article-title>
<article-title xml:lang="pt"><![CDATA[Atividade de cuidados neurológicos em Manzanillo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lotti Mesa]]></surname>
<given-names><![CDATA[Roberto Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Gacel]]></surname>
<given-names><![CDATA[Liudmila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Martínez]]></surname>
<given-names><![CDATA[Madelin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Gutiérrez]]></surname>
<given-names><![CDATA[Giselle Lucila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calás Torres]]></surname>
<given-names><![CDATA[Jimmy Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Manzanillo Hospital Clínico-Quirúrgico Celia Sánchez Manduley ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Docente Ángel Ortíz Vázquez  ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma  ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Facultad de Ciencias Médicas Celia Sánchez Manduley  ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>26</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182022000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182022000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182022000400004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Las enfermedades neurológicas se han convertido en una preocupación creciente, considerándose causa importante de morbimortalidad tanto en países desarrollados como en aquellos en desarrollo. Se realizó esta investigación con el objetivo de caracterizar la actividad asistencial del servicio de Neurología del Hospital Clínico-Quirúrgico Celia Sánchez Manduley. Se realizó un estudio observacional, descriptivo en el servicio de Neurología del Hospital Clínico-Quirúrgico Celia Sánchez Manduley, en el periodo de enero a diciembre de 2019. El universo estuvo constituido por 3968 pacientes, atendidos en consulta externa y hospitalización. Los resultados obtenidos se distribuyeron en frecuencias absolutas y por cientos. Se tomaron en cuenta las siguientes variables: edad, sexo, municipio, grupo diagnóstico y origen de la interconsulta. Predominó el sexo femenino (57,7 %) y el grupo de edad de 60 años y más (37,2 %). La mayoría de los pacientes fueron manzanilleros (36,4 %). La cefalea fue el grupo diagnóstico más representativo (23,9 %), y la epilepsia fue el principal diagnóstico con que ingresaron los pacientes (32,8 %). El servicio que aportó mayores solicitudes de interconsultas para un 66,8 % fue Medicina Interna. Los motivos de consulta y las características de los pacientes hospitalizados no difieren en gran medida de los presentados por otros autores. Los motivos de consulta más frecuentes fueron la cefalea y la epilepsia. El grupo de edad con mayor demanda de asistencia neurológica fueron pacientes mayores de 60 años, con predominio del sexo femenino. El mayor número de hospitalizaciones correspondió a la epilepsia y la enfermedad de Parkinson.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Neurological diseases have become a growing concern, being considered a major cause of morbidity and mortality in both developed and developing countries. This research was carried out with the aim of characterizing the care activity of the Neurology service of the Celia Sánchez Manduley Clinical-Surgical Hospital. An observational, descriptive study was conducted in the Neurology service of the Celia Sánchez Manduley Clinical-Surgical Hospital, in the period from January to December 2019. The universe consisted of 3968 patients, treated in outpatient consultation and hospitalization. The results obtained were distributed in absolute frequencies and by hundreds. The following variables were taken into account: age, sex, municipality, diagnostic group and origin of the interconsultation. Female sex (57.7%) and the age group of 60 years and over (37.2%) predominated. The majority of patients were manzanilleros (36.4 %). Headache was the most representative diagnostic group (23.9%), and epilepsy was the main diagnosis with which patients were admitted (32.8%). The service that provided the highest requests for interconsultations for 66.8% was Internal Medicine. The reasons for consultation and the characteristics of hospitalized patients do not differ greatly from those presented by other authors. The most frequent reasons for consultation were headache and epilepsy. The age group with the highest demand for neurological assistance were patients over 60 years of age, with a predominance of the female sex. The highest number of hospitalizations corresponded to epilepsy and Parkinson's disease.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO As doenças neurológicas tornaram-se uma preocupação crescente, sendo consideradas uma das principais causas de morbidade e mortalidade nos países desenvolvidos e em desenvolvimento. Esta pesquisa foi realizada como objetivo de caracterizar a atividade assistencial do serviço de Neurologia do Hospital Clínico-Cirúrgico Célia Sánchez Manduley. Um estudo observacional e descritivo foi realizado no serviço de Neurologia do Hospital Clínico-CirúrgicoCélia Sánchez Manduley, no período de janeiro a dezembro de 2019. O universo era composto por 3.968 pacientes, tratados em consulta ambulatorial e internação. Os resultados obtidos foram distribuídos em frequências absolutas e por centenas. Foram levadas em consideração as seguintes variáveis: idade, sexo, município, grupo diagnóstico e origem da interconsulção. Predominaram o sexo feminino (57,7%) e a faixa etária de 60 anos ou mais (37,2%) predominaram. A maioria dos pacientes foi manzanilleros (36,4 %). A dor de cabeça foi o grupo diagnóstico mais representativo (23,9%), e a epilepsia foi o principal diagnóstico com o qual os pacientes foram internados (32,8%). O serviço que atendeu mais pedidos de interconsultações para 66,8% foi a Medicina Interna. As razões para a consulta e as características dos pacientes internados não diferem muito das apresentadas por outros autores. Os motivos mais frequentes para a consulta foramdor de cabeça e epilepsia. A faixa etária com maior demanda por assistência neurológica foram pacientes com mais de 60 anos de idade, com predominância do sexo feminino. O maior número de internações correspondeu à epilepsia e doença de Parkinson.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Actividad asistencial]]></kwd>
<kwd lng="es"><![CDATA[Neurología]]></kwd>
<kwd lng="es"><![CDATA[Consulta externa de enfermedades neurológicas]]></kwd>
<kwd lng="en"><![CDATA[Care activity]]></kwd>
<kwd lng="en"><![CDATA[Neurology]]></kwd>
<kwd lng="en"><![CDATA[Outpatient consultation of neurological diseases]]></kwd>
<kwd lng="pt"><![CDATA[Atividade assistencial]]></kwd>
<kwd lng="pt"><![CDATA[Neurologia]]></kwd>
<kwd lng="pt"><![CDATA[Consulta ambulatorial de doenças neurológicas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huete Montealegre]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Calidad de vida en enfermedad de Parkinson.]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Costa Rica ]]></publisher-loc>
<publisher-name><![CDATA[Ciudad Universitaria Rodrigo Facio]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dubarry]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lacarrubba]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Centurión]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Irala]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Giménez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Descripción de la consulta neurológica ambulatoria en el Hospital Distrital de Villa Elisa, Paraguay]]></article-title>
<source><![CDATA[Rev virtual Soc Parag MedInt]]></source>
<year>2017</year>
<volume>4</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>66-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Casado Menéndez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis de los motivos de consulta de neurología de área en Asturias]]></article-title>
<source><![CDATA[Rev Neurol]]></source>
<year>2009</year>
<volume>24</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>309-14</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marzo Ramírez]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez Romaguera]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilera Pacheco]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Santos Ortiz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbilidad neurológica en el Policlínico "Ramón López Peña, Santiago de Cuba, enero a diciembre de 2018]]></article-title>
<source><![CDATA[Rev. inf. cient]]></source>
<year>2019</year>
<volume>98</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>207-17</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matías Guiu]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[García Azorín]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[García Ramos]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Basoco]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Elvira]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Matías Guiu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio de la asistencia neurológica ambulatoria en la Comunidad de Madrid: impacto del modelo de libre elección de hospital]]></article-title>
<source><![CDATA[Neurología]]></source>
<year>2015</year>
<volume>30</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>479-87</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Navarro Pérez]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Marín Gracia]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bellosta Diago]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Santos Lasaosa]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiología de la migraña en España y Latinoamérica]]></article-title>
<source><![CDATA[Rev Neurol]]></source>
<year>2020</year>
<volume>71</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>110-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matías Guiu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Porta Etessam]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[López Valdés]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[García Morales]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Guerrero Solá]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Matías Guiu]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La gestión de la asistencia neurológica en tiempos de la pandemia de Covid-19]]></article-title>
<source><![CDATA[Neurología]]></source>
<year>2020</year>
<volume>35</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>233-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cañizares Villalba]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez Cedeño]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedades Neuro-Psiquiátricas en Atención Primaria en una Zona Rural de la Sierra Ecuatoriana en el 2018.]]></article-title>
<source><![CDATA[Rev. Ecuat Neurol]]></source>
<year>2019</year>
<volume>28</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>16-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Loftus]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Wade]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[McCarron]]></surname>
<given-names><![CDATA[MO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary care perceptions of neurology and neurology services]]></article-title>
<source><![CDATA[Postgrad Med J]]></source>
<year>2016</year>
<volume>92</volume>
<numero>1088</numero>
<issue>1088</issue>
<page-range>318-21</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez García]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Actividad asistencial en Neurología de la colaboración médica cubana en Babahoyo, Ecuador (2015-2016).]]></article-title>
<source><![CDATA[Rev. Cubana Neurol Neurocir]]></source>
<year>2016</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>26-38</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alva Díaz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Huerta Rosario]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pacheco Barrios]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro Flores]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Aguirre Quispe]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neurological diseases in Peru: a systematic analysis of the global burden disease study]]></article-title>
<source><![CDATA[Arq Neuropsiquiatr]]></source>
<year>2020</year>
<volume>78</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>282-9</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wong Achi]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedades neurológicas en atención primaria. Centro de salud de Ingapirca, Ecuador]]></article-title>
<source><![CDATA[Neurol Arg]]></source>
<year>2017</year>
<volume>9</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>85-9</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<collab>Cuba</collab>
<collab>Ministerio de Salud Pública</collab>
<source><![CDATA[Anuario Estadístico de Salud 2019.]]></source>
<year>2020</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[MINSAP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garre Olmo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiología de la enfermedad de Alzheimer y otras demencias.]]></article-title>
<source><![CDATA[Rev Neurol]]></source>
<year>2018</year>
<volume>66</volume>
<page-range>377-86</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valdés Galván]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[González Calderón]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Castro Martínez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiología del descontrol de la epilepsia en un servicio de urgencias neurológicas]]></article-title>
<source><![CDATA[Rev Neurol]]></source>
<year>2019</year>
<volume>68</volume>
<page-range>321-5</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aller Álvarez]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Quintana]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Santamarina]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez-Sabín]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis descriptivo de las consultas intrahospitalaria dirigidas a Neurología en un hospital terciario]]></article-title>
<source><![CDATA[Neurología]]></source>
<year>2017</year>
<volume>32</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>152-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
