ABSTRACT Introduction: Lemierre's Syndrome (LS) describes septic phlebothrombosis of the internal jugular vein following oropharyngeal infection. This entity represents a real diagnostic challenge for the practicing physician. The most alarming complications are those related to distant embolization. Objective: to describe the clinical evolution of a patient with Lemierre's Syndrome treated at Dr. Carlos J. Finlay Central Military Hospital. Case Report: a 24-year-old female patient with a medical history; who 12 days before admission started with fever of 39-40˚C, associated with odynophagia and whitish secretions located over both tonsils. After receiving oral antibiotic therapy, she perceived a slight improvement. Subsequently fever intensified, cough, dyspnea and flank pain in the right hemithorax appear. Conclusions: the evolution of the patient was satisfactory after surgical drainage of the pleural collection, the use of specific antibiotics and anticoagulation. The care of patients with Lemierre's syndrome requires specialized assistance.

RESUMEN Introducción: el síndrome de Lemierre, describe a la flebotrombosis séptica de la vena yugular interna posterior a una infección orofaríngea. Esta enfermedad representa un verdadero reto diagnóstico para el médico practicante. Las complicaciones más temidas son las relacionadas con la embolización a distancia. Objetivo: describir la evolución clínica de una paciente con síndrome de Lemierre atendida en el Hospital Militar Central “Dr. Carlos J. Finlay”. Caso Clínico: paciente femenina de 24 años de edad, con antecedentes de salud; 12 días antes del ingreso comenzó con fiebre de 39-40˚C, asociada a odinofagia y secreciones blanquecinas localizadas sobre ambas amígdalas. Tras recibir antibioticoterapia por vía oral percibe discreta mejoría. Luego de la cual recrudece la fiebre, aparece tos, disnea y dolor en punta de costado en el hemitórax derecho. Conclusiones: la evolución de la paciente fue satisfactoria luego del drenaje quirúrgico de la colección pleural, el uso de antibióticos específicos y la anticoagulación. La atención de pacientes con síndrome de Lemierre requiere asistencia especializada.

ABSTRACT Was carried out a retrospective descriptive study. The population was constituted by the gestantes total captured by the medical of Medical Clinics of Family of the Clinic III ¨René Vallejo Ortiz, of the Manzanillo City, of January to December of 2018, with the objective of describing the results of the to pregnant. The information was obtained of the data reflected in the statistical reports of the Medical department and Statistical Registrations of the clinic, itwasobtained as a result that 101,9% was examined of the universe, 34,4% didn't need treatment estomatológico and was given high of basic services to 100% of the pregnantones, reaching the conclusion that in the clinic III ¨René Vallejo Ortiz¨ of the Manzanillo City, is offered a good attention integral dentist to the pregnantones and it was fulfilled the indicative dentist of attention to this prioritized group.

RESUMEN Se realizó un estudio descriptivo retrospectivo. La población estuvo constituida por el total de gestantes captadas por lo médicos de Consultorios Médicos de Familia (CMF) del Policlínico III ¨René Vallejo Ortiz, del municipio Manzanillo, de enero a diciembre de 2018, con el objetivo de describir los resultados de la atención estomatológica a embarazadas. La información se obtuvo de los datos reflejados en los informes estadísticos del Departamento de Registros Médicos y Estadísticos del Policlínico, se obtuvo como resultado que se examinó el 101,9 % del universo, el 34,4% no necesitaba tratamiento estomatológico y se le dio alta de servicios básicos al 100 % de las embarazadas, llegando a la conclusión que en el Policlínico Docente III ¨René Vallejo Ortiz del municipio Manzanillo, se le brinda una buena atención estomatológica integral a las embarazadas y se cumplió con los indicadores estomatológicos de atención a este grupo priorizado.

RESUMO Objetivo A insegurança alimentar e a desnutrição infantil são temas centrais de muitos programas alimentares ao redor do mundo; no entanto, esses índices não diminuem. É preciso criar estratégias para aumentar a eficácia dos programas de desenvolvimento nutricional. A presente pesquisa teve como objetivo melhorar a qualidade nutricional de três pratos típicos da dieta normal da população local, adicionando amaranto às comidas típicas e avaliando a aceitação dele por crianças de três comunidades em Tochimilco, Puebla, México. Métodos O estudo foi realizado nas três comunidades para avaliar os três pratos típicos desta mesma região: vitamina de banana, feijão e as tortilhas de milho. Estas comidas foram escolhidas por mães da região em oficinas participativas de preparação de pratos locais enriquecidos com amaranto. Dois testes sensoriais foram aplicados: comparação pareada e escala hedônica para 208 e 210 crianças em idade pré-escolar e escolar, respectivamente. Resultados Verificou-se que os consumidores mostraram uma preferência semelhante pela vitamina de banana e feijão enriquecido com amaranto do que os mesmos não enriquecidos; enquanto a tortilha de milho enriquecida com amaranto ganhou mais preferência nos diferentes testes estatísticos e foi o prato com maior teor de aminoácidos. Os atributos sensoriais foram avaliados da mesma forma e não houve diferenças significativas entre as comunidades rurais e urbanas e as notas escolares. Conclusão As crianças aceitam facilmente a incorporação de amaranto nos pratos típicos da dieta delas, pois não repre-sentou nenhuma alteração da sua cultura alimentar. É possível melhorar a nutrição infantil, criando pratos mais saudáveis e incorporando-os na culinária cotidiana daqueles que preparam a comida.

ABSTRACT Objective Food insecurity and child malnutrition are central topics in many food programs around the world; however, these indices do not diminish. The creation of strategies is necessary to increase the effectiveness of nutritional improvement programs. The objective of this research was to improve the nutritional quality of three local dishes included in the regular diet of the population by adding amaranth and to evaluate their acceptance by children from three communities in Tochimilco, Puebla, Mexico. Methods The study was carried out in three communities of “Tochimilco”, Puebla, Mexico, in order to evaluate three local dishes: banana smoothie, beans and corn tortillas, which were chosen by mothers of the region in participative workshops on preparation of local dishes enriched with amaranth. Two sensory tests were applied: paired-comparison and hedonic scale to 208 and 210 children of preschool and scholar age, respectively. Results It was found that consumers showed similar preference for banana smoothie and beans enriched with amaranth compared to non-enriched dishes; while the amaranth enriched tortilla gained more preference in the different statistical tests and it was the dish with higher content of amino acids. Sensory attributes were similarly assessed and there were no significant differences among rural and urban communities and school year. Conclusion Children easily accept the addition of amaranth to the dishes they are accustomed to, as it does not change their food culture. It is possible to improve child nutrition by designing healthier dishes and incorporating them into the daily cooking of those who prepare the food.