Resumo O turismo comunitário em função do desenvolvimento das comunidades rurais está se tornando atualmente uma questão de grande relevância. O presente trabalho, ligado ao Projeto Inovação "Estratégia de promoção dos valores patrimoniais do vale Isabel Maria para o desenvolvimento comunitário", visa apresentar os resultados da elaboração de uma estratégia para a promoção dos valores patrimoniais culturais e naturais do município mineiro. O método Pesquisa-Ação-Participação foi utilizado juntamente com outros métodos e técnicas de pesquisa social, levando em conta o respeito à identidade cultural e aos costumes dos habitantes das três comunidades propostas. A implementação eficiente da estratégia exige a integração das pessoas proprietárias do patrimônio, das instituições culturais e de outros atores sociais do território. Foi necessário analisar as formas e meios de incentivar as comunidades a administrar, cuidar e conservar este patrimônio, a fim de alcançar um desenvolvimento comunitário sustentável baseado no turismo.

Abstract Community tourism as a function of the development of rural communities is currently becoming a topic of great relevance. The present work, linked to the Innovation Project "Strategy to promote the heritage values of the Isabel María valley for the community development"; has as objective: to expose the results of the elaboration of a strategy for the promotion of the values of the cultural and natural heritage of the mining municipality. The Research-Action-Participation method was used together with other methods and techniques of social research, taking into account the respect for the cultural identity and customs of the inhabitants of the three proposed communities. The efficient implementation of the strategy requires the integration of the people who own this heritage, the cultural institutions and other social actors of the territory. It was necessary to analyze ways and means to encourage the communities to manage, care for and conserve this heritage in order to achieve sustainable community development based on tourism.

Resumen El turismo comunitario en función del desarrollo de las comunidades rurales, se convierte en la actualidad, en un tema de marcada relevancia. El presente trabajo, vinculado al Proyecto de Innovación "Estrategia para promocionar los valores patrimoniales del valle Isabel María para el desarrollo comunitario"; tiene como objetivo: exponer los resultados de la elaboración de una estrategia para la promoción de los valores del patrimonio cultural y natural del municipio minero. Se utilizó el método Investigación-Acción-Participación junto a otros métodos y técnicas de la investigación social, teniendo en cuenta el respeto a la identidad cultural y las costumbres de los habitantes de las tres comunidades propuestas. Para la implementación eficiente de la estrategia se precisa de la integración de los pobladores que poseen dicho patrimonio, las instituciones culturales y de otros actores sociales del territorio. Fue necesario, el análisis de las formas y vías para incentivar a las comunidades a gestionar, cuidar y conservar este patrimonio en función de lograr el desarrollo comunitario sostenible, a partir de la actividad turística.

ABSTRACT Waardenburg syndrome is a genetic disorder with diagnostic criteria such as dystopia canthorum, iris pigmentary abnormalities, hypertelorism and synophrys. A case is presented of two members of the same family who attend the ophthalmology service for manifestations compatible with Waardenburg syndrome. The two patients are a 12-year-old girl with a typical association, which includes synophrys, iris pigmentary alterations (brilliant blue iris) and dystopia canthorum, as well as a history of hypoacusis, and her 37-year-old mother, who presents the typical association, which includes alterations in the pigmentation of her hair (a forelock of white hair) and iris (brilliant blue iris), dystopia canthorum and a history of hypoacusis. The purpose of the study is to present two cases from the same family with a condition which is infrequent in the specialty. However, ophthalmological manifestations may be found which are compatible with its diagnosis, which should obviously enough lead to actions aimed at interdisciplinary care and timely referral.

RESUMEN El síndrome de Waardenburg es una enfermedad genética, con criterios diagnósticos como la distopia cantorum, las anomalías pigmentarias del iris, el hipertelorismo y la conjunción de las cejas. Se presentan dos casos de una misma familia quienes asistieron a la consulta de Oftalmología con manifestaciones compatibles con el síndrome de Waardenburg. Paciente de 12 años con asociación típica que inclu ye conjunción de las cejas, alteraciones en la pigmentación del iris (iris azul zafiro) y distopia cantorum, a los que se le une el antecedente de hipoacusia. Su madre, paciente de 37 años de edad, quien presenta la asociación típica, inclu ye alteraciones en la pigmentación del cabello (mechón de canas) y del iris (iris azul zafiro), distopia cantorum y antecedente de hipoacusia. El propósito de este estudio fue dar a conocer dos casos de la misma familia con una entidad infrecuente en la especialidad. No obstante, se pueden encontrar manifestaciones oftalmológicas que son compatibles con su diagnóstico, por lo que es elemental dirigir nuestra acción hacia una aten ción en forma interdisciplinaria y una remisión oportuna.

INTRODUCTION Improved survival rates of neonates with very low birth weight (<1500 g) have led to a higher incidence of neurodevelopmental sequelae. OBJECTIVE Examine neurodevelopment outcomes over the first two years of life of infants who weighed <1500 g at birth, in relation to birth weight, gestational age and 1-minute and 5-minute Apgar scores, in a Havana tertiary care hospital. METHODS A case-series study was conducted to assess neurodevelopment outcomes of very low birth weight infants over their first two years of life. The study population comprised 116 surviving neonates with very low birth weight (<1500 g), born in the Dr Ramón González Coro University Maternity Hospital in Havana, Cuba, 2006–2010. A longitudinal, multidisciplinary and interdisciplinary follow up of all infants’ neurodevelopment was performed, from hospital discharge to age two years, corrected for gestational age at birth. Data on each infant’s perinatal variables were collected: birth weight in grams, gestational age at birth, and 1-minute and 5-minute Apgar scores. Patients were classified as having normal neurodevelopment, mild abnormalities and moderate-to-severe abnormalities. Pearson’s chi-square test was used to determine possible relationships between perinatal variables studied and neurodevelopment, with exact sampling distribution and 95% confidence level. RESULTS Normal neurodevelopment was observed in 69% of very low birth weight infants, 25.9% had mild abnormalities, and 5.2% displayed moderate-to-severe abnormalities. The results demonstrate a statistically significant relationship between gestational age and neurodevelopmental outcomes; more neurodevelopmental abnormalities were found in infants born at earlier gestational age (<30 weeks). CONCLUSIONS Surviving very low birth weight neonates with lower gestational age at birth face a higher risk of neurodevelopmental abnormalities.