<html><body><div style="color:#000; background-color:#fff; font-family:HelveticaNeue, Helvetica Neue, Helvetica, Arial, Lucida Grande, sans-serif;font-size:10pt"><div id="yiv6313965405"><div><div style="color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); font-family: HelveticaNeue, 'Helvetica Neue', Helvetica, Arial, 'Lucida Grande', sans-serif;"><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4952" style="font-size: 10pt;"><b id="yiv6313965405yui_3_13_0_1_1383141134338_4951"><i id="yiv6313965405yui_3_13_0_1_1383141134338_4950"><span id="yiv6313965405yui_3_13_0_1_1383141134338_4949" style="font-size: 11pt; font-family: Arial;">MEDICC Review: The International Journal of Cuban Health & Medicine</span></i></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4948" style="font-size: 10pt;"><i id="yiv6313965405yui_3_13_0_1_1383231683047_3815"><span id="yiv6313965405yui_3_13_0_1_1383231683047_3814"
 style="font-size: 10pt; font-family: Arial;"> </span></i></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4946" style="font-size: 10pt;"><span id="yiv6313965405yui_3_13_0_1_1383141134338_4945" style="font-size: 10pt; font-family: Arial;">The only English-language journal covering Cuban health and
 medicine. Dr Richard Horton, Editor, <i>The Lancet</i>, describes it as<b id="yiv6313965405yui_3_13_0_1_1383141134338_4947">“Beautifully produced and full of valuable work. Fabulous.”</b> (July 8, 2013, pic.twitter.com/M7POHduHLS)</span></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4944" style="font-size: 10pt;"><i id="yiv6313965405yui_3_13_0_1_1383231683047_3794"><span id="yiv6313965405yui_3_13_0_1_1383231683047_3793" style="font-size: 10pt; font-family: Arial;"> </span></i></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4943"><b id="yiv6313965405yui_3_13_0_1_1383141134338_4942"><span id="yiv6313965405yui_3_13_0_1_1383141134338_4941" style="font-family: Arial; font-size: 18px;">New issue now online!</span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4940" style="font-size: 10pt;"><b><span style="font-family:
 Arial;"> </span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4939" style="font-size: 10pt;"><b id="yiv6313965405yui_3_13_0_1_1383141134338_4938"><u id="yiv6313965405yui_3_13_0_1_1383141134338_4937"><span id="yiv6313965405yui_3_13_0_1_1383141134338_4936" style="font-family: Arial;">Mental Health Matters</span></u></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3798" style="font-size: 10pt;"><b id="yiv6313965405yui_3_13_0_1_1383231683047_3797"><span id="yiv6313965405yui_3_13_0_1_1383231683047_3796" style="font-size: 10pt; font-family: Arial;"> </span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3801" style="font-size: 10pt;"><b id="yiv6313965405yui_3_13_0_1_1383231683047_3800"><span id="yiv6313965405yui_3_13_0_1_1383231683047_3803" style="font-size: 10pt; font-family: Arial;">In this issue: </span></b><span
 id="yiv6313965405yui_3_13_0_1_1383231683047_3805" style="font-size: 10pt; font-family: Arial;">approaches to substance abuse in Cuba, complex psychology of obesity in young Cubans, depression among rural senior adults in India, smoking and alcohol use in health sciences students, the healing power of humor, and aging and dementia.<b> </b></span><span style="font-size: 10pt; font-family: Arial;"></span></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3819" style="font-size: 10pt;"><span style="font-size: 10pt; font-family: Arial;"> </span></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3823" style="font-size: 10pt; margin: 0in 0.2in 0.0001pt 0in;"><span id="yiv6313965405yui_3_13_0_1_1383231683047_3822" style="font-size: 10pt; font-family: Arial;">“<i id="yiv6313965405yui_3_13_0_1_1383231683047_3821">Whereas before we had a medical approach to mental health, from the mid 1990s, we began
 looking at the entire health picture.  We adopted a more integrated approach of prevention, treatment and rehabilitation.”  Dr Carmen Borrego, director of the National Mental Health Services and Substance Abuse Program, Ministry of Public Health, Cuba.</i></span></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3825" style="font-size: 10pt;"><span style="font-size: 10pt; font-family: Arial;"> </span></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3828" style="font-size: 10pt;"><b><span style="font-size:10pt;line-height:15px;">Featuring: </span></b><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=323&a=va" id="yiv6313965405yui_3_13_0_1_1383231683047_3827" style="color:rgb(25, 106, 212);">Community Mental Health Services in Cuba</a><span lang="ES-TRAD"></span></div><div class="yiv6313965405"
 id="yiv6313965405yui_3_13_0_1_1383141134338_4935" style="font-size: 10pt; margin: 0in 0.2in 0.0001pt 0in;"><i><span style="font-size: 10pt; font-family: Arial;"> </span></i></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3832" style="font-size: 10pt;"><b><i><span style="font-size: 10pt; font-family: Arial;">MEDICC Review</span></i></b><b><span style="font-size: 10pt; font-family: Arial;"> </span></b><span id="yiv6313965405yui_3_13_0_1_1383231683047_3831" style="font-size: 10pt; font-family: Arial;">is an <b><i>open-access peer-reviewed journal</i></b>. Full-text articles </span><span style="font-size: 10pt; font-family: Arial;" id="yiv6313965405yui_3_13_0_1_1383231683047_4953">of current and past issues may be freely viewed and downloaded at <b id="yiv6313965405yui_3_13_0_1_1383231683047_4952">http://www.medicc.org/mediccreview/</b></span></div><div class="yiv6313965405" align="center"
 style="font-size: 10pt; text-align: center;"><b><span lang="ES" style="font-size:13pt;color:rgb(0, 51, 102);"><hr size="1" width="100%" noshade="" align="center" style="color:rgb(157, 157, 161);"></span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4926" style="font-size: 10pt;"><b id="yiv6313965405yui_3_13_0_1_1383141134338_4929"><i id="yiv6313965405yui_3_13_0_1_1383141134338_4928"><span lang="EN-GB" id="yiv6313965405yui_3_13_0_1_1383141134338_4927" style="font-size: 13.5pt; font-family: Arial;">MEDICC Review</span></i></b><b id="yiv6313965405yui_3_13_0_1_1383141134338_4925"><span lang="EN-GB" id="yiv6313965405yui_3_13_0_1_1383141134338_4924" style="font-size: 13.5pt; font-family: Arial;"> Vol 15, No 4 October, 2013</span></b><b><span lang="EN-GB" style="font-size: 11pt; font-family: Arial;"></span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4930" style="font-size:
 10pt;"><b><span lang="EN-GB" style="font-size: 13.5pt; font-family: Arial;"> </span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4933" style="font-size: 10pt;"><b id="yiv6313965405yui_3_13_0_1_1383141134338_4932"><span lang="EN-GB" id="yiv6313965405yui_3_13_0_1_1383141134338_4931" style="font-size: 13.5pt; font-family: Arial;">Table of Contents</span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383141134338_4934" style="font-size: 10pt;"><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);"> </span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3838" style="font-size: 10pt;"><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);">Editorial</span></b></div><div class="yiv6313965405" style="font-size: 10pt;"><a rel="nofollow" target="_blank"
 href="http://www.medicc.org/mediccreview/index.php?issue=26&id=319&a=va" style="
color:rgb(25, 106, 212);"><b><span style="font-size: 10pt; line-height: 15px; font-family: Arial;">Mental Health: It’s Not All in Your Head</span></b></a><b><span style="font-size: 10pt; line-height: 15px; font-family: Arial;"></span></b></div><div class="yiv6313965405" style="font-size: 10pt;"><span style="font-size: 10pt; line-height: 15px; font-family: Arial;"> </span></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3840" style="font-size: 10pt;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=321&a=va" style="color:rgb(25, 106, 212);"><b><span style="font-size: 10pt; font-family: Arial;">Letters</span></b></a><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);"></span></b></div><div class="yiv6313965405" style="font-size: 10pt;"><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);"> </span></b></div><div
 class="yiv6313965405" style="font-size: 10pt;"><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);">Interview</span></b></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383231683047_3845" style="font-size: 10pt;"><b id="yiv6313965405yui_3_13_0_1_1383231683047_3844"><span id="yiv6313965405yui_3_13_0_1_1383231683047_3843" style="font-size:10pt;line-height:15px;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=322&a=va" id="yiv6313965405yui_3_13_0_1_1383231683047_3842" style="color:rgb(25, 106, 212);">Approaches to Substance Abuse in Cuba: <span lang="ES-TRAD">Ricardo A. González MD PhD DrSc</span></a></span></b></div><div class="yiv6313965405" align="left" style="font-size: 10pt;"><span class="yiv6313965405"><b><span style="font-size:10pt;line-height:15px;"><a rel="nofollow" target="_blank"
 href="http://www.medicc.org/mediccreview/index.php?issue=26&id=322&a=va" style="color:rgb(25, 106, 212);">Eduardo B. Ordaz Psychiatric Hospital, Havana</a></span></b></span><b><span style="font-size:10pt;line-height:15px;"></span></b></div><div class="yiv6313965405" style="font-size: 10pt;"><i><span style="font-size: 10pt; font-family: Arial;">Christina Mills MD
 FRCPC</span></i><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);"></span></b></div><div class="yiv6313965405" style="font-size: 10pt;"><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);"> </span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3852" style="font-size: 10pt;"><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);">Feature</span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3850" style="font-size: 10pt;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=323&a=va" id="yiv6313965405yui_3_13_0_1_1383231683047_3849" style="color:rgb(25, 106, 212);"><b id="yiv6313965405yui_3_13_0_1_1383231683047_3848"><span id="yiv6313965405yui_3_13_0_1_1383231683047_3847" style="font-size: 10pt; font-family: Arial;">Community Mental Health Services in
 Cuba</span></b></a><b><i><span style="font-size: 10pt; font-family: Arial;"></span></i></b></div><div class="yiv6313965405" style="font-size: 10pt;"><i><span style="font-size: 10pt; font-family: Arial;">Conner Gorry
 MA</span></i></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_4951" style="font-size: 10pt;"><i><span style="font-size: 10pt; font-family: Arial;"> </span></i></div><div class="yiv6313965405" style="font-size: 10pt;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=324&a=va" style="color:rgb(25, 106, 212);"><b><span style="font-size: 10pt; font-family: Arial;">Therapeutic Clowns Bring Joy to Cuban Patients</span></b></a><b><i><span style="font-size: 10pt; font-family: Arial;"></span></i></b></div><div class="yiv6313965405" style="font-size: 10pt;"><i><span style="font-size: 10pt; font-family: Arial;">Conner Gorry MA</span></i><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);"></span></b></div><div class="yiv6313965405" align="left" style="font-size: 10pt;"><i><span style="font-size:10pt;line-height:15px;"> </span></i></div><div
 class="yiv6313965405" style="font-size: 10pt;"><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);">Original Research</span></b><i><span style="font-size: 10pt; font-family: Arial;"></span></i></div><div class="yiv6313965405" align="left" style="font-size: 10pt;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=325&a=va" style="color:rgb(25, 106, 212);"><b><span style="font-size:10pt;line-height:15px;">Tobacco and Alcohol Consumption among Health Sciences Students </span></b><b><span lang="ES-TRAD" style="font-size:10pt;line-height:15px;">in Cuba and Mexico</span></b></a><b><span style="font-size:10pt;line-height:15px;"></span></b></div><div class="yiv6313965405" align="left" style="font-size: 10pt;"><i><span lang="ES-TRAD" style="font-size:10pt;line-height:15px;">Justo R. Fabelo MS PhD, et al.</span></i></div><div class="yiv6313965405" align="left"
 id="yiv6313965405yui_3_13_0_1_1383231683047_3854" style="font-size: 10pt;"><i><span lang="ES-TRAD" style="font-size:10pt;line-height:15px;"> </span></i></div><div class="yiv6313965405" align="left" style="font-size: 10pt;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=326&a=va" style="color:rgb(25,
 106, 212);"><b><span style="font-size:10pt;line-height:15px;">Psychological, Behavioral and Familial Factors in Obese Cuban Children and Adolescents</span></b></a><b><span style="font-size:10pt;line-height:15px;"></span></b></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383231683047_3866" style="font-size: 10pt;"><i><span style="font-size:10pt;line-height:15px;">Lourdes M. Pérez MD MS, et al.</span></i></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383231683047_3864" style="font-size: 10pt;"><i><span style="font-size:10pt;line-height:15px;"> </span></i></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383231683047_3862" style="font-size: 10pt;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=327&a=va" style="color:rgb(25, 106, 212);"><b><span style="font-size:10pt;line-height:15px;">HIV/AIDS among Women
 in  Havana, Cuba: l986–2011</span></b></a><b><span style="font-size:10pt;line-height:15px;"></span></b></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383231683047_3860" style="font-size: 10pt;"><i><span lang="ES-TRAD" style="font-size:10pt;line-height:15px;">Dinorah C. Oliva MD MS, et al.</span></i></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383231683047_3868" style="font-size: 10pt;"><i><span lang="ES-TRAD" style="font-size:10pt;line-height:15px;"> </span></i></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383231683047_3858" style="font-size: 10pt;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=328&a=va" style="color:rgb(25, 106, 212);"><b><span style="font-size:10pt;line-height:15px;">Total Cardiovascular Risk Assessment and Management Using Two Prediction Tools,<br>with and without
 Blood Cholesterol</span></b></a><b><span style="font-size:10pt;line-height:15px;"></span></b></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383231683047_3856" style="font-size: 10pt;"><i><span lang="ES-TRAD" style="font-size:10pt;line-height:15px;">Porfirio Nordet MD, et al.</span></i></div><div class="yiv6313965405" align="left" style="font-size: 10pt;"><span lang="ES-TRAD" style="font-size:10pt;line-height:15px;"> </span></div><div class="yiv6313965405" style="font-size: 10pt;"><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);">Lessons from the Field</span></b></div><div class="yiv6313965405" align="left" style="font-size: 10pt;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=329&a=va" style="color:rgb(25, 106, 212);"><b><span style="font-size:10pt;line-height:15px;">Depression in an Older Adult Rural Population in
 India</span></b></a><b><span style="font-size:10pt;line-height:15px;"></span></b></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383141134338_4922" style="font-size: 10pt;"><i id="yiv6313965405yui_3_13_0_1_1383231683047_4949"><span lang="ES-TRAD" style="font-size:10pt;line-height:15px;" id="yiv6313965405yui_3_13_0_1_1383231683047_4948">Sati P. Sinha MD, et al.</span></i><span style="font-size:10pt;line-height:15px;"></span></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383141134338_4923" style="font-size: 10pt;"><i><span style="font-size:10pt;line-height:15px;"> </span></i></div><div class="yiv6313965405" align="left" id="yiv6313965405yui_3_13_0_1_1383231683047_4945" style="font-size: 10pt;"><a rel="nofollow" target="_blank" href="http://www.medicc.org/mediccreview/index.php?issue=26&id=330&a=va" style="color:rgb(25, 106, 212);" id="yiv6313965405yui_3_13_0_1_1383231683047_4944"><b
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 href="http://www.medicc.org/mediccreview/index.php?issue=26&id=320&a=va" style="color:rgb(25, 106, 212);"><b><span style="font-size: 10pt; font-family: Arial;">About the Contributors</span></b></a><b><span style="font-size: 10pt; font-family: Arial; color: rgb(0, 101, 102);"></span></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3881" style="font-size: 10pt;"><b><i><span style="font-size: 10pt; font-family: Arial;"> </span></i></b></div><div class="yiv6313965405" id="yiv6313965405yui_3_13_0_1_1383231683047_3875" style="font-size: 10pt;"><b id="yiv6313965405yui_3_13_0_1_1383231683047_3885"><i id="yiv6313965405yui_3_13_0_1_1383231683047_3884"><span id="yiv6313965405yui_3_13_0_1_1383231683047_3883" style="font-size: 10pt; font-family: Arial;">MEDICC Review: The International Journal of Cuban Health & Medicine</span></i></b><span id="yiv6313965405yui_3_13_0_1_1383231683047_3877" style="font-size: 10pt;
 font-family: Arial;"> is a quarterly, peer-reviewed, open-access journal publishing original articles by Cuban and international researchers on themes such as Cuban population health, strategies for health equity, policy and practice, biomedical R&D, health systems, health outcomes, human resources in health, and international cooperation in the health sector. <b><i>MEDICC Review</i></b> is published by <b id="yiv6313965405yui_3_13_0_1_1383231683047_3879">Medical Education Cooperation with Cuba (MEDICC)</b>, a non-profit organization working to enhance cooperation among the US, Cuban and global health communities aimed at better health outcomes.</span><a rel="nofollow" target="_blank" href="http://www.medicc.org/" style="color:rgb(25, 106, 212);"><span style="font-size: 10pt; font-family: Arial;" id="yiv6313965405yui_3_13_0_7_1383231683047_12">www.medicc.org</span></a></div></div></div></div></div></body></html>