Clinical, functional and imaging characterization of discharged patients with chronic obstructive pulmonary disease | Author : Donel González-Díaz, Marta Angélica Cando-Neira, Sergio Fernández-García, Drialis Díaz-Garrido, Manuel Díaz-Toledo | Abstract | Full Text | Abstract :Introduction:Chronic obstructive pulmonary disease is a common, preventable and treatable pathology.The prevalence is between 2.5-3.5% of the population in general and rises up to 19% in those over 65 years of age.
Objectives:To describe the clinical, functional and imaging characteristics of patients diagnosed with chronic obstructive pulmonary disease in the pneumology service of the Hospital Clínico Quirúrgico “Hermanos Ameijeiras” in the period December 2018 to March 2020.
Method:A descriptive cross-sectional study was carried out in 171 patients discharged for chronic obstructive pulmonary disease.The variables measured were: age, gender, nutritional evaluation, smoking addiction, occupation, clinical symptoms and signs, classification of the disease according to its spirometric severity and imaging findings.
Results:Male patients (56.9%) with ages between 60 and 69 years (26.9%) and normal weight (39.2%) predominated.64.9% were smokers and 49.1% had exposure to inorganic substances at work.Wet cough (56.14) and grade 3 dyspnea (55.0%) predominated.According to the severity of the disease, the moderate form was the most frequent (46.2%).Regarding the tomographic findings, the emphysematous pattern prevailed in its centrilobular variant (55.6%).
Conclusions:The most obvious clinical manifestations are dyspnea and wet cough.Moderate severity was the most reported spirometric variant and the centrilobular emphysematous pattern was the most evident tomographic finding.
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| Characterization of corneal wound in the Ophthalmology service of the Hospital General Docente “Dr.Agostinho Neto”, Guantánamo | Author : Maricely Frómeta-Ávila, Liuba Cobas-Díaz, Mayda Armas-López, Elieser Imbert-Puente, Miladis Velázquez-Matos | Abstract | Full Text | Abstract :Introduction: Characteristics of the patients treated for corneal wound remain unknown at the Hospital General Docente “Dr.Agostinho Neto”.
Objective:To characterize the corneal wound in patients admitted to the ophthalmology service of the aforementioned hospital in the period from January 2014 to July 2019.
Method: A descriptive, retrospective and longitudinal study of all patients with this diagnosis (n = 35) was carried out.The variables studied were: gender, age, origin, activity carried out at the time of injury, type of wound, complications, type of treatment and modifications of visual acuity, according to the treatment applied.
Results: 80.0% of the patients were men, 57.0% were between 19 and 40 years old, 66.0% came from rural areas and 60.0% were engaged in work activities.91.0% presented a penetrating corneal wound.Traumatic cataract was the most frequent complication (40.0%).97.0% of the patients received surgical treatment and wound suture.Before and after treatment, 54.0% and 40.0% of the patients, respectively, presented visual acuity, counting finger vision and light perception.
Conclusions: Corneal wounds are not a health problem, but it does negatively interfere with the quality of life of those affected by affecting visual acuity.
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