Neumology

Rationale: Obstructive sleep apnea (OSA) is associated with impaired glycemic control and a higher risk of vascular complications, such as diabetic retinopathy. However, the effect of apnea-hypopnea suppression on retinal disease progression is unclear. Objectives: To evaluate the efficacy and safety of continuous positive airway pressure (CPAP) for the reduction of retinal lesions in patients with non-proliferative diabetic retinopathy (NPDR) and OSA. Methods: This open-label, parallel-group, randomized controlled trial was conducted between October 2016 and February 2020 at a university hospital in Spain...

According to World Health Organization estimates, more than 1 million patients aged less than 15 years develop tuberculosis (TB) each year worldwide. In some regions, up to 25% of new TB cases are caused by drug-resistant strains. Although Spain is considered a low-incidence country, several hundred children and adolescents develop TB each year. The importance of paediatric TB has been minimized for years due to the lack of microbiological confirmation in many patients and because these patients are not usually contagious...

INTRODUCTION AND OBJECTIVES:  Multiple chemical sensitivity (MCS) is a multi-symptomatic systemic disease whose genitourinary symptoms are poorly known. The aim of this article is to study these symptoms in Spanish publications. MATERIALS AND METHODS: A retrospective study of descriptive type on the genitourinary symptoms of MCS is carried out in the Spanish publications between the years 2000 and 2019. The search in Medline was performed with MeSH terms "multiple chemical sensitivity Spanish" and in Google with free terms "sensibilidad química multiple España"...

The use of predictive variables of exacerbations of the COPD is not a practice generalized in our environment, for what we cannot characterize the exacerbating patient neither to design strategies for its integral handling. There was carried out a prospective descriptive study to correlate in patient with diagnosis of COPD from the Neumologic Hospital of Cuba, with the objective of determining the association between clinical, functional variables and imagenological and the exacerbations frequency a year. The population was constituted for patients with clinical diagnosis of COPD and the sample for those patients with confirmed diagnosis that they completed the inclusion approaches...

BACKGROUND: Chronic obstructive pulmonary disease (COPD) is the fourth cause of death in western countries. Its final stage has clearly been forgotten by medical research in recent years. There exists consensus regarding the need to integrate palliative care in assisting these patients, but the difficulty in establishing a prognosis for the disease, establishing limits for life support measures, the lack of information about the disease's natural course and ignorance as to the most effective health-care structure for these patients' palliative treatment may be responsible for their late inclusion or non-inclusion in specific programmes...

A retrospective and descriptive study was conducted on patients diagnosed with extrapul-monary tuberculosis and discharged from "Benéfico Juridico" neumological hospital in the 1999-2003 period. The objective was to describe the perfor-mance of this disease. As a result, it was find out that of a total number of 353 diagnosed patients, 14% had extrapulmonary tuberculosis, 58% of these patients were in the 35-54 years age group, being the average age 39 years. The most frequent clinical manifestation was pleural (81%) followed by ganglionic tuberculosis (15%)...

We are reporting the case of a patient with final diagnosis of bronchopulmonar carcinoma of small cells who at first place assisted to E.N.T. Department due to a cervical node (adhered to the dermis) and hemoptysis of more than 2 months. We resected the neck mass which confirmed the presence ofa cutaneous metastases of an oat cell carcinome, being the patient after word ea sstudy by the Neumology Service, who found a righth lung tumor, of the same histological type. In spite of the treatment the patient die...

Allergic rhinitis is the commonest chronic respiratory disorder in children and young adults having an important impact for those suffering this condition, as well as for the public health. Allergic rhinitis is frequently associated to other co-morbidities, particularly asthma and conjunctivitis but, also, sinusitis and otitis media. Most of patients suffering rhinitis are cared by GPs and pediatricians and there are evidences that allergic rhinitis is undertreated, particularly the moderate/severe persistent forms...

Pneumomediastinum is an uncommon self-limited clinical entity which usually involves young adults. In asthmatic patients, the manifestation of pneumomediastinum as complication of an asthmatic crisis is considered to be a rare event, and its course is usually favourable with scarce complications. We report here the main clinical and epidemiologic characteristics in four patients with pneumomediastinum secondary to an asthmatic exacerbation, admitted to the Neumology Department in our hospital for a three year period...

OBJECTIVE: The aim of this study was measure and compare Secretory IgA levels in the respiratory tract. DESIGN: Cross-sectional study. SETTING: Neumology Department of General Hospital. La Raza Medical Center Mexico. MATERIAL AND METHOD: There were 35 volunteers. Samples of sputum, washings nasopharyngeal and bronchial was obtained from thirty five patients with COPD. Measurement of SIgA levels was performed by nephelometric technique...

We describe our experience with 1000 electric cardioversions performed at the emergency ward in the Hospital of Cardiology y Neumology, National Medical Center I.M.S.S. The objectives are: 1. Report our experience. 2. Investigate if digitalis treatment should be discontinued before the procedure. 3. Determine if all patients should be on anticoagulant therapy for elective cardioversion. 4. Indicate the optimal anesthetic drug with minimal side effects. A therapeutic procedure was performed in 73% of our cases and an elective one in the remaining 27%...