The cost of the patient-day during COVID-19

Introduction: In 2020, an exponential growth and accelerated expansion of COVID-19 was observed. Cuba had 20 hospitals ready for medical care, some 5,000 hospital beds and 477 intensive therapy beds. Objective: Describe the cost of the main assistance and logistics assurance services during the response to COVID-19. Methods: A descriptive and prospective study was carried out in 363 patients, between March 12 and May 30, 2020. The variables studied were patient-day, bed-day, medications, medical supplies, food, clothing, cost per salary and energy power consumed. To obtain the total cost of a patient-day, the fixed and variable costs were added, expressed in Cuban pesos CUP. Results: In the COVID-suspects patient ward, a high number of patient-day (14 578) and a low number of bed-day (5 976) were observed. The average cost per salary was higher in nursing (226,2 CUP). Medications generated at high cost (35,6 %). In April, the highest electricity consumption was recorded (36,6 %) and a cost of 18,071.1 CUP. In relation to the total number of patient-day, an increase in fixed costs (87,30 %) was observed over the variables. Conclusions: The analysis of the cost of patient day-during the COVID-19 pandemic allowed to detail, by hospitalization wards, how much the expenses vary between healthcare services and logistics assurance, as well as the differences between fixed and variable costs. © 2021, Editorial Ciencias Medicas. All rights reserved.

Work in Progress: Building Tools for Interactive Experiences using Class role-playing games

The Covid-19 outbreak allows the faculty to evaluate and redesign the learning experience provided to the students. Many tools can currently help us with this task, but most have a common denominator, they were designed to improve face-to-face experiences. This paper aims to present a directly generated tool to enhance students' learning experience through active learning and gamification. The proposed tool creates an interactive 3D dungeon where the professor or instructor can hide some materials all over the map, offering students challenges in the virtual environment. Such virtual environment helps the students unleash creativity and eccentric ideas, using a diverse set of tools that you may not have in the classroom to increase the relationship between fun and learning.

The covid-19 in a leukemic patient

Introduction: The COVID-19 characterizes itself fundamentally for fever and respiratory symptoms. Acute myeloid leukemia represent close to 80 % of the intense leukemias in adults. A patient with leukemia and infected with the SARS-CoV-2, has increased risk of complications and mortality. The commitment of immunity and the effects of the treatment are variable determining in the defensive answer. Objective: Introducing a patient with acute non lymphocytic leukemia, infected by the COVID-19, yielded condition with very uncommonness. Case: A patient with acute non lymphocytic leukemia reports himself, would refract the treatment, cherished at a hospitable institution to present fever and a perianal abscess, next started with humid cough and whitish expectoration. Accomplishes three for him test fast fort he COVID-19 diagnosis, with negative results, and a PCR-RT positive. The hemorrhage, pulmonary sepsis and the state of shock were the principal complications. The patient perishes after a torpid evolution. Conclusions: The authors accord that coexistence of the COVID-19 and acute non lymphocytic leukemia generated potentially lethal complications during the sick person's clinical evolution, associates to the present inmunosupression. © 2020, Editorial Ciencias Medicas. All rights reserved.

Complications of the covid-19 in a hypertensive patient

Introduction: The rapid expansion of COVID-19 caused the World Health Organization, on January 30, 2020, to declare it a health emergency and recognized it as a pandemic on March 11 of the same year. Objective: To describe the clinical evolution of a hypertensive patient, affected by COVID-19. Clinical case: This is a 49-year-old patient, hypertensive, affected by COVID-19, treated at the Dr. “Joaquín Castillo Duany” Military Hospital, who during his stay in the intensive care unit, suffered serious complications such as: Acute respiratory distress syndrome, pneumonia associated with mechanical artificial ventilation, and pulmonary thromboembolism. The delay in going to the hospital, arterial hypertension, and previous treatment with angiotensin-converting enzyme inhibitors, were among the variables present in this patient, which possibly had a negative impact on his evolution. Conclusion: With intensive treatment, the ventilatory and anticoagulation strategy used, evolved favorably until his hospital discharge. © 2020, Editorial Ciencias Medicas. All rights reserved.