<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942023000400023</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores ambientales asociados a la enfermedad pulmonar obstructiva crónica]]></article-title>
<article-title xml:lang="en"><![CDATA[Environmental Factors Associated with Chronic Obstructive Pulmonary Disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Granda]]></surname>
<given-names><![CDATA[Set Isaí]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nevárez-Yugcha]]></surname>
<given-names><![CDATA[Nadia Paulette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olivo-Torres]]></surname>
<given-names><![CDATA[Rosita Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma Regional de los Andes (UNIANDES)  ]]></institution>
<addr-line><![CDATA[Ambato ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000400023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000400023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000400023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la enfermedad pulmonar obstructiva crónica es una entidad caracterizada por la disnea, tos crónica y fatiga, siendo la gravedad de estos progresiva mientras avanza la enfermedad y determinada por el predominio de uno de sus componentes: bronquitis crónica y enfisema.  Objetivo: describir los factores ambientales asociados al desarrollo de la enfermedad pulmonar obstructiva crónica.  Métodos: se realizó una búsqueda de información en las bases de datos SciELO, Medigraphic, Redalyc y AmeliCA. Se seleccionaron 22 artículos referentes al periodo 2018-2020, de acceso abierto y en idiomas español e inglés.  Desarrollo: los factores ambientales que predisponen a la población a desarrollar EPOC son el tabaquismo (activo y pasivo), exposición a contaminantes ambientales, sustancias industriales.  Conclusiones: la enfermedad pulmonar obstructiva crónica presenta alta mortalidad en todo el mundo, por esta razón es indispensable tomar en cuenta la predisposición que puede tener una persona a desarrollar esta enfermedad, así como la importancia que tiene para los médicos realizar un diagnóstico y prevención oportunos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: chronic obstructive pulmonary disease is an entity characterized by dyspnea, chronic cough and fatigue, being the severity of these progressive as the disease progresses and determined by the predominance of one of its components: chronic bronchitis and emphysema. Objective: to describe the environmental factors associated with the development of chronic obstructive pulmonary disease. Methods: a search for information was carried out in the SciELO, Medigraphic, Redalyc and AmeliCA databases. Twenty-two articles referring to the period 2018-2020, open access and in Spanish and English languages were selected. Development: the environmental factors that predispose the population to develop COPD are smoking (active and passive), exposure to environmental pollutants, industrial substances. Conclusions: chronic obstructive pulmonary disease presents high mortality worldwide, for this reason it is essential to take into account the predisposition that a person may have to develop this disease, as well as the importance for physicians to make a timely diagnosis and prevention.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ENFERMEDAD PULMONAR OBSTRUCTIVA CRÓNICA]]></kwd>
<kwd lng="es"><![CDATA[ENFISEMA PULMONAR]]></kwd>
<kwd lng="es"><![CDATA[BRONQUITIS CRÓNICA]]></kwd>
<kwd lng="en"><![CDATA[PULMONARY DISEASE, CHRONIC OBSTRUCTIVE]]></kwd>
<kwd lng="en"><![CDATA[MEDIASTINAL EMPHYSEMA]]></kwd>
<kwd lng="en"><![CDATA[BRONCHITIS, CHRONIC.]]></kwd>
</kwd-group>
</article-meta>
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