Revista médica de Chile
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Revista médica de Chile · Aug 2006
Review[Recommendations for the nutritional assessment of critically ill patients].
Undernutrition affects 30 to 50% of hospitalized patients. The identification of patients with undernutrition or in risk to become undernourished is of utmost importance to prescribe a timely nutritional support. ⋯ Prognostic indexes and other parameters used for the assessment of nutritional risk are also discussed. Some tools are proposed for the diagnosis of hospital malnutrition.
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Revista médica de Chile · Aug 2006
Multicenter Study[Student patient relationship from the patient's point of view].
Patients are becoming increasingly active in their relationship with medical professionals. Their relationship with medical students needing to learn clinical skills, may be specially problematic if patients are not willing to accept their involvement in the medical team. ⋯ Patients in Chilean public and private hospitals were in general positive regarding student's participation in their care. Students' clinical practice ought to strictly respect patients's rights, and patients should be considered volunteers who generously agree to cooperate with the education of medical students.
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Revista médica de Chile · Aug 2006
[Brain and spinal cord magnetic resonance imaging in spastic paraparesis associated to human T-lymphotropic virus].
The spastic paraparesis associated to HTLV-1 causes degenerative pyramidal tract lesions of the spinal cord and affects cortical-nuclear connections in the brain. ⋯ Most patients with tropical spastic paraparesis have alterations in brain or spinal cord magnetic resonance imaging. The magnetic resonance lesions are concordant with functional impairment. The characteristics of the imaging in TSP/HAM patients can be helpful in the differential diagnosis of patients with paraparesis.
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Revista médica de Chile · Aug 2006
Case Reports[Endoluminal stent-graft placement for acute dissection of the descending aorta complicated with rupture. Report of one case].
Acute dissection of the aorta, although not common, has early and highly lethal complications. The type A dissection is treated with surgery. Patients with type B dissections are treated with surgery if they have complications like rupture, growth or visceral ischemia. ⋯ He was treated successfully with the placement of an endoluminal graft. He was discharged five days after the procedure in good conditions. After one year of follow up, the patient remains asymptomatic.