Revista médica de Chile
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Revista médica de Chile · Oct 2020
[Clinical features and predictors of severity in 1022 adults with COVID-19].
In December 2019, coronavirus disease 2019 (COVID-19) emerged in Wuhan city and spread rapidly throughout China and the world. ⋯ Clinical features of COVID-19 were highly unspecific. Prediction models for severity, will help medical decision making at the primary care setting.
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Revista médica de Chile · Oct 2020
Case Reports[Use of PET/CT for staging of Ewing's sarcoma. Report of one case].
The use of positron emission tomography with computed tomography (PET/CT) for adult cancer patients is widespread, however, its use in pediatric patients is limited by fear of radiation, monetary cost and lack of awareness of its greater sensitivity in the evaluation of some types of tumors. Ewing's sarcoma is one of the primary pediatric malignancies in which PET/CT with 18F-labeled fluorodeoxyglucose (18F-FDG) has demonstrated greater sensitivity in the evaluation of bone metastases compared to scintigraphy, as well as in the evaluation of treatment response. ⋯ A biopsy confirmed the presence of an Ewing sarcoma. The tumor was staged with PET/CT which showed multiple bone lesions not visible in previous studies.
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Revista médica de Chile · Oct 2020
Observational Study[Nurse staffing, skill mix and job outcomes in Chilean public hospitals].
International evidence shows that there are organizational factors and nurse job outcomes that may negatively affect healthcare quality. ⋯ Staffing levels, burnout, and intent to leave warrant healthcare and governmental authorities' attention. All these factors may be threatening healthcare quality and safety.
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Revista médica de Chile · Oct 2020
[Acute myocardial infarction caused by thrombosis of left main coronary artery. Report of two cases].
Acute myocardial infarction caused by thrombosis of left main coronary artery generate acute cardiac failure, cardiogenic shock and death. Along with the clinical history, the electrocardiogram (EKG) is the most useful tool for its recognition and timely management. ⋯ Urgent coronary angiography with percutaneous coronary angioplasty using drug eluting stents is recommended when the diagnosis is made. We report two cases to exemplify the clinical presentation, EKG and angiographic findings and therapeutic approach.