Revista médica de Chile
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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
[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
[Cardiac magnetic resonance imaging in patients with a suspected myocardial infarction and normal coronary arteries].
Patients hospitalized with suspected ST-segment elevation myocardial infarction (STEMI) who have normal coronary arteries (CAs) on invasive coronary angiography (ICA) may have an AMI or another acute cardiac disease that mimics it. ⋯ Cardiac magnetic resonance imaging allows a precise diagnosis of acute myocardial infarction in patients with angiographically normal coronary arteries.
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Von Willebrand factor (vWf) is a fundamental multimeric plasma glycoprotein in the coagulation process. Its function is to mediate platelet adhesion and to stabilize circulating factor VIII. A functional or quantitative alteration of vWf gives rise to von Willebrand disease (vWD). ⋯ The treatment should be focused both on the control of the acute episode of gastrointestinal bleeding, with vWf replacement therapy and local endoscopic treatment, as well as on the prevention of the progression of angiodysplasia and future bleeding. There are different published therapeutic approaches using vWf replacement that are not effective in all patients. Recently, angiogenesis inhibitor medications have been used.