Revista médica de Chile
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Revista médica de Chile · Nov 2021
Case Reports[The importance of timely and safe care. Report of one case].
We report a 32-year-old woman with chronic kidney disease on hemodialysis undergoing a nephrectomy for left xanthogranulomatous pyelonephritis with a coralliform calculus and septic shock. Her clinical evolution was torpid, subfebrile, with persistent elevation of inflammatory parameters and with the finding of intra-abdominal collections interpreted as post-surgical. ⋯ Subsequently, she underwent a difficult mechanical ventilation weaning, identifying the abrupt discontinuation of benzodiazepines as a contributing factor to agitation. We report this patient for educational purposes and to reinforce some quality-of-care concepts such as safety and opportunity of healthcare.
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Revista médica de Chile · Nov 2021
[The contribution of omic sciences for the management of cancer in Chile].
With or without a COVID19 pandemic, cancer is and will continue to be one of the greatest health challenges on the planet. In Chile, during 2016, this disease was the second cause of death in the country and during 2019, it was the first cause in seven Chilean regions, surpassing cardiovascular diseases. With the advent of precision medicine as a powerful tool for cancer control, it is necessary to have genomic, proteomic, and molecular data in general, ideally on a population scale. ⋯ In this work we put into perspective the role of precision medicine and omic sciences as essential tools for public health. We offer a brief national diagnosis of the knowledge collected to date by the local scientific community regarding onco-genomic data from our own population. We finally discuss the potential behind the strengthening of this scientific knowledge, aiming to optimize the comprehensive management of cancer.
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Revista médica de Chile · Nov 2021
[Features of patients admitted for COVID-19 at a regional hospital in the Chilean Araucania Region].
The Araucania region in Chile had the greatest COVID-19 incidence and lethality in Chile Aim: To describe the clinical characteristics and evolution of patients admitted for COVID-19 in a high complexity Hospital in the region of La Araucanía-Chile. ⋯ Symptoms such as cough, dyspnea and fever and specific biomarkers on admission were associated with a worse evolution of adult inpatients with COVID-19.
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Revista médica de Chile · Nov 2021
[Features and evolution of patients with COVID-19 who required mechanical ventilation].
The overall mortality of patients with COVID-19 admitted to intensive care units is approximately 40%. ⋯ In this study mortality was lower than that reported in the first international studies, probably due to the selection of younger patients and greater knowledge of the disease.
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Revista médica de Chile · Nov 2021
[Effects of a multidimensional intervention in older adults with mild cognitive impairment].
Mild Cognitive Impairment (MCI) is defined as the intermediate stage between the cognitive changes associated with normal aging and dementia. People with MCI can benefit from the implementation of multidimensional non-pharmacological interventions. ⋯ Older adults with MCI benefit from the implementation of a multidimensional intervention, such as IMCFS, which is feasible to implement and integrate into the programs offered by the Chilean healthcare network.