Revista médica de Chile
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Revista médica de Chile · Feb 2021
[Lung transplant with ex vivo lung perfusion, Chilean and Latin American first experience].
The number of patients waiting for a lung transplant worldwide greatly exceeds the number of available donors. Ex vivo lung perfusion is a useful tool that allows marginal donor lungs to be evaluated and reconditioned for a successful lung transplantation. ⋯ ex vivo lung perfusion is a safe and useful tool that allows marginal donor lungs to be reconditioned and successfully transplanted.
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Revista médica de Chile · Feb 2021
[Calorie and macronutrient intake during the first six months after bariatric surgery].
Bariatric surgery (BS) is the most effective procedure in the management of obesity, achieving a significant decrease in energy intake. ⋯ Patients subjected to BS had a low calorie and macronutrient intake in the first six postoperative months. Their calorie intake is negatively associated with weight loss, mainly during the first postoperative month.
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Revista médica de Chile · Feb 2021
[Overview of machine learning and its application in the management of emergency services].
The processes associated with health care generate a large amount of information that is difficult to analyze using standard statistical procedures. In this context, disciplines such as Data Science became relevant, mainly through strategies such as Machine Learning (ML). The latter groups a series of tools whose purpose is to develop algorithms to extract information from data, whether for explanation, classification, or prediction. ⋯ Also, there are difficulties in understanding these types of studies. This work tries to offer a nontechnical overview of the ML concept and its advantages for health care management. It collects examples of ML applications in emergency department management.
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Revista médica de Chile · Feb 2021
Case Reports[Low molecular weight heparin-induced hyperkalemia and hyponatremia. Report of one case].
Low molecular weight heparin-induced hyperkalemia is not an uncommon side effect. The development of hyponatremia is well described although it is less common. We report a 72-year-old woman with lumbar metastases who developed hyponatremia and hyperkalemia on the tenth day of hospitalization. ⋯ Enoxaparin-induced hypoaldosteronism was proposed and the drug was discontinued. After four days' persistence of the electrolyte disturbance, dexamethasone was changed to Hydrocortisone, and parameters normalized in 24 hours. The patient remained well until discharge and during outpatient control.
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Revista médica de Chile · Feb 2021
[Liability and legal security of healthcare professionals in the context of a pandemic].
This paper deals with the relevance of bioethical guidelines for the prioritization of patient care. These guidelines should guide health professionals' triage procedures in exceptional situations of resource shortage. Also, they would contribute to evaluate the legal liability of professionals in these situations.