Revista médica de Chile
-
Revista médica de Chile · May 2021
[Degree of association between healthcare indicators and poverty measures in Chile over the period 1992-2017].
More than half of the worlds's population is deprived of essential healthcare services. In consideration of this, the World Health Organization introduced the concept of Social Determinants of Health to improve the awareness of this problem. ⋯ Poverty calculated on the basis of income alone is an inadequate predictor of health deprivations; multidimensional poverty performs better. However, poverty and health indicators have become progressively less associated. Therefore, it becomes necessary either to adapt the health indicators included in Multidimensional Poverty Index to the current health challenges or to implement a Multidimensional Health Deprivation Index, with a view to improving the integration of health within the current social policy framework.
-
Revista médica de Chile · May 2021
Consequences of COVID-19 pandemic on myocardial infarction reperfusion therapy and prognosis.
Background The coronavirus disease (COVID-19) pandemic affected the prompt diagnosis and treatment of Acute myocardial infarction (AMI).
-
Revista médica de Chile · May 2021
Case Reports[Rhabdomyolysis as the presentation form of COVID-19 infection. Report of one case].
COVID-19 infection causes a systemic inflammatory response, which mainly presents as a febrile syndrome with respiratory involvement. We report a 37-year-old male who consulted for myalgia, nausea and epigastric pain lasting three days. On admission, he had crepitations at the lung bases. ⋯ The chest CT scan was compatible with multifocal pneumonia, suggesting a COVID-19 infection. COVID-19 PCR was positive. The patient was managed with hydration, sodium bicarbonate, ceftriaxone, and azithromycin, with a good clinical response.
-
Peer tutoring is a process of accompaniment carried out by a student with certain features and skills, whose objective is to support and guide, academically and emotionally, other students who may require it. ⋯ Peer tutoring as a teaching-learning strategy contributes to the development of generic competences and metacognitive skills, generating high levels of personal satisfaction and identification their teaching role.
-
Sjögren Syndrome (SS), a slowly Progressive disease that has unified, validated diagnostic criteria, with excellent evidence and performance in adults, but not in adolescents. We report a 17 year old teenager with a family history of SS in his sister and mother. ⋯ A scintigraphy showed a severe salivary gland dysfunction. The syndrome in this patient had a pediatric clinical behavior despite his proximity to adulthood.