Revista médica de Chile
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Revista médica de Chile · Feb 2022
Case Reports[Management of refractory septic shock with blood purification therapy using a special filter. Report of one case].
Sepsis is one of the leading causes of death in critically ill patients with COVID-19 and blood purification therapies have a role to immunomodulate the excessive inflammatory response and improve clinical results. One of the devices designed for these therapies is the oXiris® filter, allowing to perform renal replacement therapy combined with selective adsorption of endotoxins and cytokines. ⋯ Subsequently, there was an improvement in clinical perfusion parameters and a reduction in inflammatory markers. The patient was discharged from the intensive care one month later.
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Revista médica de Chile · Feb 2022
[Adaptation and validation of aged adults' adaptation scale to their residence (EAPAR) in Chile].
The adaptation of older people to nursing homes may be problematic. Scales to assess the degree of adaptation are required. ⋯ EAPAR is a reliable and valid instrument to be used by health professionals.
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Revista médica de Chile · Feb 2022
[18F-fluorodesoxyglucose positron emission tomography/computed tomography in extramedullary multiple myeloma].
18F-fluorodesoxyglucose positron emission tomography/ computed tomography (PET-CT) has a high sensitivity and specificity to detect medullary and extramedullary lesions in multiple myeloma (MM). ⋯ PET-TC was useful to diagnose EMM. However, a standardization in PETCT reports would be required to unify criteria. As previously reported, EMM had a greater aggressiveness and lower survival.
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Ejection fraction (EF) is defined by the ratio of end-systolic volume (ESV) and end-diastolic volume (EDV). The resulting fraction is a dimensionless number whose interpretation is ambiguous and most likely misleading. Despite this limitation, EF is widely accepted as a clinical marker of cardiac function. ⋯ Our physiology-based approach denounces the circumstantial theories invoked to justify the importance of EF as an index of cardiac function, which are critically discussed. EF appears to be nothing more than a blessing in disguise. For this reason, we propose the ESV as a more logical metric for the analysis of ventricular function.
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Neurocysticercosis is the most prevalent parasitic disease of the central nervous system in Chile, where sporadic cases are reported, without information about the epidemiology or distribution of the disease. ⋯ We identified the zone with the greatest concentration of cysticercosis in Chile, where preventive strategies should eventually be directed.