Revista médica de Chile
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Revista médica de Chile · Mar 2022
Observational Study[Clinical and epidemiological differences and similarities of viral pneumonias in two pandemics].
In a decade, we faced two pandemic viruses, influenza A H1N1pdm09 and SARS CoV-2, whose most serious manifestation is pneumonia. ⋯ COVID-19 patients were older, had fewer classic flu symptoms but more dyspnea and longer hospitalization periods than patients with influenza.
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Revista médica de Chile · Mar 2022
[Effectiveness of regional citrate anticoagulation in continuous renal replacement therapy].
Anticoagulation in continuous renal replacement therapy (CRRT) is essential to counteract the coagulation cascade activation, induced by the dialysis circuit. Heparin is the most widely used anticoagulant, followed by regional citrate anticoagulation (RCA). ⋯ RCA is feasible to perform, it is a safe and efficient procedure if it is protocolized, allowing a longer duration of the dialysis circuit.
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Very little has been written about the national pioneer investigators and the formal institutions and channels of knowledge that have contributed to the consolidation of cognitive neuroscience in Chile. This article is a review based on scientific publications, magazine articles and interviews with neuroscientists that were key to the development of cognitive neuroscience in Chile. In particular, the review incorporates information about the different Chilean investigators, the universities where they completed their doctoral studies, and the institutions where they settled afterwards. ⋯ A visual representation of these networks was elaborated. In addition, the scientists' academic training in Chile and abroad is summarized in a table. This analysis allows for a deeper comprehension of the socio-historical context in which cognitive neuroscience emerges and encourages a critical perspective of its development in Chile.
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Revista médica de Chile · Mar 2022
[Implementation of diagnosis related groups in a high-complexity health institution in Colombia].
One of the greatest challenges for health care institutions is to know the hospital product (HP), defined as patients, diagnoses and resources used in health care. Proper measurement of HP allows an effective resource management. The Diagnosis Related Groups (DRG) system facilitates the measurement of HP, classifying patients according to their characteristics, complexity, and resource consumption. ⋯ The use of DRGs improves hospital efficiency. Its implementation is possible in health care institutions in Colombia. However, the commitment of the institution's clinical and administrative staff is essential.
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Revista médica de Chile · Mar 2022
[How do patients on dialysis experience their disease? A qualitative approach].
End-stage chronic kidney disease is a severe public health problem due to the poor quality of life of patients on dialysis and the costs associated with renal replacement treatment. ⋯ Health care of people on dialysis should take into consideration the experience of kidney disease from the perspective of the patient, including his beliefs and feelings and involving the family, community, and the state.