Revista médica de Chile
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Revista médica de Chile · Apr 2022
Case Reports[Lymphocyte shift in a patient with herpetic encephalitis. Report of one case].
Central nervous system infections are a medical emergency, due to their high fatality and sequelae. Timely treatment is essential, and should be initially indicated empirically by clinical guidance, without microbiological certainty. Hence the importance of cerebrospinal fluid (CSF) analysis as an etiological and therapeutic guide in the crucial initial hours of management. ⋯ A new lumbar puncture disclosed a CSF with predominance of lymphocytes. The lymphocyte shift prompted a PCR that was positive for herpes virus. The patient was treated with acyclovir with a good evolution.
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Revista médica de Chile · Apr 2022
[Features of patients admitted with COVID-19 to a Chilean regional hospital during the first stages of the pandemic].
The COVID-19 pandemic posed a great strain in health services. ⋯ Viral pneumonia is the main cause of hospitalization for COVID-19, usually extensive and bilateral. The greater severity and poor prognosis of these patients are mainly related to comorbidities.
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Revista médica de Chile · Apr 2022
[Scores obtained by physicians in the national health services admission contest between 2016 and 2020].
Medical specialists are an essential resource for the functioning of the health system and in Chile there is a growing deficit of these specialists. To address this shortage, the government has strategies for training health professionals, such as a national public contest for medical scholarships, named CONISS, which stands out for its high capacity to produce medical specialists. The scoring system of this contest is used for the allocation of training resources to the best candidates. ⋯ Interpretation of these results is complicated by the characteristics and limitations of the measurements of the CONISS scoring system. This precludes establishing whether this system effectively filters out the best candidates for medical specialization programs.