Revista médica de Chile
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Revista médica de Chile · Jul 2022
[Embolization of spontaneous portosystemic shunts as treatment for refractory hepatic encephalopathy].
Hepatic encephalopathy (HE) is a common complication of cirrhosis associated with a reduced survival. The presence of high-flux spontaneous porto-systemic shunts can induce HE even in patients with preserved liver function. ⋯ According to our experience, SPSE is a feasible and effective alternative to improve HE and functionality of patients with refractory EH.
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Revista médica de Chile · Jul 2022
[Association of adolescent dating violence as victim or perpetrator with childhood maltreatment].
Childhood maltreatment extends beyond this stage of development, impacting adolescence and adulthood, and even adolescent dating violence. Adolescence is an essential transitional stage, so dating violence puts development at risk. In Chile, studies on adolescent dating violence are just emerging and still show a gap. ⋯ Our study supports the evidence on differentiated outcomes between adolescent dating victimization and perpetration. Moreover, it highlights the role of childhood sexual abuse as a predictor of both.
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Revista médica de Chile · Jul 2022
[Development of mechanical ventilators in Chile. Chronicle of the initiative "Un Respiro para Chile"].
At the beginning of the COVID-19 pandemic in Chile, in March 2020, a projection indicated that a significant group of patients with pneumonia would require admission to an Intensive Care Unit and connection to a mechanical ventilator. Therefore, a paucity of these devices and other supplies was predicted. The initiative "Un respiro para Chile" brought together many people and institutions, public and private. In the course of three months, it allowed the design and building of several ventilatory assistance devices, which could be used in critically ill patients.
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Revista médica de Chile · Jul 2022
[Combining the national health survey with GES notifications to improve the depression prevalence estimation in Chile].
Major Depressive Disorder (MDD) is a public health problem of increasing severity in Chile. However, prevalence studies of MDD yield discordant results. Reconciling these discordances, at least in part, requires improving the estimate of MDD prevalence in Chile. ⋯ The MDD prevalence that results from combining ENS 2016/17 and GES data is greater than the prevalence reported by the ENS 2016/17 alone. This increase in cases allows policymakers to improve budgeting and implementation of public policies concerning the prevention and treatment of MDD.
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Revista médica de Chile · Jul 2022
[Spatial distribution of Echinococcus granulosus sensu lato genotypes in the american continent].
Knowledge of the distribution cystic is required for its territorial control. ⋯ Spatial analysis allows defining the relationship of territories and cases with their own characteristics, which can help to plan control interventions.