Revista médica de Chile
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Revista médica de Chile · Feb 2023
[Frequency of glomerular diseases in an analysis of 550 kidney biopsies].
The frequency of glomerular diseases is dynamic and varies according to geographic area. ⋯ The most common primary glomerulopathies were membranous nephropathy and IgA nephropathy. Among the secondary glomerulopathies lupus nephropathy and pauci-immune glomerulonephritis were the most common. Compared to international registries, we observed a high proportion of membranous nephropathy and pauci-immune glomerulonephritis.
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Revista médica de Chile · Feb 2023
ReviewAnalysis of the Chilean health promotion policy "Choose a Healthy Lifestyle".
Intersectoral health promotion initiatives in Chile to address obesity and non- communicable diseases have had a long history in Chile, but also a high degree of changes in their design, implementation, and financing. ⋯ Law 20,670 falls within the ACF. However, policy learning slowed down because the problem involved social aspects, conflict between deep beliefs of both coalitions, and lack of permanent funding, thus affecting the continuity of the policy.
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Revista médica de Chile · Feb 2023
No seroconversion among healthcare workers exposed to SARS-CoV-2 during the early phase of the pandemic.
The SARS-CoV-2 pandemic is associated with morbidity, hospitalizations, absenteeism, and mortality among healthcare workers (HCW). ⋯ There was no evidence of seroconversion in this group of HCW exposed to the risk of infection by SARS-CoV-2 during the onset of the COVID-19 pandemic. Personal protective equipment and other measures used by the HCW were extremely useful for their protection in the initial phase of the pandemic.
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Revista médica de Chile · Feb 2023
An elevated HScore is associated with poor clinical outcomes in COVID-19.
Patients with Coronavirus Disease 2019 (COVID-19) frequently experience a hyperinflammatory syndrome leading to unfavorable outcomes. This condition resembles Secondary Hemophagocytic Lymphohistiocytosis (sHLH) described in neoplastic, rheumatic and other infectious diseases. A scoring system (HScore) that evaluates underlying immunosuppression, temperature, organomegaly, cytopenias, ferritin, triglycerides, fibrinogen and AST was validated for sHLH, and recently proposed to evaluate hyperinflammation in COVID-19. ⋯ sHLH is not frequent among COVID-19 patients. HScore can be useful to predict the risk for poor outcomes.
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Revista médica de Chile · Feb 2023
Observational StudyPrevention and control of COVID-19 outbreak in a hemodialysis center.
The prevention and control of SARS-CoV-2 infection in hemodialysis (HD) units is challenging. ⋯ The incidence of SARS-CoV-2 infection in this HD unit was high. Strict biosafety protocols are required to prevent outbreaks.