Revista médica de Chile
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Revista médica de Chile · Sep 2023
Comparative Study[Cardiorespiratory fitness in Chilean cancer patients: A comparative Analysis].
Physical activity and cardiorespiratory fitness (CRF) are protective factors in cancer development. However, the CRF in the Chilean population diagnosed with cancer is unknown. This study aimed to evaluate the association that the CRF had between people with and without a cancer diagnosis and, secondarily, to compare the trend of the CRF according to years of cancer diagnosis in the Chilean population. ⋯ Those diagnosed with cancer presented lower CRF compared to those not diagnosed. In addition, in people with cancer, the CRF decreased with increasing years since the first diagnosis. It would be essential to evaluate and increase CRF in cancer patients.
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Revista médica de Chile · Sep 2023
Observational Study[Muscle ultrasound: reliability across experience levels in critical care physiotherapists].
Muscle ultrasound is a valid tool to monitor muscle mass loss in critically ill patients. The level of experience is essential to the accuracy of the measurements. ⋯ Interobserver reliability was excellent for experienced raters and moderate to good for novice raters. The level of experience could determine the reliability of the results.
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Revista médica de Chile · Sep 2023
[Severity of community-acquired pneumonia due to coronavirus SARS-CoV-2 in immunocompetent hospitalized adult patients].
The acute respiratory illness caused by coronavirus SARS-CoV-2 (COVID-19) has spread throughout the world, causing significant morbidity and mortality. ⋯ Age, male sex, comorbidities, altered mental status and vital signs, renal dysfunction, and elevation of inflammatory parameters were associated with a higher risk of severe COVID-19. These may serve as useful baseline parameters in developing prediction tools for COVID-19 prognosis.
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Revista médica de Chile · Sep 2023
Medical empathy in the physician-patient relationship: A review from a cultural perspective.
Medical empathy is a fundamental pillar in the social construction of the physician-patient relationship. In this light, patients' beliefs and perceptions of medical empathy, and physicians' empathic attitudes towards their patients are guided by their socio-cultural understandings and expectations, which naturally vary from culture to culture. Such considerations are particularly relevant to the field of social psychology and to public healthcare systems where a growing number of foreign physicians characterise their highly diverse socio-demographic makeup. However, there is no clear research agenda concerning the way in which medical empathy should be investigated from a cultural point of view in years to come. ⋯ We suggest that future studies adopt an intercultural perspective of medical empathy as a psychocultural construct rather than as merely a sociocultural one.
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Revista médica de Chile · Sep 2023
Case Reports[Myocardial infarction with elevation of the inferior and anterior ST segment: double artery is the culprit?].
Chest pain is one of the most frequent reasons for consultation in the emergency department. The most severe pathologies must be quickly ruled out within the diagnostic hypotheses: myocardial infarction (MI), aortic dissection, pulmonary thromboembolism, and pneumothorax. A frequent scenario is ST elevation MI due to a plaque accident. ⋯ We present the case of a 59-year-old man who presented chest pain and an electrocardiogram with inferior and anterior ST-segment elevation who was referred for primary angioplasty. The angiographic study confirmed the presence of a coronary ostium defect and suggested aortic dissection. Computed tomography angiography confirmed the diagnosis, showing the dissection of the ascending aorta with the compromise of both coronary ostia, which was subjected to surgical treatment.