Revista médica de Chile
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Revista médica de Chile · Dec 2021
Case ReportsGuillain-Barré syndrome in patients with SARS-CoV-2 infection. Report of three cases.
Several cases of Guillain Barre Syndrome (GBS) associated with SARS-CoV-2 have been published, most being acute inflammatory demyelinating polyradiculoneuropathy. Between April and December 2020, 1,499 cases of SARS-CoV-2 infection were admitted to Hospital del Salvador, in Santiago, Chile, serving a population of 521,920 adults. In the same period, seven cases of GBS were admitted. ⋯ A causal relationship between SARS-CoV-2 and GBS has been questioned since no increase of GBS has occurred during the pandemic. However, a rise in GBS associated with SARS-CoV-2 infection could be hidden due to a general decrease of GBS due to the decrease of all other infections. Lack of reporting due to the pandemic could be an added factor.
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Revista médica de Chile · Dec 2021
Case Reports[Reconstruction of aortic valve using Ozaki technique. Report of two cases].
Prosthetic valve replacement is the standard treatment for aortic valvulopathy. Due to the structural valve deterioration of biological prosthesis and the anticoagulation requirements of mechanical valves, the repair of aortic valve disease is receiving more attention in recent years. The Ozaki technique consists in the reconstruction of a trileaflet valve using autologous pericardium. We report our first two cases of successful reconstruction of the aortic valve using this technique with 12-month echocardiographic and 24-month clinical follow up.
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Diseases and treatments have different presentations and impact in men and women due to sex and gender differences. This issue justifies a gender differentiated approach in clinical practice guidelines. ⋯ Gender biases are evidenced in most of the GES guidelines.
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Revista médica de Chile · Dec 2021
[Ethical perspective for the COVID-19 vaccine prioritization in Chile].
The SARS-CoV-2 pandemic has generated an important health and economic impact on the world. Vaccines emerge as an intervention that can contribute to the control of the pandemic. Vaccines were approved for emergency use in the United States, Europe, as well as in Chile, however, they will not be immediately available, creating the need to prioritize vaccine distribution. ⋯ We propose three timeless values: maximizing benefits, prioritizing the most vulnerable, reciprocity, and two transversal bioethics principles: justice and transparency. This reference framework contributes to the vaccination plan communication, the decision-making by the authorities and supports the prioritization strategy's valúes framework. With an explicit values framework we can expect better communication or priorities, a greater acceptance of SARS-CoV-2 vaccination plan by the community and an increased vaccination coverage to protect the population.
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Revista médica de Chile · Nov 2021
Meta AnalysisPrevalence of depression among medical students during the COVID-19 pandemic. A systematic review and meta-analysis.
Medical students frequently have depressive symptoms. Thus, the psychological impact of COVID-19 on them should be high. ⋯ Our findings indicate that the proportion of medical students with depression during the pandemic was high, and comparable with that reported in other university students.