Revista médica de Chile
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Revista médica de Chile · Dec 2023
[Migrant User Satisfaction in Chilean Health Services: Adaptation of the PSQ-III].
Increased Latin American migrants in Chile pose challenges to healthcare services. These migrants report lower access and satisfaction with healthcare services than Chileans. Satisfaction with care is crucial, but there is a lack of psychometrically appropriate instruments to evaluate it. ⋯ User satisfaction is crucial in healthcare. The adapted version of the PSQ-III provides valid, reliable, stable, and culturally relevant measures over time. This instrument and its results can guide public policies focused on reducing health and access gaps in the migrant population.
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Revista médica de Chile · Dec 2023
[Total Aortic Arch Replacement. Does a management protocol impact the results?].
Aortic arch surgery is a surgical challenge due to its technical complexity and brain and body protection requirements. ⋯ The management protocol has good results regarding morbidity and mortality, similar to the international series.
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Revista médica de Chile · Dec 2023
[Epidemiology and Outcomes of Soft Tissue Sarcomas: Insights from a Decade of Head and Neck Surgery at Sótero del Río Hospital, Santiago, Chile].
Soft tissue sarcomas (STS) are rare malignant tumors of mesenchymal origin. They are associated with genetic and environmental risk factors. Their clinical manifestations are nonspecific, requiring a high level of suspicion. The first-line treatment is surgical. Positive margins are the only independent predictor of local recurrence and worse survival rates. Strict follow-up is recommended due to its high recurrence rate. ⋯ STS is an infrequent pathology. This study corresponds to the first retrospective research on STS in Chile. We require establishing a specialized multidisciplinary team to optimize the management and follow-up of STS patients.
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Revista médica de Chile · Dec 2023
Case Reports[Respiratory-Mucous Syndrome Secondary to Chlamydophila pneumoniae Infection: A Case Report].
Mucocutaneous diseases associated with systemic symptoms are varied. Since 2014, mucocutaneous syndromes, associated with atypical bacterial infections, have been described as specific entities. Most of them by Mycoplasma pneumoniae and up to 10 percent by Chlamydophila pneumoniae. ⋯ We present the case of a 24-year-old patient with extensive mucosal and respiratory compromise, compatible with mucosal respiratory syndrome due to Chlamydophila pneumoniae. Initially managed with NSAIDs, which made it difficult to differentiate from other syndromes with mucocutaneous involvement, which are caused by these drugs. We present the case because of how interesting and challenging the differential diagnosis was.
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Revista médica de Chile · Dec 2023
[Analysis of Clinical-Scientific Research on Diabetes Mellitus in Chile: A 13-Year Study].
Chile has one of the highest prevalences of Diabetes Mellitus (DM) in Latin America. Therefore, it is relevant to conduct a scientific analysis to identify national scientific productivity in this field objectively and determine if the research efforts are directed toward clinical priorities. ⋯ These results highlight the need to promote research in academic and/or clinical institutions, emphasizing reducing the incidence of DM2 due to the low number of articles with this type of design and the more prevalent complications.