Revista médica de Chile
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Revista médica de Chile · Oct 2020
[Retention of procedural competences in medicine students after training using a simulation model].
Boot camps are used to acquire skills in simple surgical procedures, such as sutures, in a short period of time. ⋯ Simulation programs are useful for the acquisition of procedural skills which are retained over time.
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Revista médica de Chile · Oct 2020
[Acute myocardial infarction caused by thrombosis of left main coronary artery. Report of two cases].
Acute myocardial infarction caused by thrombosis of left main coronary artery generate acute cardiac failure, cardiogenic shock and death. Along with the clinical history, the electrocardiogram (EKG) is the most useful tool for its recognition and timely management. ⋯ Urgent coronary angiography with percutaneous coronary angioplasty using drug eluting stents is recommended when the diagnosis is made. We report two cases to exemplify the clinical presentation, EKG and angiographic findings and therapeutic approach.
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Revista médica de Chile · Oct 2020
[Lower limb ischemia in giant cell arteritis. Report of one case].
Giant cell arteritis is more common in women older than 60 years, is associated with systemic inflammation symptoms and mainly involves the aortic arch and cranial arteries, specially the temporal artery. Symptomatic lower extremity arterial stenosis or occlusion is uncommon and can lead to limb loss. We report a 73-year-old woman presenting with a one-month history of lower extremity intermittent claudication of sudden onset. ⋯ Steroidal treatment was started, and a temporal artery biopsy was performed confirming giant cell arteritis. Six weeks after steroid therapy the patient had a complete remission of symptoms. A serologic exacerbation was subsequently treated with a humanized monoclonal antibody against the interleukin-6 receptor Tocilizumab, obtaining long time remission.
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Revista médica de Chile · Oct 2020
[The general self-efficacy scale (GSES): Reevaluation of its reliability and validity evidence in Chile].
Self-efficacy is a psychological variable closely related to healthy behaviors. One of the most widely used instruments to measure this variable is the general self-efficacy scale (GSES). In Chile, the only psychometric study of this scale has important analytical limitations. ⋯ The GSES is an adequate scale to measure general self-efficacy in the Chilean population and allows unbiased comparisons based on sex or age.
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The assessment of frailty among older people could help to reduce its social and health burden. ⋯ The prevalence of frailty increased markedly with age. It is important to implement prevention strategies to allow an early identification of high-risk individuals.