Revista médica de Chile
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Revista médica de Chile · Jun 2020
[Urinary heavy metals and blood lead levels among residents of Antofagasta, Chile].
The presence of toxic metals in human populations is strongly associated with chronic diseases. ⋯ The findings of this study suggest that all potential sources of exposure to AsIn should be evaluated, and surveillance actions should be established to reduce involuntary exposure to this metalloid.
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Revista médica de Chile · Jun 2020
Editorial Comment[COVID-19: blood sufficiency versus convalescent plasma?]
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Revista médica de Chile · May 2020
Review[Assessing the performance of public hospitals using key indicators: a case study in Chile and Ecuador].
Continuous improvement, quality of care, and patient satisfaction demand the implementation of coordinated actions from all the healthcare personnel. They also require collaboration, management skills and attention to different dimensions to improve problems due to the lack of resources such as specialists, medical technology and infrastructure. ⋯ The defined indicators are aimed to improve the performance of a hospital, are easily interpreted, can be measured without spending large amounts of money, and do not need excessive efforts to collect data, mainly if they are supported by information systems.
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Revista médica de Chile · May 2020
Case ReportsCholestasis secondary to hyperthyroidism in Graves' disease. Report of one case.
Hyperthyroidism can induce elevation in several liver function tests including aminotransferases, alkaline phosphatases and, less frequently, serum bilirubin. These alterations are usually mild and asymptomatic. We report a 26 year-old male presenting with palpitations, progressive jaundice, choluria and generalized itching. ⋯ A liver biopsy showed portal hepatitis with canalicular cholestasis. The patient was treated temporarily with glucocorticoids, cholestyramine and betablockade. Thereafter, he was treated with radioactive iodine, after which serum bilirubin decreased steadily until normalization in ten weeks.