Revista médica de Chile
-
Revista médica de Chile · May 2020
Observational Study[Variables associated with a good response to steroids in chronic inflammatory demyelinating polyradiculoneuropathy].
The treatment of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is based on corticosteroids, immunoglobulin and plasmapheresis. In our Health System, corticosteroids are commonly used as first line therapy for economic reasons and accessibility. However, the factors associated with a good response are not well known. ⋯ Most of these patients with CIDP had good response to corticosteroid therapy.
-
C1q nephropathy is a rare glomerulopathy characterized by mesangial deposition of the complement component C1q. These deposits can be isolated or associated with immunoglobulins or complement fractions, which are observed by immunofluorescence or immunohistochemical microscopy. In ultramicroscopy, dense mesangial deposits and alterations of the podocyte are observed. ⋯ In light microscopy, it is expressed with a morphological pattern of minimal change disease (MCD), mesangial proliferative glomerulonephritis or focal segmental glomerulosclerosis (FSGS). The NS during its evolution usually evolve in steroid resistance or steroid dependency, often requiring the association of immunosuppressants to obtain remission. We report a 14 years old male with a history of NS and its evolution under various treatments during a 12-year follow-up.
-
Revista médica de Chile · May 2020
[Recommendations for performing interventions during the COVID-19 pandemic].
Coronavirus infection (SARS-CoV-2), is a pandemic disease declared by the World Health Organization (WHO). This disease reports a high risk of contagion, especially by the transmission of aerosols in health care workers. ⋯ In this document, a team of international specialists in interventional pulmonology elaborated a series of recommendations, based on the available evidence to define the risk stratification, diagnostic methods and technical considerations on procedures such as bronchoscopy, tracheostomy, and pleural procedures among others. As well as the precautions to reduce the risk of contagion when carrying out pulmonary interventions.
-
Revista médica de Chile · May 2020
[Undertriage as quality of care parameter in an emergency department].
Undertriage or the underestimation of the urgency of the condition of a person arriving in an emergency department (ED) represents a measure of quality care. ⋯ Undertriage rate in this series was low, but it can be improved.
-
Revista médica de Chile · May 2020
[Association between health literacy and adherence to medications among older adults].
Lack of compliance with medication prescription is common among older adults and hamper an adequate management of chronic conditions. ⋯ Health literacy influences medication adherence in Chilean older adults.