Revista médica de Chile
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Revista médica de Chile · Feb 2020
Case Reports[Primary lymphocytic hypophysitis. Report of one case].
Primary lymphocytic hypophysitis is an autoimmune disease characterized by lymphocytic infiltration of the pituitary gland, with a higher incidence during late pregnancy and the postpartum period. It causes glandular destruction, mass effect and symptoms such headache, visual field defects, ophthalmoplegia and symptoms of hypopituitarism. We report a 38-year-old postpartum woman who, after giving birth presented decreased left visual acuity associated with a non ictal headache. ⋯ One month later, size of the pituitary gland decreased, and the visual field defect improved. Steroidal treatment was maintained for 36 months and progressively tapered. After two years of follow-up, the imaging studies show a normal sized pituitary gland.
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Revista médica de Chile · Feb 2020
[The influence of financial situation and friends' support on health self-perception of older adults].
The Chilean population is aging rapidly. This socio-demographic change imposes psychosocial and economic challenges that are relevant for the health care of older people. ⋯ The financial situation and friends' support (among women) are factors that should be considered in the evaluation of the health perception of older adults.
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Mediation in healthcare is a non-adversarial process to resolve a dispute risen between patients and health providers during medical attention Aim: To characterize the mediation process taking place in the public health system in Chile, from its start until 2017. ⋯ The analysis of conducted mediations is a source of feedback for healthcare staff and health institutions. It would greatly contribute to prevent possible damage and medical conflicts, specially within the specialties with the most complaints. Improvements to the existing legislation are required to ensure free access for all the population.
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The highest organ donation rate in Chile was 10 donors per million population in 2017, which is low compared with other countries. Local experts attribute the low rate to population's lack of education and generosity, distrust in procurement/allocation system, inadequate legislation and insufficient encouraging campaigns, although without much empirical support: None of the countries from the OECD is also an organ donation leader. Latin Americans who migrate to Spain improve their donation rates, suggesting that the possible explanation is trust in the system where personalities do not have fast access to organs and common people do not have a sense of inaccessibility. ⋯ The management of procurement coordinators should be improved, and their operational limitations should be visualized. Tools should be provided to the national agency in charge of organ procurement to have more political influence and credibility. Information technologies could ease warns, control and standardize, in real time, the procurement process.
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Revista médica de Chile · Feb 2020
[Physical activity and sedentary behaviors among people with cancer].
One of the side effects of cancer treatment is a low level of physical activity (PA) due to fatigue and pain. ⋯ People with cancer are less physically active than their counterparts without the disease.