Revista médica de Chile
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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.
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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.
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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.
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Revista médica de Chile · May 2020
[Effects high intensity isometric handgrip training on blood pressure of hypertensive older people].
Moderate isometric handgrip exercise is an effective tool in the management of systemic hypertension. ⋯ A blood pressure reduction was recorded in these participants after a period of high intensity isometric handgrip exercise.