Revista médica de Chile
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Revista médica de Chile · Oct 2014
Comparative Study[Treatment of diabetic ketoacidosis using 2009 American Diabetes Association guidelines].
During 2009, new guidelines for the treatment of diabetic ketoacidosis were published by the American Diabetes Association. ⋯ Introduction of the ADA-2009 protocol for the treatment of KAD resulted in decrease in the use of intravenous bicarbonate and a reduction in the incidence of hypokalemia. There was no impact neither in the lapse until resolution or lethality.
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Sonothrombolysis (ST) is an emerging modality for the treatment of stroke. ⋯ ST can be carried out in a complex medical center and is safe.
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Revista médica de Chile · Oct 2014
[Influence of psychosocial factors on adherence to antihypertensive drug therapy: results from a Cardiovascular Health Program cohort followed in the Metropolitan Region of Santiago, Chile].
Inadequate blood pressure control in hypertensive patients remains a persistent health problem in Chile and worldwide. Poor adherence to antihypertensive drug therapy is one of the frequently cited factors. ⋯ Our study highlights the influence of inadequate patient-physician relation, high level of emotional stress and depression, low education level and income and male gender in the lack of adherence to antihypertensive drug therapy in hypertensive patients followed throughout the CHP.
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Revista médica de Chile · Sep 2014
Review[Magnitude, impact and recommended management strategies for depression, with reference to Chile].
Depression is a global public health priority. Intervention strategies at different levels of care must be implemented. Research is needed in the areas of depression prevention, treatment and rehabilitation. This paper reports a literature review, focused in Chile, on the magnitude, impact, recommended management strategies and new research on depression.
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Revista médica de Chile · Sep 2014
Case Reports[Electrocardiographic manifestations of severe accidental hypothermia: report of one case].
We report a 77-year-old female patient who was admitted to the Emergency Department with impairment of consciousness, hypotension, bradycardia and hypothermia. She required endotracheal intubation and transfer to Intensive Care Unit (ICU). Computed tomography of the brain showed no lesions. ⋯ Myxedema coma, infections and neurological diseases were discarded. The cause of severe hypothermia was unclear, and the probable source was suspected to be accidental. After intensive treatment the patient improved, achieving normalization of electrocardiographic changes, recovery of organic functions and she was discharged home after 22 days.