Revista médica de Chile
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The diabetic foot is responsible for 70% of amputations in adults, entails a significant impact in the life of patients and it is associated with an excessive use of resources in our health system. The 2009-2010 National Health Survey indicated that in the "last year" 6.7% of subjects with diabetes consulted a health care professional for diabetic foot. With the permanent rise of worldwide and national prevalence of Diabetes Mellitus and the increased life expectancy in our country, the public health system needs to adapt to this new epidemiological situation. ⋯ However, in our country there is little experience with them. This deficiency results in increased rates of amputation and possibly a deterioration of the quality of life of diabetic patients. The objective of this article is to provide an update on the knowledge about diabetic foot.
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Revista médica de Chile · Oct 2013
[Prevalence of Gilbert syndrome and its genetic determinants in Chile].
In Europeans the TATA box TA7 repeat promoter variant in the UGT1A1 gene (UGT1A1*28) is the major determinant of bilirubin levels. ⋯ While the prevalence of GS was lower in Chile compared to Europeans (~5%), the prevalence of UGT1A1*28 homozygotes was similar (~12%). In Chilean Hispanics, the UGT1A1*28 variant explain 75% of GS phenotype.
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Revista médica de Chile · Sep 2013
Review[Initial resuscitation bundle and monitoring tissue perfusion in severe sepsis].
Sepsis is a global health problem. Despite recent advances in understanding its pathophysiology and clinical trials testing potential new therapies, mortality remains unacceptably high. ⋯ A systematic approach to the harmful triad of sepsis-related hypotension, tissue hypoperfusion and organ dysfunction, with low-cost, easy to implement, and effective interventions, can significantly improve the chances of survival. In this article, we will update the evidence supporting the initial resuscitation bundle for patients with severe sepsis, and discuss the physiological basis for perfusion monitoring during septic shock resuscitation.
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Revista médica de Chile · Sep 2013
Case Reports[Transient high frequency nodal rhythm after a high voltage electric shock. Report of one case].
Electrical shock can cause a direct myocardial damage and different types of arrhythmias, which are uncommon and occur more often when there is a high voltage exposure. We report a 19-year-old male that received a high voltage shock, falling thereafter from an altitude of four meters. ⋯ The electrocardiogram showed a nodal rhythm of 72 beats per minute. After four hours of monitoring, sinus rhythm returned spontaneously.
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Revista médica de Chile · Aug 2013
[Obesity and cancer in Chile: estimation of population attributable fractions].
Obesity is a risk factor for the development of certain types of cancer. ⋯ In Chile about 20% of all cancers could be prevented by obesity prevention and control strategies.