Revista médica de Chile
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Angiomyolipomas (AML) are mesenchymal tumors belonging to the group of perivascular epithelioid cell tumors, which, rarely, can display a malignant behavior. They are composed of adipose tissue, vessels, and muscle tissue in different proportions, and constitute a differential diagnosis for other focal liver lesions. ⋯ During ten years of imaging follow, the size and features of the lesion has not changed. The patient rejected a surgical excision.
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Revista médica de Chile · Sep 2022
[Psychometric properties of two surveys about beliefs towards vaccines in general and SARS-CoV-2 vaccine].
Negative beliefs about vaccines can threaten herd immunity and pandemic control. Although beliefs about vaccines influence vaccination intention, there are no valid instruments that evaluate this in the Latin American population. ⋯ The scales evaluated here are reliable and valid measures that showed associations with vaccination intention in the Chilean population.
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Revista médica de Chile · Sep 2022
[Evolution and prognostic factors associated with mortality in older adults hospitalized for COVID-19].
SARS-CoV-2 affects all age groups, but higher mortality rates are recorded in older people, men and with comorbidities, mainly hypertension, diabetes and obesity. ⋯ Prognostic factors associated with death in this age group are arterial hypertension and previous institutionalization.
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Revista médica de Chile · Sep 2022
[Impact of the COVID-19 pandemic on the mental health of residents of three specialty medical programs].
COVID-19 pandemic disturbed mental health of healthcare personnel. Residents of the specialization programs could be at risk, since they were reassigned in their functions. ⋯ A proportion of respondent residents had severe psychological symptoms and lower resilience scores during the COVID-19 pandemic.
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This work is a bibliographical review of the challenges of professionalism in medical training. Medicine practiced with narrative competence, called narrative medicine, is proposed as a model for humane and effective medical practice. By virtue of the changes in the practice of medicine during the last years, professionalism values emerge as qualities that should reshape medicine. ⋯ Both processes incorporate a personal reflective practice. Several recent studies suggest that a reflective experience is relevant for the formation of a professional identity. Narrative Medicine methodology emerges as an innovative strategy to address this issue, as it seeks to deliver valuable learning experiences to the students through reflection and the search for a new paradigm for medical practice.