Revista médica de Chile
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Revista médica de Chile · Nov 2020
[The threat of climate change on population health and the urgent need to act].
Climate change is associated with negative health outcomes, such as cardiovascular and respiratory diseases. This article analyses the threat of climate change on population health and the urgent need to implement measures to avoid this damage. Heat vulnerability, heatwave exposures, and wildfire exposure to forest fires have increased in Chile. ⋯ Thus, multidisciplinary and intersectoral mitigation and adaptation policies are needed. Among other elements, mental health impacts of climate change, health education provided by health workers to reduce negative health impacts of climate change, greater engagement of academia to generate evidence useful for policy-making processes and a better articulation between central and local governments should be considered. Finally, achieving a healthy population should be the aim of all these policies and efforts.
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Revista médica de Chile · Nov 2020
[Teaching innovation in an undergraduate theoretical medicine course].
The School of Medicine of the Pontificia Universidad Católica de Chile implemented diverse curricular changes addressing teaching challenges, including those related to generational diversity. ⋯ The CTG underwent a series of curricular modifications, allowing for a rapid adaptation to extremely dynamic academic conditions.
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Revista médica de Chile · Nov 2020
Case Reports[Cushing syndrome caused by a giant adrenal carcinoma. Report of one case].
We report a previously healthy 34-year-old woman, presenting with a seven-month history of arterial hypertension, amenorrhea, weight gain, facial edema, acne, hirsutism and low back pain. A CT scan showed a right adrenal mass of 18 × 13 × 12.5 cm, and multiple vertebral and rib fractures. The hormonal study confirmed Cushing's Syndrome. ⋯ Study of vertebral fractures with magnetic resonance (MRI) showed crush fractures, without images of metastatic bone lesions. One year after surgery, a CT scan showed no signs of tumor recurrence. The patient was lost from follow-up thereafter.
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Revista médica de Chile · Nov 2020
[Adherence to COVID-19 trasmission prevention measures among health care workers].
COVID-19 is highly transmissible, thus requiring strict measures to prevent its propagation. ⋯ The adherence reported by health care workers was adequate in most of the evaluated recommendations.
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Revista médica de Chile · Nov 2020
Case Reports[Removal of an infected gastric cyanoacrylate plug. Report of one case].
In patients with actively bleeding gastric varices, the treatment of choice is the endoscopic use of sclerosing agents such as cyanoacrylate. We report a 69-year-old man who, after being treated with cyanoacrylate, suffered from recurrent febrile episodes. After an extensive study and broad-spectrum antibiotic treatment, discarding other presumably infectious focus, the superinfection of the cyanoacrylate plug was suspected, and its surgical removal was decided. ⋯ The patient evolved without fever and without new episodes of bacteremia, but with decompensation of his cirrhosis manifested by ascites, spontaneous bacterial peritonitis, pneumonia, and collections in the pancreatic bed. These complications were managed with medical treatment consisting in a long course of broad-spectrum antibiotics. Thereafter, the patient evolved satisfactorily.