Revista médica de Chile
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The aim of mechanical ventilation is to substitute physiological respiratory function. The boom of mechanical ventilation came during the XVIII century with the development of Reanimation Societies in Europe, who promoted the use of positive pressure ventilation modes. ⋯ Positive pressure ventilation was relegated to operating rooms until 1952, when it was imposed over negative pressure ventilation during the Copenhagen polio epidemic. Björn Ibsen contributed significantly to this change of ventilation paradigm, which led to the latest ventilation strategies and the development of the actual intensive care units.
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The digital revolution is creating opportunities and challenges in the field of medicine and the Digital Hospital could be a benefit for patients, if they are able to use the Internet. ⋯ Income levels, age, schooling and stroke related disability limit Internet use in this population.
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Revista médica de Chile · Jun 2020
[A surveillance system to detect COVID-19 infections in health care workers. Experience in 209 cases].
Healthcare personnel are a high-risk group for acquiring COVID-19 disease. They represent 4 to 20% of the total number of cases reported in different geographical areas. ⋯ The telephone symptom monitoring program allowed the early detection of a significant number of healthcare officials with acute respiratory infection due to coronavirus SARS-CoV-2, it is easy to implement and has a low cost.
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Revista médica de Chile · Jun 2020
[Older people in Chile: the new social, economic and health challenge for the 21st century].
Ageing will be one of the most significant social transformations of the 21st century worldwide. In the last 40 years, Chile has tripled its older adult population. ⋯ In this context, this narrative revision aimed to describe the sociodemographic, epidemiologic and sociocultural profile of the older Chilean adults. Besides, programs and public policies focused on the improvement of their quality of life were identified.
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Revista médica de Chile · Jun 2020
[Variables associated with mortality in 103 patients with anti-neutrophil cytoplasmic antibodies associated vasculitis].
Cumulative survival in patients with anti-neutrophil cytoplasmic antibodies (ANCA) associated vasculitis (VAA) is 88 and 78% at 1 and 5 years, respectively. Despite this, mortality continues to be 2.7 times higher than the general population. Differences in the clinical profile of VAA in different ethnicities have been observed. ⋯ In these patients, pulmonary manifestations predominate. Lung kidney syndrome, ophthalmological involvement and a FFS score ≥ 1 were associated with mortality.