Revista médica de Chile
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Revista médica de Chile · Apr 2021
Observational Study[Accuracy of artificial intelligence compared to trained medical technologists in diabetic retinopathy screening].
The early detection of retinopathy among diabetics is of utmost importance. ⋯ Both strategies had a similar sensitivity to detect cases of sight-threatening DR. However, the specificity of DART was significantly lower compared to medical technologists, which would greatly increase the burden on the health system, a very important aspect to consider in a screening strategy.
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Revista médica de Chile · Apr 2021
Case Reports[Scrofuloderma, cutaneous and pulmonary tuberculosis associated with COVID-19. Report of one case].
Cutaneous tuberculosis represents 1-1.5% of extrapulmonary tuberculosis, including a variety of clinical conditions. Scrofuloderma and lupus vulgaris are the most common forms. ⋯ The diagnoses of scrofuloderma and pulmonary tuberculosis were confirmed, and during her evolution she presented a coinfection with SARS-CoV-2. The possible associations between tuberculosis and COVID-19 were reviewed.
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Revista médica de Chile · Apr 2021
Review[The role of intestinal microbiota in the development of non-alcoholic fatty liver disease].
Non-alcoholic fatty liver disease (NAFLD) encompasses a wide spectrum of hepatic pathologies ranging from simple steatosis (SS) to hepatocellular carcinoma. Intestinal microbiota (IM) is composed of trillions of microorganisms existing in the gut. ⋯ In this condition, IM could have a pathogenic role through different mechanisms such as energy salvaging from food, an inflammatory stimulus, a modulation of the innate immune system, regulation of bile acid turnover, alteration of choline metabolism and increasing endogenous ethanol levels. This review is an update on the role of the intestinal microbiota in NAFLD and the possible mechanisms involved.
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Revista médica de Chile · Apr 2021
[Neurology and COVID-19: Case Series of Neurological Complications in 96 patients Admitted at a University Hospital].
There are multisystemic consequences secondary to SARS- CoV-2 infection. ⋯ The spectrum of neurological complications of COVID-19 is wide. There are clinical entities typical of critically ill patients and also diseases associated directly and indirectly with the SARS-CoV2 infection.
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Revista médica de Chile · Apr 2021
[Transfemoral transcatheter aortic valve implantation under conscious sedation. Experience in 15 patients].
Transfemoral transcatheter aortic valve implantation (TAVI) is the standard of treatment for patients with symptomatic severe aortic stenosis (AE) and intermediate or high surgical risk. The use of conscious sedation (CS) could reduce complications and allow an early discharge of these patients. ⋯ TAVI under conscious sedation was a safe procedure and associated with a complication rate similar to previous reports, allowing for an early hospital discharge in most patients.