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
[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
[Advanced practice nursing as a proposal to improve access and coverage in oncology for Latin America].
PAHO/WHO proposes to implement the role of Advanced Practice Nurse (APN) in Latin America, to reduce gaps in coverage and access to health care. For this purpose, it is necessary to train nursing professionals with an expanded role, which allows them to collaborate in the diagnosis, treatment, and monitoring of people with specific diseases, under established protocols and clinical guidelines and within consolidated interdisciplinary health teams in a cost-effective way. One of the areas with the greatest coverage deficit in Latin America is adult oncology, with inequality in care opportunities for these patients. ⋯ As a contribution to the reduction of this gap, a training program of Advanced Nursing Practice was developed, addressing the most urgent needs in the field of oncology. The necessary competencies were defined to develop a professional-level master's degree program, considering prevention, early detection, diagnosis, treatment, and monitoring of people with oncological diseases at different levels of care. A program of this kind is an opportunity to reduce the access gap and coverage of health care for people with cancer, improving their quality of life and their survival.