Revista médica de Chile
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Revista médica de Chile · Jun 2021
Case Reports[Management and follow-up of acute myeloblastic leukemia with translocation (8; 21). Report of one case].
We describe the management and follow-up of a 20-year-old male with acute myeloblastic leukemia with translocation (8; 21) [t (8; 21)]. A quantitative polymerase chain reaction for t(8; 21) in bone marrow was performed at diagnosis and after three consolidations with high doses of cytarabine. Currently, the management of this type of leukemias has been oriented towards the early detection of relapse. The concept of minimal or measurable residual disease, as the burden of leukemia cells that persist undetected, is an important tool in the therapeutic decision and follow-up of these patients.
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Revista médica de Chile · Jun 2021
[Competence profiles for technicians in higher-level nursing, declared by different teaching institutions].
The career of Technician in Higher-Level Nursing (TENS in Spanish) is the technical career that has the higher number of students in Chile. There are important disparities among the higher education institutions that teach it. ⋯ There is a procedural bias in graduate profiles, which tends to under declare cognitive and ethics competencies, fundamental for decision-making processes.
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Revista médica de Chile · Jun 2021
[Analgesia, sedation, neuromuscular blockade and delirium management practices in Chilean intensive care units].
The appropriate use of analgesia, sedation, neuromuscular blockade and the diagnosis and prevention of delirium (ASBD) are associated with better outcomes in critically ill patients at Intensive Care Unit (ICUs). ⋯ There is a heterogeneous adherence to the ASBD recommended practices. The main gaps are in the assessment of pain, monitoring of neuromuscular blockade and diagnosis of delirium through validated instruments.