Revista médica de Chile
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Revista médica de Chile · Apr 2022
[Features of patients admitted with COVID-19 to a Chilean regional hospital during the first stages of the pandemic].
The COVID-19 pandemic posed a great strain in health services. ⋯ Viral pneumonia is the main cause of hospitalization for COVID-19, usually extensive and bilateral. The greater severity and poor prognosis of these patients are mainly related to comorbidities.
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Revista médica de Chile · Apr 2022
Case Reports[Lymphocyte shift in a patient with herpetic encephalitis. Report of one case].
Central nervous system infections are a medical emergency, due to their high fatality and sequelae. Timely treatment is essential, and should be initially indicated empirically by clinical guidance, without microbiological certainty. Hence the importance of cerebrospinal fluid (CSF) analysis as an etiological and therapeutic guide in the crucial initial hours of management. ⋯ A new lumbar puncture disclosed a CSF with predominance of lymphocytes. The lymphocyte shift prompted a PCR that was positive for herpes virus. The patient was treated with acyclovir with a good evolution.
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Revista médica de Chile · Apr 2022
[Implementation of a protocol for neuropsychiatric disease surveillance in a general hospital].
The COVID-19 pandemic increased the incidence of neuropsychiatric diseases. Proactive models of consultation-liaison psychiatry (CLP-p) could play a key role in the prevention and management of these diseases in a general hospital. ⋯ The neuropsychiatric surveillance protocol facilitates early and timely interventions and establishes criteria for the continuity of post-discharge care. These changes could improve the quality of care in general hospitals and reduce the gap between mental and physical health.
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Revista médica de Chile · Apr 2022
[Performance of EuroSCORE II in Latin America: a systematic review].
EuroSCORE II is a mortality risk score for cardiac surgery in adults. This version is widely validated and compared with other scores in Europe, North America, and Asia. ⋯ In these studies, EuroSCORE II underestimated mortality in cardiac surgery.
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Revista médica de Chile · Apr 2022
[Training in palliative care in nursing and medical schools in Chile].
Training in Palliative Care (PC) at the undergraduate level has proven to be an effective strategy to expand access to this type of services. In Chile, the increase in magnitude of serious health-related suffering and the recently approved Law that guarantees universal access to Palliative Care, requires the extension of PC undergraduate training in medical and nursing schools. ⋯ However, gaps persist in the number of teaching hours and the teaching methods used, which may be due to the scarcity of qualified professionals in PC, limited access to clinical fields and disciplinary differences. Strengthening and expanding PC training at the undergraduate level with practical and interdisciplinary methodologies are fundamental steps so that future medical and nursing professionals can provide adequate care and relief of serious health-related suffering to an aging population until the end of their life.