Revista médica de Chile
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Revista médica de Chile · May 2022
Effect of diet and physical exercise on weight, body composition, and resting metabolic rate in obese chilean adults.
Diet and exercise are the mainstay of weight reduction programs. ⋯ The intervention reduced body weight and fat mass and maintained RMR. Fat free mass decreased in women. Participants with metabolic adaptation showed greater changes in fat mass.
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Revista médica de Chile · May 2022
Clinical Trial[Use of anticoagulants in patients with atrial fibrillation undergoing transcatheter aortic valve implantation].
Transcatheter Aortic Valve Implantation (TAVI) is beneficial in patients with symptomatic severe Aortic Stenosis (AS). There is no consensus about the best anticoagulation strategy for patients with a recent TAVI and with atrial fibrillation (AF). Direct oral anticoagulants (DOACs) are effective to prevent embolic events with a significant lower incidence of bleeding. There is scarce evidence about the use of these drugs in patients undergoing TAVI. ⋯ In the absence of randomized data, interventional cardiologists prescribe DOACs at discharge to patients with AF and TAVI, without following current guidelines in most cases.
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Revista médica de Chile · May 2022
[Analysis of the first 106 telemedicine consultations in a vascular surgery service].
Telemedicine became a relevant means to provide healthcare without face-to-face medical evaluation during the COVID-19 pandemic. ⋯ In the vast majority of consultations, it was possible to achieve a definitive diagnosis, prescribe a treatment and resolve the reason for consultation without the need for a face-to-face medical evaluation.
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Revista médica de Chile · May 2022
[Factors associated with inactivity during COVID-19 confinement among Latin American adults].
The confinement caused by the COVID-19 pandemic changed the lifestyles of the population affecting their levels of physical activity. ⋯ These findings provide a sociodemographic and lifestyle profile associated with physical inactivity during the period of confinement in Latin American adults. The results confirm the need to promote healthy lifestyles in the population during periods of confinement.
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Revista médica de Chile · May 2022
Review[Transitional care for people with chronic health conditions].
People with chronic conditions and elderly frequently use different levels of health care. If those are not coordinated, patients are exposed to complications and adverse effects. To avoid this, the implementation of transitional care (TC) is proposed, which includes the coordination and follow-up of users through the different care settings. ⋯ A search of articles published between 2012 and 2019 in Google Scholar, MEDLINE, CINAHL and Cochrane Library databases was conducted looking for articles related to the concept of transitional care, characteristics, and impact on people with chronic conditions. Several models of TC have been formulated and the literature identifies common interventions, namely telephone follow-up, outpatient clinics and home visits for self-management support. Reports show that TC reduces re-hospitalizations, care costs, increases quality of life and user satisfaction with the health system.