Revista médica de Chile
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Revista médica de Chile · Jun 2022
[Review on the possible effects of COVID-19 pandemic on the cognitive function of older people].
Risk and protective factors for cognitive impairment and mental health in older people are widely identified. However, the impact of COVID-19 pandemic on cognitive functioning and neuropsychiatric symptoms in older people is not well known. ⋯ The search fetched 55 final articles, where the analysis was carried out. The evidence suggests that the Covid 19 Pandemic had a direct and indirect impact on the cognitive function, mental and physical health of older people and variables such as resilience and personality characteristics moderated the consequences of this crisis.
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Revista médica de Chile · Jun 2022
Review[Concentrating ruptured abdominal aortic aneurysm surgery in specialized centers].
Ruptured abdominal aortic aneurysm (RAAA) is an arterial emergency with an overall mortality of 80%-90% secondary to massive hemorrhage. If a patient with RAAA presents in a primary hospital without resolution capacity, survival will depend on early transfer to a center with adequately trained specialists. ⋯ Patients with AAAR who consult in non-resolving centers should be rapidly transferred to a qualified referral center, following a transfer protocol, and guided by a coordinating unit acting according to technical and established criteria based on results, quality, and costs. Qualified referral centers should have an accredited vascular surgeon and a high institutional aortic surgery volume, adequate infrastructure, endovascular resolution capacity, support services (intensive care, hemodialysis, etc.) and specialized personnel permanently available.
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Revista médica de Chile · Jun 2022
Randomized Controlled Trial[Training of health care workers on the Chronic Care Model].
The Chronic Care Model promotes the link between informed, activated patients with proactive and prepared health care teams. ⋯ This intervention improved the evaluation of chronic disease care in the intervention group.
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Revista médica de Chile · Jun 2022
Case Reports[Cryoglobulinemic vasculitis due to hyperviscosity and cryogel formation as the onset of multiple myeloma. Report of one case].
Multiple Myeloma (MM) is characterized by a clonal expansion of plasma cells in the bone marrow. These cells typically produce a monoclonal immunoglobulin, and its symptoms arise either from plasma cell infiltration in several organs, or secondary to the presence of a monoclonal protein peak. Symptoms can be summarized by the acronym CRAB (hypercalcemia, renal failure, anemia and bone lesions). ⋯ The presence of cryoglobulins was confirmed. The patient was treated with dexamethasone and bortezomib, with a progressive healing of lower limb lesions and disappearance of cryoglobulins. She was discharged in good conditions.
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Revista médica de Chile · Jun 2022
[Sexual, physical, mental and sleep sequelae four months after SARS-CoV-2 disease].
Long term sequelae can be observed after SARS-CoV2. ⋯ Among men with ARDS due to COVID-19, the prevalence of erectile dysfunction was high and independently associated with a severe disease four months after discharge.