Revista médica de Chile
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Revista médica de Chile · Sep 2022
Review[Challenges for training medical professionalism values in times of COVID-19 and social crisis].
The essence of professional education not only involves transmitting knowledge, but also values and attitudes for a practice that allows us to face changing global and national scenarios. Physicians are currently facing new challenges derived from the impacts of the pandemic as well as the social crisis. Increased workload, limited access to health systems, economic uncertainty, and increased public scrutiny hamper physicians to fulfill their responsibilities to patients and society. ⋯ Medical professionalism acts as a stabilizing and morally protective social force. Thus, it is critical to fathom essential values of professionalism that characterize medical practice today. Indeed, the explicit incorporation of these values in undergraduate and postgraduate programs will undoubtedly allow the training of better professionals for the practice of medicine. (Rev Med Chile 2022; 150: 1248-1255).
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Gallbladder Cancer (GBC) prevalence varies among countries, associated with different geographical and genetic factors. The Mapuche ethnicity (Ethnia mostly located between the VIII and X Chilean regions) stands out in Chile due to its high GBC prevalence. ⋯ There was a low GBC prevalence rate in Northern Chile and among the Aymara population.
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Revista médica de Chile · Sep 2022
Case Reports[Late-onset hereditary transthyretin amyloidosis with polyneuropathy. Report of one case].
Hereditary transthyretin amyloidosis is a multisystemic autosomal dominant genetic disorder characterized by progressive distal sensory-motor polyneuropathy or restrictive cardiomyopathy, secondary to amyloid deposits. Its pathogenesis lies in the TTR gene mutation, and the Val50Met mutation is the most frequent. Patients have significant differences in the onset and severity of clinical presentation according to their country of origin. ⋯ During the etiological study of her polyneuropathy, an increased Kappa/Lambda index of 2.55 mg/L stood out. Therefore, light chain amyloidosis was suspected, and chemotherapy treatment was indicated without favorable response. After 10 years of progressive neurological and ophthalmological involvement, a genetic study confirmed the first case of late-onset hereditary transthyretin amyloidosis Val50Met with polyneuropathy in Chile.
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Revista médica de Chile · Sep 2022
[Risk perception, preventive efficacy and social factors as predictors for COVID-19 preventive behavior in chileans].
Social isolation and hand washing are effective measures to prevent COVID-19 transmission Aim: To evaluate the predictive role of risk perception and preventive efficacy perception, along with sociodemographic and health factors, for adherence to hand washing and isolation behavior of Chilean adults. ⋯ Preventive behaviors are associated with several psychosocial factors, allowing to distinguish groups at higher risk, which should be the focus of COVID-19 preventive interventions.