Revista médica de Chile
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Revista médica de Chile · Oct 2023
Case Reports[Percutaneous aortic valve replacement by trans-carotid approach: First case in Chile].
The indication for percutaneous aortic valve implantation (TAVI) has increased considerably in recent years, preferably using transfemoral access (TF); however, it is not clear which should be the preferred access in the event of contraindications to the latter. We present an 81-year-old patient with high surgical risk in whom a 50% obstruction of the descending aortic lumen was identified and so, a left transcarotid access was chosen. ⋯ The transcarotid approach has been the one with the best results in different clinical reviews and the one that has been presented as the second alternative to TF in established algorithms. We report the first transcarotid TAVI implantation in Las Higueras Hospital, Talcahuano, Chile.
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Revista médica de Chile · Oct 2023
[Clinical experience of using brentuximab-vedotin as therapy in relapsed/refractory Hodgkin's lymphoma at Hospital Guillermo Grant Benavente, Concepción, Chile].
Hodgkin's lymphoma is a B-cell neoplasm with a good prognosis but a poor response to chemotherapy in refractory or relapsed cases. Brentuximab-vedotin is an anti-CD30 monoclonal antibody approved for use in these cases. This study aims to describe the clinical experience of patients treated with brentuximab-vedotin through expanded access modality. ⋯ brentuximab-vedotin is an outpatient medication with low toxicity that can optimize the treatment of patients with relapsed-refractory Hodgkin's lymphoma.
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Revista médica de Chile · Oct 2023
[Cognitive Impairment Among Older Adults in Chile: Evidence from the National Health Survey (ENS 2016-2017)].
Analysis of cognitive impairment in the elderly by age, sex and self-perception of memory using the National Health Survey (ENS 2016-2017). ⋯ A significant percentage of older adults reported a fair to poor (self-perceived) memory. Age was the most significant variable in relation to the suspicion of CD. In other words, the older the age, the greater the cognitive deterioration without significant differences by sex. However, women presented less cognitive impairment.
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Revista médica de Chile · Oct 2023
[Humanization of Assistance; Building the path from the university].
The training of health students regarding good treatment and humanized care is essential; it is a quality benchmark in health care. The relevance of good treatment and humanized care should be consistent with the treatment students receive from teachers and clinical tutors, modeling humanized cultures. However, research shows the normalization of mistreatment of medical and nursing students. A Humanized Training Unit was implemented in a Chilean nursing school, which included promoting a support Program for students by their teachers between 2020 and 2021. ⋯ The Program is replicable to other careers and institutions, requiring time, disposition, and teacher training, which can be a limitation. The benefits evidenced by our study demonstrate the program's usefulness in promoting cultures of more humanized care in educational and health spaces.
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Revista médica de Chile · Oct 2023
[Condom use among young Chileans: The role of social determinants, gender roles and mental health].
Despite various strategies implemented to promote sexual education and prevent sexually transmitted infections (STIs), the 10th National Youth Survey revealed that slightly more than half of young people in Chile used a condom during their last sexual encounter. While several sociodemographic, cultural, and psychological predictors have been described, recent studies specific to Chile are scarce. ⋯ Individual characteristics can explain adherence to preventive behaviors and may reflect underlying psychological and cultural factors. Identifying socio-structural, cultural, and psychological factors associated with preventive and protective sexual behaviors should be a health priority, as it enables the design and promotion of more effective social communication campaigns.