Revista médica de Chile
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Revista médica de Chile · Jun 2023
Admissions by tuberculosis in a regional reference Center. A complex and worrying scenario.
To characterize clinical aspects, evaluate the diagnostic opportunity, and identify factors associated with mortality in patients hospitalized for tuberculosis (TB). ⋯ In this case series, the diagnosis of TB cases was delayed, scarcely diagnosed by molecular methods, highly concentrated at the hospital level, required admission in a large percentage of cases, and had a high case-fatality rate.
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Revista médica de Chile · Jun 2023
Comparative Study[Prevalence of nasal colonization by methicillin-resistant Staphylococcus aureus in medical students in Chile: comparison between pre-clinical and clinical environment].
The primary objective of this study was to determine the prevalence of nasal colonization of methicillin resistant Staphylococcus aureus (MRSA) in medical students in pre-clinical versus clinical courses at the Pontificia Universidad Católica de Chile and to describe the epidemiological, clinical and molecular pattern of the MRSA strains obtained. ⋯ The MRSA nasal carriage found in our medical students was low, finding positive samples only in students with clinical exposure. This prevalence is similar to the one reported in other studies in Chile with similar characteristics.
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Revista médica de Chile · Jun 2023
Case Reports[Managing Superwarfarin Poisoning: A Challenging Case].
Human intoxication by long-acting anticoagulant rodenticides, known as superwarfarins, causes coagulopathy that is difficult to manage. We present the case of a 42-year-old man who ingested a toxic dose of rodenticide in a suicide attempt, evolving with epistaxis, INR of 11.6, and needing hospitalization. For seven days, serial controls of coagulation tests were carried out, with optimization of different doses of Vitamin K supplementation. The case highlights this type of anticoagulant's potency and prolonged half-life (approximately six weeks), which requires regular clinical control and satisfactory treatment adherence.
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Revista médica de Chile · Jun 2023
[ABSI obesity index and its association with type 2 diabetes mellitus in Chilean adults: a cross-sectional study of the ENS 2016-2017].
A Body Shape Index (ABSI) is a new obesity index based on body volume; this has been associated with chronic non-communicable diseases and mortality, independent of the values of the body mass index (BMI); however, its association with type 2 diabetes mellitus (T2DM) in the Chilean adult population is unknown. ⋯ ABSI was linearly associated with a higher probability of suffering from T2DM and higher levels of glycemia and HbA1c in Chilean adults. In this context, ABSI could be a complementary index, independent of BMI, to assess the risk of metabolic disorders associated with obesity.
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Revista médica de Chile · Jun 2023
[Factors Influencing Medical Students' Intentions to Pursue Specialization in Chile].
The decision to study a medical specialty involves considering several personal, family, and professional factors, and currently, in Chile, there needs to be more information about this. ⋯ The factor that most influence students' intention to continue towards a medical specialty is personal attitude, followed by perceived control of behavior, and finally by expected future income.