Revista médica de Chile
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Revista médica de Chile · Jan 2024
Case Reports[Management of pregnant women with deficiency of factor VII. Report of one case].
Tissue Factor-Factor VII complex is essential in coagulation activation. Congenital factor VII deficiency is a rare disorder that has an autosomal recessive inheritance. Clinical presentations are heterogeneous, ranging from asymptomatic carriers to severe bleeding phenotypes with factor VII replacement therapy requirements. ⋯ In pregnancy factor VII levels increase in women with mild and moderate deficiencies but not in severe deficiency. The management of pregnant women with factor FVII deficiency must be done by a multidisciplinary team of hematologist, obstetrics and anesthetist and should be guided by the women bleeding history, the coagulations test, levels of factor FVII and rout of delivery. We present the case of a 31-year-old pregnant woman who, due to an alteration in prothrombin time, is diagnosed with Factor VII deficiency and its respective obstetric management.
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Revista médica de Chile · Jan 2024
[Evaluation of the state and implementation of the Hospital Clinical Forensic Units in Chile].
Sexual violence has a several negative impact on women's health. Thus, the health system is a gateway for the multisector response to victims. In 2018, the Clinical Forensic Hospital Units (UCFH) in Chile were launched for this purpose. ⋯ Challenges persist in the implementation of the UCFH, with special limitations in the availability of human resources.
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Revista médica de Chile · Jan 2024
[Association between pain and depression in chilean older adults. Reality that requires an immediate approach].
ABASTRACT Background: To study the association between pain and depression, its characteristics and related factors in chilean older adults. ⋯ The association between pain and depression is high and is related to pain intensity, being higher in people with less education and physical dependency. The high frequency of both conditions in Chilean elderly people and their serious consequences make it an urgent public health problem, aggravated as a consequence of the prolonged isolation due to the COVID-19 pandemic.
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Revista médica de Chile · Jan 2024
[Portal vein embolization prior to major hepatectomy: A multidisciplinary approach for advanced liver tumors in Chile].
One of the main limitations to achieving a complete tumor resection in patients with technically resectable liver tumors is the presence of a small future liver remnant (FLR). Portal vein embolization (PVE) allows hypertrophy of the non-embolized lobe, reducing the risk of postoperative liver failure. ⋯ PVE is safe and effective in promoting FLR hypertrophy in the presence of chemotherapy, allowing patients with advanced liver tumors to undergo surgery with curative intent.
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Revista médica de Chile · Jan 2024
[Intercultural characterization of the empathetic physician: Experiences of chronic patients of the chilean public health system].
Empathy is a fundamental element of the physician-patient relationship for treatment and therapeutic adherence that has had to face significant changes due to the migrations of the health system in Chile. ⋯ The affective and psychoemotional aspects were more valued than the cognitive aspects of empathetic care. No differences were observed in assessing the empathetic care of patients seen by Chilean physicians and those treated by foreign physicians.