Revista médica de Chile
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Revista médica de Chile · Feb 2024
Case Reports[Extracorporeal membrane oxygenation (ECMO) in severe acute respiratory distress syndrome due to blunt chest trauma: A case report].
We report a case of a patient with chest trauma (TT) complicated with severe acute respiratory distress syndrome (ARDS) who required extracorporeal membrane oxygenation (ECMO) as ventilatory support. Clinical case: A 48-year-old man, with no relevant history, after a high-energy vehicle collision admitted with severe TT. He evolved with respiratory failure that required intubation and connection to mechanical ventilation (MV). ⋯ Discussion: ECMO support is complex, expensive, and is performed in high-risk patients. The use of this resource requires trained health workers. Its use must be highly selective, constituting a valuable support tool in some patients with severe ARDS secondary to TT.
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Revista médica de Chile · Feb 2024
Review Case Reports[Catatonia as a presentation of major depressive disorder in the eldery and differential diagnosis of consciousness impairment: A case report and literature review].
We report the case of an older female patient suffering from a subacute qualitative and quantitative alteration in the state of consciousness secondary to a major depressive disorder with catatonic features. We discuss and review the clinical presentation, diagnosis, etiology, and treatment of catatonia in older adults from the internist's point of view.
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Revista médica de Chile · Feb 2024
[Prevalence of prediabesity and diabesity. Analysis of data from the 2016-17 Chilean National Health Survey].
Diabesity is defined as the coexistence of obesity and type 2 diabetes (T2D), either with or without additional cardiovascular risk factors. Despite its significance, its prevalence has not yet been investigated in Chile. The objective of this study was to determine the prevalence of prediabesity and diabesity in Chilean adults. ⋯ 9.3% of the population presented pre or diabesity, with a higher proportion of diabesity cases in women and people with lower education. Considering the projections of obesity and T2DM in Chile, it is urgent to generate actions and strategies since a large proportion of the cases of these diseases can be preventable.
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Revista médica de Chile · Feb 2024
[Epidemiology of the COVID-19 pandemic in chilean children and cdolescents].
The COVID-19 pandemic is the largest public health crisis worldwide in recent times. ⋯ Covid-19 mainly affects the adult population, however the epidemiological curve described in children is very similar to that of adults. Differences by sex are observed depending on the age group.
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Revista médica de Chile · Feb 2024
[Development of the EULAT eCollect application for electronic data collection within the European-Latin American consortium towards eradication of preventable gallbladder cancer - EULAT Eradicate GBC].
The European-Latin American Consortium towards Eradication of Preventable Gallbladder Cancer (GBC) - EULAT Eradicate CVB is collecting high-quality data and samples in four Latin American countries with a high incidence of GBC: Argentina, Bolivia, Chile and Peru. The goal is to build a unique biorepository integrated with a customized informatics platform, identify, validate, and functionally characterize novel GBC risk biomarkers, and develop GBC prediction models integrating epidemiological and genetic-molecular risk factors. ⋯ We describe in this article the design and implementation of EULAT eCollect, which started with the specification of functional and non-functional requirements and ended with the implementation and subsequent validation of the four application modules: I Socio-demographic interview, II Sample information, III Case report form, and IV Food frequency questionnaire. We present both general and technical results and our experience with the Open Data Kit software, which may be of interest for future research projects, especially those on personalized cancer prevention conducted in low- and middle-income regions.