Revista médica de Chile
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Revista médica de Chile · Jul 2022
[Spatial distribution of Echinococcus granulosus sensu lato genotypes in the american continent].
Knowledge of the distribution cystic is required for its territorial control. ⋯ Spatial analysis allows defining the relationship of territories and cases with their own characteristics, which can help to plan control interventions.
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Revista médica de Chile · Jun 2022
[Review on the possible effects of COVID-19 pandemic on the cognitive function of older people].
Risk and protective factors for cognitive impairment and mental health in older people are widely identified. However, the impact of COVID-19 pandemic on cognitive functioning and neuropsychiatric symptoms in older people is not well known. ⋯ The search fetched 55 final articles, where the analysis was carried out. The evidence suggests that the Covid 19 Pandemic had a direct and indirect impact on the cognitive function, mental and physical health of older people and variables such as resilience and personality characteristics moderated the consequences of this crisis.
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Revista médica de Chile · Jun 2022
Review[Analysis of mammograms performed in a public imaging center in Santiago, Metropolitan Region Chile 2008-2018].
Mammograms are one of the most effective preventive means for the early detection of breast cancer. ⋯ The presence of a significant number of women between 40 and 49 years of age with a BI-RADS 4 mammography result stands out; being an opportunity to develop new clinical research and public health strategies within the framework of the Universal Health Care policy for breast cancer in Chile.
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Revista médica de Chile · Jun 2022
Review[Concentrating ruptured abdominal aortic aneurysm surgery in specialized centers].
Ruptured abdominal aortic aneurysm (RAAA) is an arterial emergency with an overall mortality of 80%-90% secondary to massive hemorrhage. If a patient with RAAA presents in a primary hospital without resolution capacity, survival will depend on early transfer to a center with adequately trained specialists. ⋯ Patients with AAAR who consult in non-resolving centers should be rapidly transferred to a qualified referral center, following a transfer protocol, and guided by a coordinating unit acting according to technical and established criteria based on results, quality, and costs. Qualified referral centers should have an accredited vascular surgeon and a high institutional aortic surgery volume, adequate infrastructure, endovascular resolution capacity, support services (intensive care, hemodialysis, etc.) and specialized personnel permanently available.
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Revista médica de Chile · May 2022
Review[Transitional care for people with chronic health conditions].
People with chronic conditions and elderly frequently use different levels of health care. If those are not coordinated, patients are exposed to complications and adverse effects. To avoid this, the implementation of transitional care (TC) is proposed, which includes the coordination and follow-up of users through the different care settings. ⋯ A search of articles published between 2012 and 2019 in Google Scholar, MEDLINE, CINAHL and Cochrane Library databases was conducted looking for articles related to the concept of transitional care, characteristics, and impact on people with chronic conditions. Several models of TC have been formulated and the literature identifies common interventions, namely telephone follow-up, outpatient clinics and home visits for self-management support. Reports show that TC reduces re-hospitalizations, care costs, increases quality of life and user satisfaction with the health system.