Revista médica de Chile
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Revista médica de Chile · Jul 2024
[Effect of ICT Use on Glycemic Control in Individuals with Type 2 Diabetes: A Systematic Review].
Information and communication technologies constitute a resource that can improve the effectiveness of programs focused on people with chronic diseases, especially those with type 2 diabetes mellitus, strengthening the care management provided by the nursing professional. ⋯ The use of information and communication technologies proved to have favorable effects on the participants' glycemic control by showing a decrease in the glycosylated hemoglobin A. Text messages and web platforms stood out as the more efficient resource for glycemia monitoring.
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Revista médica de Chile · Jun 2024
Review Case Reports[Review of Multiple Endocrine Neoplasia Type 1 Based on a Clinical Case].
Multiple endocrine neoplasia type 1 (MEN1) is a rare autosomal dominant disease with an estimated prevalence of 2 per 100,000. This disease is caused by a mutation in the tumor suppressor gene MEN1, which is located on chromosome 11 and codifies the menin protein. It is characterized by a predisposition of parathyroids, enteropancreatic, and anterior pituitary tumors, affecting the quality of life and lifespan of those who have the disease. ⋯ Pancreatic and parathyroid surgery were performed, and function substitution therapies were initiated. Discussion: The diagnosis is established in the presence of two or more defining NEM1 tumors or at least one associated with compatible genetic testing or a first-degree relative with a history of MEN1. Screening and surveillance in patients with confirmed MEN1 diagnosis would enable the reduction of the disease burden, with a nonclear impact on lifespan.
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Revista médica de Chile · Jun 2024
Review[Updates in General Management and Frequent Complications Following Adult Liver Transplant].
Liver transplantation (LT) is a cost-effective therapy for advanced liver disease. Although LT significantly improves long-term survival, it requires strict control of immunosuppressants and their potential complications. Several available immunosuppressive drugs include glucocorticoids, calcineurin inhibitors, mycophenolate, mTOR inhibitors, and anti-CD25 antibodies. ⋯ Appropriate treatment of the underlying etiology is essential, especially in autoimmune diseases, hepatitis B and C virus infection. Lifestyle changes must be encouraged in all patients, and alcohol consumption avoided (especially in alcohol use disorder). Due to the increased risk of cancer, neoplasms must be actively monitored, as well as osteoporosis and other metabolic disorders such as diabetes and cardiovascular disease.
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Revista médica de Chile · May 2024
Review[Workplace Inclusion for Individuals with Psychiatric Disabilities under Law 21.015: A Narrative Review to Understand Its Implications for Healthcare Teams].
Individuals with psychiatric disabilities face significant challenges in achieving workforce inclusion, presenting a critical public health issue. The enactment of Law 21.015 on this matter offers an opportunity for improvement. ⋯ Key elements discussed include the necessity of early support for employment, the effectiveness of supported employment strategies, and the importance of coordinating mental health and employment services. General recommendations for the employability of individuals with psychiatric disabilities are provided. Healthcare teams should be familiar with the legal aspects of employability, as well as the available intersectoral networks, and be prepared to guide individuals with psychiatric disabilities who express a desire to work. They should support these individuals in job placement and maintain open communication channels among the components of the intersectoral network.
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Revista médica de Chile · Apr 2024
Review Case Reports[Transformation of Follicular Lymphoma into Composite Lymphoma: A Case Report and Literature Review].
Follicular lymphoma is a relatively indolent B-cell lymphoma composed of neoplastic centrocytes and centroblasts. The histologic transformation of follicular lymphoma is a well-described phenomenon with an average risk of 30% at ten years. The occurrence of Hodgkin lymphoma after follicular lymphoma, as well as composite lymphoma, is extremely rare. ⋯ A lymph node biopsy three years later revealed persistent follicular lymphoma, after which the patient received radiotherapy. The patient returned with progressively enlarging axillary lymph nodes five years later. A lymph node biopsy demonstrated a composite lymphoma that was consistent with follicular lymphoma and Hodgkin lymphoma.