Revista médica de Chile
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Revista médica de Chile · Sep 2017
Review[Endobronchial ultrasound-guided transbronchial needle aspiration].
In the last years, several techniques have been developed to obtain a prompt diagnosis or rule out lung cancer. Endobronchial ultrasound- guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive procedure with a high diagnostic yield for mediastinal and central pulmonary lesions. ⋯ Each one has technical differences together with a range of clinical indications. The aim of this review is to discuss about EBUS-TBNA and its current clinical indications, evidence about the accuracy of the procedure for lung cancer diagnosis and staging, and evaluation of the pathological and molecular studies (EGFR, ALK, and ROS1) obtained through EBUS-TBNA and rapid on-site evaluation (ROSE).
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Revista médica de Chile · Sep 2017
[Association between adverse childhood experiences with depression in adults consulting in primary care].
Traumatic experiences during childhood may influence the development of mental disorders during adulthood. ⋯ These data are consistent with the hypothesis that early trauma is associated with more severe and complex depressive episodes during adulthood.
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Revista médica de Chile · May 2017
[Analysis of Crowding in an Adult Emergency Department of a tertiary university hospital].
Crowding in Emergency Departments (ED), results from the imbalance between the simultaneous demand for health care and the ability of the system to respond. The NEDOCS scale (National Emergency Department Crowding Scale) measures the degree of crowding in an ED. ⋯ The calculation of the NEDOCS score and the analysis of its temporal distribution are highly relevant to identify opportunities for improvement and to develop mechanisms to prevent the highest categories of overcrowding.