Revista médica de Chile
-
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.
-
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.
-
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.
-
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.
-
Revista médica de Chile · May 2022
Review[Liver transplantation for non-resectable colorectal liver metastases: A review].
In Chile, colorectal cancer ranks third in incidence and fifth in mortality. Half of these patients have liver metastases at the diagnosis, and only 30% of them are resectable. Despite the development of many complex hepatobiliary procedures to achieve the total resection of metastases, the long-term survival with these techniques is not good. ⋯ These patients have better overall and disease-free survival after liver transplantation. The use of immunosuppressive treatment doesn't increase recurrence, and even the pattern of tumor growth is slower in liver transplant recipients. The purpose of this review is to summarize the current evidence in this topic and to highlight the need for a formal protocol for liver transplantation for unresectable colorectal liver metastases, using living donors or marginal grafts to avoid competition with the rest of the national waiting list.