Revista médica de Chile
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Revista médica de Chile · Jul 2024
[The Levels of Progesterone Receptors are Decreased in the Invasive Areas of the Recto-Vaginal Nodules of Endometriosis].
Endometriosis is a chronic disease characterized by the growth of the endometrium outside the uterine cavity. In response to estradiol, this tissue begins to proliferate and grow, forming lesions and nodules, which can invade the tissues, causing pelvic pain and infertility. The most widely used pharmacological treatment is progesterone, which manages to reduce symptoms, but approximately one-third of patients develop resistance to treatment. ⋯ The glands have different molecular and morphological characteristics depending on the area of the lesion. Invasive areas are more proliferative and express fewer progesterone receptors. However, further studies are required to determine if these differences translate into the ability to respond to progesterone treatment.
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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 · Jul 2024
Case ReportsEcthyma Gangrenosum Caused by Klebsiella Pneumoniae: A Rare Entity with Devastating Consequences.
This report describes the case of a 64-year-old female patient, with multiple comorbidities which presented an ecthyma gangrenosum due to Klebsiella pneumoniae confirmed by blood and tissue cultures. It finally ended in the amputation of the limb. The case is presented given the low prevalence of positive cultures for this microorganism in this pathology associated to devastating consequences for the patient.
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Revista médica de Chile · Jul 2024
[Indexing to Body Surface Area Diminishes GFR Estimation and Increases Chronic Kidney Disease Staging in Overweight and Obese Population].
Glomerular filtration rate estimates are usually indexed to a standard body surface area (BSA) of 1.73 m2. This allows comparing values of individuals of different sizes but has the potential of affecting individuals with extremes BSA. ⋯ Indexing to standard BSA lowers GFR estimation in overweight and obese patients, leading to a higher prevalence of GFR < 60 mL/min and CKD diagnosis.
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Revista médica de Chile · Jul 2024
Education of Patients with Asthma Leading to the Self-management of their Condition? The primary Health Care Providers' Approach.
Asthma is a chronic non-communicable disease considered a serious health problem worldwide. The Chronic Care Model promotes the self-management of patients' chronic conditions. This process requires an active engagement of health professionals to provide education for patients to manage their disease better. ⋯ The health care education process for asthma patients focuses on delivering information about the disease and medical treatment. Some issues of the Chronic Care Model, which promotes self-management, are still not addressed.