[HIV infection: recommendations for the management of asymptomatic adults and of various clinical syndromes].

Abstract:

:This paper presents recommendations on the care of HIV infected adults based upon the authors' personal experience with close to 700 patients in a multiprofessional pilot center. This medical care has 5 main objectives: 1) Promotion of good health (through standard recommendation of hygiene, health habits and regular checkups); 2) prevention of infectious complications (through detection of latent pathogens, chemoprophylaxis, vaccination and avoidance of risky exposures); 3) Treatment of complications (mainly infectious, through early diagnosis and proper treatment); 4) Delay of HIV disease progression (through timely and properly chosen antiretroviral therapy); 5) Reduction of HIV infection spread from index case to others (through promotion of responsible behavior and avoidance of pregnancy and HIV exposure to others). Studies for evaluating global health and immunologic status and carriage of potential pathogens are discussed as well as the criteria and timing for chemoprophylaxis for tuberculosis and P carinii pneumonia (PCP). Algorithms for the management of major clinical syndromes are presented: Diarrhea (afebrile, mostly parasitic, versus febrile, frequently bacterial); Pneumonia (lobar mostly bacterial versus interstitial, frequently PCP especially if lymphopenic and not receiving PCP prophylaxis); Brain mass lesion (most commonly toxoplasmosis). Finally, the evaluation and diagnostic possibilities of febrile patients is presented, based upon the immunologic status and associated symptoms.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Wolff M,Northland R

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

983-98

issue

8

eissn

0034-9887

issn

0717-6163

journal_volume

124

pub_type

杂志文章,评审
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  • [Use of Internet for mental health programs aimed at adolescents].

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  • [Liver cirrhosis and portal hypertension: non-invasive measurement of blood flow in the portal vein with Doppler-duplex].

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    authors: Fernández M,Chesta J,Jirón MI,Mánquez P,Brahm J

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  • [Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis: advances in pathogenesis and treatment].

    abstract::ANCA (anti-neutrophil cytoplasmic antibodies) associated vasculitis or AAV are a group of diseases with predominant inflammation of small vessels and the presence of detectable ANCA in serum. Due to these common features, it is considered that AAV share pathogenic mechanisms. Consequently, a similar therapeutic approa...

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  • [Scientific research: a cultural legacy].

    abstract::This is the conference given by Jorge Mardones, Emeritus Professor of the University of Chile on the occasion of receiving the Juvenal Hernández award. A biographical trace of Professor Mardones scientific career and its motivations, including his relation to outstanding Chilean scientists is included. A remembrance o...

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    authors: Mardones J

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  • [An update on the pathogenesis of celiac disease].

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    authors: Herrera MJ,Hermoso MA,Quera R

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  • [Metabolic control of non insulin dependent diabetes mellitus in surgery].

    abstract::We followed 50 type II diabetic patients undergoing various types of surgical procedures. Control of blood sugar was evaluated as percent of tests within an acceptable limit defined as 160 mg/dl in the preoperative period, 80-240 mg/dl in the early postoperative period and 80-120 mg/dl thereafter. Adequate control was...

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    authors: Morales H,Maiz A,Arteaga A

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  • [KRAS gene mutation in colorectal cancer].

    abstract:BACKGROUND:KRAS oncogene is involved in colorectal carcinogenesis in 22 to 45% of cases. AIM:To determine the frequency, types and distribution of KRAS mutations in colorectal cancer. MATERIAL AND METHODS:KRAS mutations studies were carried out in primary tumors and metastases of colo-rectal cancer from 56 women aged...

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    doi:10.4067/S0034-98872013000900009

    authors: Roa I,Sánchez T,Majlis A,Schalper K

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  • [Prevalence of biological and psychological symptoms in perimenopausal women from different socioeconomic levels in the city of Temuco].

    abstract:BACKGROUND:Psychological and biological symptoms occur in the perimenopausal period. However the real prevalence of these, is not well known in Chile. AIM:To determine the prevalence of biological and psychological symptoms and self care sexual health practices of perimenopausal women of Temuco, Chile. PATIENTS AND M...

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    doi:

    authors: Lagos X,Navarro N,Illanes E,Bustos L

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  • [Intraoperative monitoring of gastric intramucosal pH].

    abstract:BACKGROUND:Gastric mucosal pH may be a good indicator of splanchnic tissue oxygenation. AIM:To study the effects of abdominal surgical procedures on gastric mucosal pH. PATIENTS AND METHODS:Eighteen patients subjected to abdominal surgery were studied. All patients received general anesthesia and hemodynamic paramete...

    journal_title:Revista medica de Chile

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    doi:

    authors: Concha M,Añazco R,González A,Becker D,Gajardo A

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  • [Polymorphic reticulosis: a type of lymphoma? Report of 3 cases].

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    authors: Wainstein E,Vergara I,Segovia A,Guzmán L

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  • [Equity in health and health technology assessment in Chile].

    abstract::Equity has been recognized as one of the driving principles of many health systems in the world. In Latin America, Chile has led the explicit inclusion of equity in their health policies, which is reflected in its recent health reform. On the other hand, Chile faces the challenge of defining and implementing a policy ...

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    abstract::Laugier-Hunziker syndrome is a rare benign idiopathic condition characterized by acquired macular pigmentation of lips and buccal mucosa, often accompanied with melanonychia. The main concern with this condition is to rule out other differential diagnosis with systemic repercussions and similar hyperpigmentation patte...

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  • [Effects of neomycin on intestinal digestion, absorption and fermentation of carbohydrates in patients with liver cirrhosis: evidence for an alternative therapeutic mechanism in hepatic encephalopathy].

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    journal_title:Revista medica de Chile

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Chesta J,Antezana C

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  • [Value of ultrasonography in the diagnosis of distal choledocolithiasis].

    abstract::We performed real time echotomographic studies in 203 patients with a clinical diagnosis of obstructive jaundice. All patients were operated on and a diagnosis of choledocholithiasis was established in 125. The same diagnosis had been made by echo in 69 of them for a 63% sensitivity rate. The specificity was 92% and t...

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    doi:

    authors: Arroyo A,Guerra M,Strauszer T

    更新日期:1989-11-01 00:00:00

  • [Multiple splenic abscesses. Report of 2 cases].

    abstract::Splenic abscesses are infrequent and usually associated to sepsis and immunodepression. The diagnosis is commonly made in the necropsy. We report two cases of multiple splenic abscesses in type II diabetic patients that were diagnosed by ultrasound. Both patients were successfully managed with surgery (drainage of lef...

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    doi:

    authors: Gatica MA,Morales H,Harz C,Espinoza A

    更新日期:1993-05-01 00:00:00

  • [Pneumonia caused by Streptococcus pyogenes. Report of one case].

    abstract::We report a 58-year-old female presenting with fever and vomiting. The initial laboratory examination disclosed two blood cultures that were positive for Streptococcus Pyogenes. An abdominal CAT scan showed a right basal pneumonia. The patient was treated with antimicrobials and discharged with oral cefadroxil for 21 ...

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  • [The relevance of environmental health and the scope of pediatric environmental health specialty units].

    abstract::In the last decades there has been an important decrease in infant mobidity and mortality, but these achievements are not equally distributed across the whole population. Children are one of the most susceptible groups due to their unique vulnerabilities to environmental factors. Unhealthy environments, indoor polluti...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872009000100016

    authors: París M E,Bettini M,Molina H,Mieres JJ,Bravo V,Ríos JC

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  • [Anticoagulant efficacy of different pharmacological presentations of vitamin K antagonists].

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    authors: Rodríguez D,Nieto E,Quiroga T,Rojas E,Vera F

    更新日期:2020-09-01 00:00:00

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    abstract:BACKGROUND:HCAM or CD44 is a multifunctional cell adhesion molecule, related to cell-cell, cell-extracellular matrix interactions and involved in tumor invasion. AIM:To study the importance of CD44 expression in subserous gallbladder carcinoma. MATERIAL AND METHODS:One hundred five samples (93 female) of subserous ga...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

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    更新日期:2001-07-01 00:00:00

  • [Prevalence of obesity among Chilean women in childbearing ages].

    abstract:BACKGROUND:Women in childbearing ages (WCBA) represent a strategic intervention group to reverse the global trend of increasing obesity. AIM:To conduct a review of studies reporting obesity prevalence in WCBA in Chile in the last 25 years. MATERIAL AND METHODS:To describe obesity prevalence, we used three approaches,...

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    pub_type: 杂志文章,评审

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    更新日期:2014-11-01 00:00:00

  • [Malignant infarct of the middle cerebral artery in a patient with bacterial meningitis].

    abstract::The mortality of acute bacterial meningitis (BM) has remained stable in the last decades in spite of the use of new antibiotics, probably due to vascular complications. We report a 68-year-old woman with BM who had a malignant infarction of left middle cerebral artery territory 72 hours after admission to the hospital...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

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    authors: López MG,Mellado PT,Huete IL

    更新日期:2004-10-01 00:00:00

  • [Intensive chemotherapy for Burkitt lymphoma in HIV positive patients].

    abstract:BACKGROUND:Burkitt lymphoma has a low incidence, is highly aggressive, may be endemic, sporadic or associated with immunodeficiency and it has a high frequency of extranodal involvement. Overall and relapse free survival in HIV patients is 72 and 71% respectively. However, the current protocol in Chile considers a posi...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

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    authors: Puga L B,Bustamante K K,Molina E J,Andrade M A

    更新日期:2015-12-01 00:00:00

  • [Intestinal tuberculosis: analysis of clinical cases and autopsy].

    abstract::Intestinal tuberculosis is rare compared to other forms of the disease. A review of the last 10 years in a General University hospital identified 21 cases diagnosed at autopsy and 8 during life. Most patients were males, older than 30 years of age, alcoholics and originating in southern Chile. Evidence of concomitant ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Fica A,Belletti J,Cruzat C,Rojas D,Montalva M

    更新日期:1991-10-01 00:00:00

  • [Psychosocial and familial variables associated with teenage pregnancy].

    abstract::Preventive measures for teenage pregnancy (TP), would decrease infant mortality, early undernutrition and statal social expenditure. The cost of programs for TP would decrease with a sensitive risk indicator. We searched some pysoshocial and familial parameters, useful to built up this indicator. Self esteem (Piers-Ha...

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    doi:

    authors: Burrows R,Rosales ME,Alayo M,Muzzo S

    更新日期:1995-05-01 00:00:00

  • [Melkersson-Rosenthal syndrome: report of 3 cases].

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