12,477 results match your criteria Revista medica de Chile [Journal]


[Haitian immigration in Chile: a challenge for cardiovascular and renal health programs].

Rev Med Chil 2018 Nov;146(11):1361-1362

Instituto de Medicina, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile.

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http://dx.doi.org/10.4067/S0034-98872018001101361DOI Listing
November 2018

[Giant cell arteritis of the vertebrobasilar system, posterior ischemia and palsy of the third nerve. Report of one case].

Rev Med Chil 2018 Nov;146(11):1356-1360

Departamento de Ciencias Neurológicas Oriente, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Giant cell arteritis is the most common vasculitis in patients aged over 50 years. We report an 89-year-old woman with significant weight loss and persistent frontal-occipital headaches lasting two months. The neurological examination at admission identified a decrease in visual acuity of the left eye, paralysis of the third cranial nerve of the right eye and alterations of body motility without objective signs of damage of the motor or sensitive pathways. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101356DOI Listing
November 2018
1 Read

[Multiple myeloma associated with a secondary amyloidosis. Report of one case].

Rev Med Chil 2018 Nov;146(11):1351-1355

Servicio de Análisis Clínicos, Hospital Universitario Dr. Peset, Valencia, España.

Multiple Myeloma is a myeloproliferative disorder of plasma cells, which may be complicated with secondary amyloidosis. We report a 48 year old woman consulting to primary care for weight loss and malaise. An initial laboratory study revealed a hypogammaglobulinemia with a monoclonal component and lambda light chains. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101351DOI Listing
November 2018
3 Reads

[Delayed hemolytic reaction to transfusion in sickle cell anemia. Report of one case].

Rev Med Chil 2018 Nov;146(11):1347-1350

Servicio de Medicina, Santiago, Chile.

Sickle cell anemia was a rare disease in Chile, especially in adults, however the recent immigration wave from Haiti is changing this scenario. We report a 29 year old black female from Haiti with a non-disclosed history of sickle cell anemia. She was transfused with two units of red blood cells, found unconscious and with jaundice five days later and admitted to the hospital. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101347DOI Listing
November 2018
1 Read

[Pulmonary expansion edema during the management of a spontaneous pneumothorax. Report of one case].

Rev Med Chil 2018 Nov;146(11):1343-1346

Departamento de Cirugía, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101343DOI Listing
November 2018
2 Reads

[Chilean guidelines for chronic urticaria].

Rev Med Chil 2018 Nov;146(11):1334-1342

Departamento de Dermatología, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

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http://dx.doi.org/10.4067/S0034-98872018001101334DOI Listing
November 2018
2 Reads

[Gaps between country needs and intentions to obtain a subspecialty among general surgery trainees in Chile].

Rev Med Chil 2018 Nov;146(11):1325-1333

Departamento Cirugía, General Hospital del Salvador, Universidad de Chile, Santiago, Chile.

The fragmentation of a general specialty in subspecialties or derived specialties is a widely spread reality. Chilean health care system is becoming more complex, requiring more specialists. On the other hand, doctors in specialty training increasingly choose a subspecialty to continue their training and professional development. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101325DOI Listing
November 2018

[A word of caution about the 2017 hypertension management guidelines].

Rev Med Chil 2018 Nov;146(11):1317-1324

Departamento de Educación Médica, Facultad de Medicina, Universidad de Concepción, Concepción, Chile.

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http://dx.doi.org/10.4067/S0034-98872018001101317DOI Listing
November 2018
1 Read

[Physiopathology and management of acetylsalicylic acid intoxication].

Rev Med Chil 2018 Nov;146(11):1309-1316

Departamento de Nefrología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

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http://dx.doi.org/10.4067/S0034-98872018001101309DOI Listing
November 2018

Low rates of participation and completion of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease in primary health care.

Rev Med Chil 2018 Nov;146(11):1304-1308

Instituto de Investigación e Innovación en Salud, Facultad de Ciencias de la Salud, Universidad Central, Santiago, Chile.

Background: Only 6% of patients with chronic obstructive pulmonary disease (COPD) participate in pulmonary rehabilitation programs (PR) and only 50% of those who participate, complete these programs.

Aim: To determine rates of PR program participation and completion among patients with COPD in Chile.

Material And Methods: Analysis of a database available at the Ministry of Health, which included data of 277491 patients with COPD (55% females) and their participation in PR programs, between 2014 and 2016. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101304DOI Listing
November 2018
1 Read

[Quality of life scores among 411 medical students].

Rev Med Chil 2018 Nov;146(11):1294-1303

Departamento de Ortopedia, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: The high academic burden may hamper the quality of life of medical students.

Aim: To evaluate the quality of life (QOL) for medical students attending a Chilean university.

Material And Methods: Four hundred eleven medical students aged 22 ± 2 years (51% women), studying in Santiago, Chile, answered online a validated Spanish version of the WHOQOL-BREF quality of life survey (scored from 0 to 100). Read More

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http://dx.doi.org/10.4067/S0034-98872018001101294DOI Listing
November 2018

[Decisional conflict among people with diabetes mellitus or hypertension attending primary care].

Rev Med Chil 2018 Nov;146(11):1286-1293

Departamento de Salud Pública, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: Decisional conflict refers to the personal uncertainty about which course of action to take when the choice involves risk, regret, or challenge to personal life values.

Aim: To determine the level of decisional conflict (DC) of people with Diabetes Mellitus (DM) or High Blood Pressure (HBP) attending primary care centers (PCC) in Chile.

Patients And Methods: A Spanish version of the Decisional Conflict Scale (DCS) was applied to patients who were recruited if they had DM or HBP, were 18 years old or older, and had an appointment at the PCC the day of the recruitment. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101286DOI Listing
November 2018
1 Read

[Longitudinal association between chronic psychological stress and metabolic syndrome].

Rev Med Chil 2018 Nov;146(11):1278-1285

Departamento de Medicina Interna, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.

Background: Psychological stress and depressive symptoms are variables associated with metabolic syndrome (MetS).

Aim: To determine the longitudinal association between psychological stress, depressive symptoms and MetS, and whether these variables predict MetS and its component trajectories.

Material And Methods: Four hundred and twenty-three participants aged 44 ± 9 years (59% women), free of cardiovascular disease at baseline were enrolled into the Chilean study of psychological stress, obesity and MetS. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101278DOI Listing
November 2018
2 Reads

[Effectiveness of a case management intervention for high blood pressure and type II diabetes in primary health care].

Rev Med Chil 2018 Nov;146(11):1269-1277

División de Atención Primaria, Ministerio de Salud, Santiago, Chile.

Background: Adequate management of high blood pressure (HBP) and Type 2 Diabetes (DM2) is a challenge to the healthcare system in Chile.

Aim: To evaluate the effectiveness of a case management (CM) approach to manage HBP and DMII at Primary Healthcare (PHC) level, headed by healthcare technicians with the supervision of registered nurses.

Material And Methods: Two primary health care centers were selected. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101269DOI Listing
November 2018

[Features of excised pulmonary nodules in 100 patients].

Rev Med Chil 2018 Nov;146(11):1261-1268

Departamento de Cirugía Adultos, Clínica Las Condes, Santiago, Chile.

Background: Pulmonary nodules are common, and surgery is the only alternative that allows a diagnostic and therapeutic management in a single procedure.

Aim: To report the epidemiological, radiological, surgical and pathological features of excised pulmonary nodules.

Material And Methods: Review of medical records of patients in whom a pulmonary nodule was excised between 2014 and 2018. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101261DOI Listing
November 2018

[Association of the FTO (rs9939609) genotype with energy intake].

Rev Med Chil 2018 Nov;146(11):1252-1260

BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.

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http://dx.doi.org/10.4067/S0034-98872018001101252DOI Listing
November 2018

[Seasonal variation in hospital admissions due to acute myocardial infarction according to sex and age in Chile].

Rev Med Chil 2018 Nov;146(11):1233-1240

Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Background: The incidence of acute myocardial infarction (AMI) varies according to seasonality, being higher in winter. The effect of sex on this phenomenon is not clear.

Aim: To evaluate the effect of seasonality in men and women hospitalized for AMI at different ages. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101233DOI Listing
November 2018
1 Read

[More than 100 g of alcohol consumption a week increases the risk of cardiovascular diseases and decreases life expectancy].

Rev Med Chil 2018 Sep;146(9):1087-1088

BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom.

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http://dx.doi.org/10.4067/s0034-98872018000901087DOI Listing
September 2018

[Should intensive treatment of type 2 diabetes mellitus be an indicator of primary care activity?]

Authors:
Jorge Pacheco

Rev Med Chil 2018 Sep;146(9):1086

Departamento de Salud Pública, Facultad de Medicina, Universidad de Concepción, Chile.

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http://dx.doi.org/10.4067/s0034-98872018000901086DOI Listing
September 2018
3 Reads

[Evolution of aplastic anemia in a patient on chronic hemodialysis. Sixteen years later…].

Authors:
Jorge Vega Stieb

Rev Med Chil 2018 Sep;146(9):1085

Departamento de Medicina, Escuela de Medicina, Universidad de Valparaíso, Chile.

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http://dx.doi.org/10.4067/s0034-98872018000901085DOI Listing
September 2018

[Neuropathy and Fabry's disease. Report of five cases].

Rev Med Chil 2018 Sep;146(9):1079-1084

Departamento de Neurología y Psiquiatría, Clínica Alemana de Santiago, Universidad del Desarrollo, Santiago, Chile.

Fabry's disease is an X-linked multisistemic lisosomal storage disorder caused by deficiency or absence in α-Galatosidase A. Symptoms develop early in childhood with small fiber neuropathy, autonomic disorders and skin lesions (angiokeratomas). More severe in males, patients develop over years heart disease (hypertrophic cardiomyopathy, bradycardia), proteinuria, renal failure, transient ischemic attacks and stroke, associated with decreased life expectancy. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901079DOI Listing
September 2018
1 Read

[Hereditary thrombocytopenia associated with a mutation in the MYH-9 gene. Report of one case].

Rev Med Chil 2018 Sep;146(9):1074-1078

Sección Genética Hospital Clínico, Universidad de Chile, Santiago, Chile.

We report a 51-year-old female who had a first episode of thrombocytopenia at 23 years of age during a pregnancy. At the age of fifty, a hysterectomy was indicated due to a metrorrhagia: a platelet count of 21,000/ul was detected. She was treated with eltrombopag with a good response. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901074DOI Listing
September 2018
1 Read

[Cocaine induced midline destructive lesions. Report of one case].

Rev Med Chil 2018 Sep;146(9):1070-1073

Clínica Universidad de los Andes, Santiago, Chile.

Vasculitic midline destructive lesions can be a complication of cocaine use. We report a 44-year-old man who presented with a two months history of left facial pain associated with ipsilateral facial paralysis and a cheek phlegmon. Magnetic resonance imaging showed broad soft tissue destruction linked to important cranial nerve involvement. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901070DOI Listing
September 2018

[Entrustable professional activities: a new proposal for the evaluation of the medical competencies].

Rev Med Chil 2018 Sep;146(9):1064-1069

Escuela de Medicina, Facultad de Medicina, Universidad Diego Portales, Santiago, Chile.

Medical education migrated from a practice-based to a knowledge-based discipline after the publication of the Flexner Report. The emergence of competence-based medical education led to a greater standardization of teaching, allowing students to integrate knowledge, skills and attitudes for the execution of a given task. A challenge is the evaluation of learning. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901064DOI Listing
September 2018

[The Isenheim altarpiece: religion, art and medicine].

Authors:
Felipe C Cabello

Rev Med Chil 2018 Sep;146(9):1050-1058

Department of Microbiology and Immunology, New York Medical College, USA.

Northern Europe at the beginning of the 16th Century was in turmoil as a result of religious and political dissention, epidemics of plague, syphilis, ergotism, and famine, and the threat of the Ottoman Empire. In Alsace, a fulcrum between Germany, France, Switzerland and the Netherlands, Grünewald painted his celebrated and complex altarpiece at Isenheim in a convent chapel of the Antonine religious order that kept a hospital for the care of patients suffering from ergotism, plague, syphilis and other illnesses. The ten paintings of this altarpiece convey a series of religious, medical and political meanings, with the scenes of the Crucifixion and the Resurrection being thought to play an integral part of the curative process. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901050DOI Listing
September 2018
2 Reads

[Restless legs syndrome from the perspective of psychiatry].

Authors:
Patricia Rubí G

Rev Med Chil 2018 Sep;146(9):1041-1049

Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Concepción, Concepción, Chile.

Restless Legs Syndrome (RLS) or Willis-Ekbom Disease is an under-diagnosed chronic and progressive primary sensory-motor disorder. It can lead to severe sleep disturbances, a usual cause of consultation. It is characterized by an urgent need to move the legs in resting situations, a cardinal symptom that is usually accompanied by an unpleasant sensation in legs. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901041DOI Listing
September 2018
2 Reads

[Transbronchial cryobiopsies and cryotherapy in lung diseases].

Rev Med Chil 2018 Sep;146(9):1033-1040

Division of Pulmonary and Critical Care Medicine, Mayo Clinic Jacksonville, Florida, United States.

Bronchoscopy cryoprobes are used for palliative treatment of endobronchial obstructions caused by tumors and removal of granulation tissue or foreign bodies. Currently this technology is also used for diagnosis of diffuse interstitial lung disease (ILD). The multidisciplinary team that establishes the clinical, radiological and histopathological correlation in ILD, decides about performing a surgical lung biopsy when the characteristics of the interstitial disease are not similar to Idiopathic Pulmonary Fibrosis (IPF). Read More

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http://dx.doi.org/10.4067/s0034-98872018000901033DOI Listing
September 2018
1 Read

[Medical malpractice in public hospitals].

Rev Med Chil 2018 Sep;146(9):1028-1032

Facultad de Derecho, Universidad de Chile, Santiago, Chile.

Under Chilean public law, liability of a public hospital appears when the institution fails to accomplish its mandatory duties or incurs in negligence. As in private law liability, this system requires to determine the duties of hospitals and, in case of a medical accident, professional standards or duties. This paper explores the two main categories of medical malpractice, namely erroneous diagnosis and treatment failures based on public law theory and judiciary methods. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901028DOI Listing
September 2018

[Deterioration of vital signs as predictors of major medical emergencies in hospitalized patients].

Rev Med Chil 2018 Sep;146(9):1024-1027

Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: Medical emergencies (ME) in hospitalized patients (cardiac and respiratory arrest, suffocation, asphyxia, seizures, unconsciousness) are associated with high morbidity and mortality. Most of these patients have signs of physiological deterioration prior to the appearance of the emergency. Early detection of warning signs by rapid response teams (RRT) may provide an opportunity for the prevention of major adverse events. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901024DOI Listing
September 2018
1 Read

[Marijuana consumption among Colombian adolescents].

Rev Med Chil 2018 Sep;146(9):1016-1023

Departamento de Fonoaudiologia, Facultad de Salud, Universidad de Pamplona, Colombia.

Background: Marijuana consumption is a public health problem.

Aim: To determine the life time prevalence of marijuana use among Colombian adolescents and the factors associated with its consumption.

Material And Methods: Secondary analysis of data from a study aimed to determine the prevalence of smoking. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901016DOI Listing
September 2018

[Validation of the eat-10 score to detect dysphagia in older people].

Rev Med Chil 2018 Sep;146(9):1008-1015

Instituto de Nutrición y Tecnología en Alimentos, Universidad de Chile, Santiago, Chile.

Background: In Chile, comprehensive geriatric assessment does not include the identification of dysphagia, despite being considered a geriatric syndrome. The Eating Assessment Tool 10 (EAT-10) questionnaire is a 10-question instrument that specifically describes the perception of dysphagia and has a Spanish translation.

Aim: To validate and test the reliability of the EAT-10 questionnaire in Chilean older people living in the community. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901008DOI Listing
September 2018
1 Read

[Screening and barriers for treatment of postpartum depression in Chilean public primary health care centers].

Rev Med Chil 2018 Sep;146(9):1001-1007

Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago, Chile.

Background: Postpartum depression (PPD) is a public health issue, and appropriate screening may lead to clinical gains.

Aim: To describe the screening for PPD, its relationship with the use of health care services, and treatment access barriers in Chilean public primary health care (PHC) centers.

Material And Methods: Puerperal women attending PHC centers for a well-child check-up were assessed for the presence of PPD using the Edinburgh Postnatal Depression Scale and a structured psychiatric interview. Read More

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http://dx.doi.org/10.4067/s0034-98872018000901001DOI Listing
September 2018
1 Read

[Aeroallergens causing rhinoconjunctivitis].

Rev Med Chil 2018 Sep;146(9):994-1000

Fundación de Aerobiología, Medioambiente y Salud, Santiago, Chile.

Background: Allergic rhinoconjunctivitis (ARC) has a prevalence of 30% in industrialized countries. For an accurate diagnosis and treatment, it is crucial to identify the causative aeroallergen.

Aim: To evaluate aeroallergen sensitization in adults with ARC in the city of Temuco, Chile. Read More

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http://dx.doi.org/10.4067/s0034-98872018000900994DOI Listing
September 2018

[Association between the functional impact of osteoarthritis and body mass index in women].

Rev Med Chil 2018 Sep;146(9):987-993

Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Granada, España.

Background: Obesity is associated with pain, reduction of function and quality of life in patients with osteoarthritis (OA).

Aim: To describe the clinical profile of women with knee OA according to their body mass index (BMI).

Material And Methods: Observational study in 308 women with knee OA. Read More

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http://dx.doi.org/10.4067/s0034-98872018000900987DOI Listing
September 2018
2 Reads

[High prevalence of overweight, obesity, insulin resistance and metabolic syndrome in rural children and adolescents].

Rev Med Chil 2018 Sep;146(9):978-986

Centro de Excelencia en Medicina Traslacional, CEMT-BIOREN, Universidad de La Frontera, Temuco, Chile.

Background: Childhood and adolescent obesity is a major public health problem in Chile.

Aim: To characterize cardiometabolic risk factors in a population of schoolchildren from Carahue, Chile.

Material And Methods: Cross-sectional assessment of 208 children aged 10. Read More

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http://dx.doi.org/10.4067/s0034-98872018000900978DOI Listing
September 2018
2 Reads

Long-term impact of competitive biddings and an antimicrobial stewardship program in a general hospital in Chile.

Rev Med Chil 2018 Sep;146(9):968-977

Unidad Bioestadística, Hospital Militar de Santiago, Santiago, Chile.

Background: The long-term effect of an antimicrobial stewardship program (ASP) and its integrated impact with competitive biddings have been seldom reported.

Aim: To evaluate the long-term effect of an ASP on antimicrobial consumption, expenditure, antimicrobial resistance and hospital mortality. To estimate the contribution of competitive biddings on cost-savings. Read More

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http://dx.doi.org/10.4067/s0034-98872018000900968DOI Listing
September 2018

[Effectiveness of a self-administered rehabilitation program for shoulder pain syndrome in primary health care].

Rev Med Chil 2018 Sep;146(9):959-967

Universidad de Chile, Santiago, Chile.

Background: Shoulder pain syndrome (SPS) is frequent and management in primary care is precarious, with a high rate of referral without adequate treatment, overloading rehabilitation and orthopedic services.

Aim: To assess the effectiveness of a self-administered rehabilitation program in adults with shoulder pain syndrome in primary care.

Patients And Methods: A randomized, single-blind clinical trial (evaluators) with an experimental group (self-administered rehabilitation) and a control group (standard physical therapy) was carried out in 271 adult patients aged 18 or older with unilateral shoulder pain lasting more than six weeks and less than three months. Read More

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http://dx.doi.org/10.4067/s0034-98872018000900959DOI Listing
September 2018
1 Read

[Stroke: Public Health when time is brain].

Rev Med Chil 2018 Dec;146(10):1225-1226

Departamento de Enfermedades No Transmisibles, Subsecretaría de Salud Pública, Ministerio de Salud, Chile.

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http://dx.doi.org/10.4067/S0034-98872018001001225DOI Listing
December 2018

[Aging inserted in health care curriculum: challenges and proposals].

Rev Med Chil 2018 Dec;146(10):1224

Clínica Alemana, Facultad de Medicina, Universidad del Desarrollo, Chile.

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http://dx.doi.org/10.4067/S0034-98872018001001224DOI Listing
December 2018

[Intravenous radioiodine and recombinant human TSH in a patient with extensive thyroid cáncer. Report of one case].

Rev Med Chil 2018 Dec;146(10):1220-1223

Unidad de Medicina Nuclear, Servicio de Radiología e Imágenes, Clínica Santa María, Santiago, Chile.

We report a 72-years-old male patient with extensive differentiated thyroid cancer (DTC), who required a tracheostomy and gastrostomy. Considering his clinical condition, risk of aspiration and management of the ostomies, radioiodine (131I) was administered intravenously, using recombinant human thyrotropin (rhTSH) and levothyroxine. The procedure was successful, both clinically and in terms of radioprotection. Read More

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http://dx.doi.org/10.4067/S0034-98872018001001220DOI Listing
December 2018
1 Read

[Liver transplantation in a patient with human immunodeficiency virus (HIV). Case report].

Rev Med Chil 2018 Dec;146(10):1215-1219

Programa Trasplante Hepático, Hospital Clínico, Pontificia Universidad Católica de Chile, Santiago, Chile.

Abstrac: Before the advent of highly active antiretroviral therapy (HAART), patients infected with human immunodeficiency virus (HIV) were considered as having an absolute contraindication for liver transplantation (LT). Considering the increased life expectancy in HIV positive patients under HAART and the improvements in the management of graft recipients, these patients are now suitable for carrying out transplants in selected cases. We report a 26 years old HIV positive male who developed acute liver failure possibly caused by drug induced liver injury who underwent a successful liver transplantation. Read More

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http://dx.doi.org/10.4067/S0034-98872018001001215DOI Listing
December 2018
1 Read

[Paradoxical embolism due to a persistent patent foramen ovale. Report of one case].

Rev Med Chil 2018 Dec;146(10):1210-1214

Unidad de ecocardiografía, Hospital Clinic, Barcelona, España.

Patent Foramen Ovale (PFO) is one of the most frequent congenital defects in adults. Its prevalence in middle-aged adults is close to 25-30% and may cause paradoxical embolic phenomena. We report a 45 years old male admitted for an ischemic stroke with an occlusion of the left terminal internal carotid artery. Read More

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http://dx.doi.org/10.4067/S0034-98872018001001210DOI Listing
December 2018
1 Read

[Primary squamous cell carcinoma of the stomach. Report of three cases].

Rev Med Chil 2018 Dec;146(10):1205-1209

Departamento de Oncología Médica, Instituto Nacional de Cancerología, México.

Gastric squamous cell carcinoma (SCC) is a rare type of cancer. We report three patients with the tumor. A 65 years old male presenting with weight los and heartburn. Read More

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http://dx.doi.org/10.4067/S0034-98872018001001205DOI Listing
December 2018
3 Reads

[A standardized objective structured clinical examination to assess clinical competencies in medical students].

Rev Med Chil 2018 Dec;146(10):1197-1204

aff7, USA.

Background: Outcomes-based education is a trend in medical education and its assessment is one of the main challenges. The Objective Structured Clinical Examination (OSCE) is one of the tools used to assess clinical competencies. Although Chilean medical schools have used OSCEs for 18 years, there is a vast variability in the way these examinations are administered. Read More

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http://dx.doi.org/10.4067/S0034-98872018001001197DOI Listing
December 2018
0.373 Impact Factor

[Oscar Castro Zúñiga, the poet who succumbed to tuberculosis].

Rev Med Chil 2018 Dec;146(10):1190-1196

Escuela de Kinesiología, Facultad de Medicina, Universidad de los Andes, Santiago, Chile.

The life of the renowned Chilean writer, Oscar Castro Zúñiga, was interrupted early, when he was 37 years old. He acquired tuberculosis during the epidemic in our country between the second half of the nineteenth century and the first half of the twentieth century. He developed the disease during a crucial stage in terms of diagnosis and treatment, coinciding with the end of the sanatorium stage and the first chemotherapeutic attempts. Read More

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http://dx.doi.org/10.4067/S0034-98872018001001190DOI Listing
December 2018

[The uncertainties of statistical "significance"].

Authors:
Raúl J Domenech

Rev Med Chil 2018 Dec;146(10):1184-1189

Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Statistical inference was introduced by Fisher and Neyman-Pearson more than 90 years ago to define the probability that the difference in results between several groups is due to randomness or is a real, "significant" difference. The usual procedure is to test the probability (P) against the null hypothesis that there is no real difference except because of the inevitable sampling variability. If this probability is high we accept the null hypothesis and infer that there is no real difference, but if P is low (P < 0. Read More

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http://dx.doi.org/10.4067/S0034-98872018001001184DOI Listing
December 2018

[Consensus statement of the Chilean endocrinological society on the role of bariatric surgery in type 2 diabetes].

Rev Med Chil 2018 Dec;146(10):1175-1183

Departamento de Cirugía Bariátrica Metabólica, Clínica Bupa Antofagasta. Antofagasta, Chile.

Diabetes Mellitus (DM) and obesity are a public health problem in Chile. Bariatric surgery is the most effective treatment alternative to achieve a significant and sustained weight reduction in patients with morbid obesity. The results of controlled clinical trials indicate that, compared to medical treatment, surgery for obese patients with DM2 allows a better control of blood glucose and cardiovascular risk factors, reduces the need for medications and increases the likelihood for remission. Read More

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http://dx.doi.org/10.4067/S0034-98872018001001175DOI Listing
December 2018