12,516 results match your criteria Revista medica de Chile [Journal]


[Rhabdomyolysis and severe hypercalcemia. Report of one case].

Rev Med Chil 2019 ;147(1):125-129

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

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http://dx.doi.org/10.4067/S0034-98872019000100125DOI Listing
March 2019
6 Reads

[IgG4 related hypertrophic gastropathy. Report of one case].

Rev Med Chil 2019 ;147(1):119-124

Servicio de Anatomía Patológica, Clínica Dávila, Santiago, Chile.

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http://dx.doi.org/10.4067/S0034-98872019000100119DOI Listing
March 2019
4 Reads

[Drug rash with eosinophilia and systemic symptoms or DRESS syndrome. Report of one case].

Rev Med Chil 2019 ;147(1):114-118

Servicio de Anatomía Patológica, Hospital Clínico San Borja Arriarán, Santiago, Chile.

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http://dx.doi.org/10.4067/S0034-98872019000100114DOI Listing
March 2019
5 Reads

Quality of life of medical students in Brazil. A comparative study.

Rev Med Chil 2019 ;147(1):107-113

School of Medicine, Federal University of Bahia, Salvador, Bahia, Brazil.

Background: VERAS survey multicenter project, carried out in 2011-2012, evaluated the quality of life (QoL) of students from 22 Brazilian medical schools.

Aim: To evaluate QoL of undergraduate medical students, taking Veras-q national data as comparison.

Material And Methods: We evaluated the QoL of 197 medical students in a Brazilian private medical school at Salvador, Bahia, Brazil in 2014. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100107DOI Listing
March 2019
11 Reads

["ObamaCare": effects for the health reform in Chile].

Rev Med Chil 2019 ;147(1):103-106

Departamento de Ciencias Jurídicas, Universidad de La Frontera, Temuco, Chile.

Health care raises structural issues in a democratic society, such as the role assigned to the central government in the management of health risk and the redistributive consequences generated by the implementation of social insurance. These are often cause of strong political controversy. This paper examines the United States of America health reform, popularly known as "ObamaCare". Read More

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http://dx.doi.org/10.4067/S0034-98872019000100103DOI Listing
March 2019
2 Reads

[William Hunter (1718-1783): his legacy three hundred years from his birthday].

Rev Med Chil 2019 ;147(1):96-102

Programa de Estudios Médicos Humanísticos, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

The aim of this paper is to evaluate some aspects of the life of William Hunter (1718-1783), and to argue that he deserves a better place in history as he was one of the most outstanding figures in British medicine of the 18th century. A Scotsman, Presbyterian, from a family without means or connections, he underwent a classic education at the University of Glasgow, completed with apprenticeships with William Cullen and Alexander Monro first in Scotland, and then in London, with William Smellie, James Douglas and James Wilkie, in anatomy, obstetrics and surgery, respectively. Despite initial disadvantages, he was highly successful as an anatomist, educator, surgeon, man-midwife, artist, gentleman and collector. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100096DOI Listing
March 2019
3 Reads

[Pet cats, medicine and art].

Authors:
Felipe Cabello C

Rev Med Chil 2019 ;147(1):91-95

aff1, Estados Unidos de Norteamérica.

The author in this short text remembers the passing of a beloved pet cat. Cats are beautiful animals and wonderful companions. They evolved together with humans in Africa, subsequently spread over the five continents with them, and became the subject of many human cultural activities, including art, poetry and religion. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100091DOI Listing
March 2019
5 Reads

[Dependency in Chile. Advances and challenges].

Rev Med Chil 2019 ;147(1):83-90

Programa Centro de Salud Pública, Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile.

Chile is facing a process of rapid aging which poses several challenges. Among these challenges is the increase of dependency in the population. Despite its relevance, the topic has not been prioritized in the agenda. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100083DOI Listing
March 2019
4 Reads

[Management of bleeding associated with direct oral anticoagulants: update on reversal strategies].

Rev Med Chil 2019 ;147(1):73-82

División de Enfermedades Cardiovasculares, Hospital Clínico, Pontificia Universidad Católica de Chile, Santiago, Chile.

Direct oral anticoagulants (DOACs), including the direct thrombin inhibitor dabigatran and the direct factor Xa inhibitors rivaroxaban, apixaban and edoxaban have at least comparable efficacy as vitamin K antagonists along with a better safety profile, reflected by a lower incidence of intracranial hemorrhage. Specific reversal agents have been developed in recent years. Namely, idarucizumab, a specific antidote for dabigatran, is currently approved in most countries. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100073DOI Listing
March 2019
9 Reads

[Healthcare of transgenders by non-specialists in Chile].

Rev Med Chil 2019 ;147(1):65-72

Consultorio Alemania, Calama, Chile.

The health care demand for transgenders has increased in Chile and worldwide. However, in Chile health care professionals are not trained to understand and face this problem. We herein review issues that should be considered in the training of non-specialist physicians to provide health care to transgenders, issues about terminology of body reassignment treatments and gender identity and the way Chilean professionals should deal with transgender persons. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100065DOI Listing
March 2019
5 Reads

[High risk cytogenetic abnormalities in patients with multiple myeloma].

Rev Med Chil 2019 ;147(1):61-64

Laboratorio de Citogenética, Sección Hematología, Hospital del Salvador, Santiago, Chile.

Background: Cytogenetic abnormalities observed in the bone marrow of patients with multiple myeloma (MM) are an important prognostic factor for risk stratification.

Aim: To investigate karyotype characteristics and frequency of the high-risk cytogenetic abnormalities t(4;14), t(14;16) and del(17p) in Chilean patients with MM.

Material And Methods: We studied 30 patients with MM by conventional cytogenetics (CC) and fluorescent in situ hybridization of plasma cells selected using cytoplasmic immunoglobulin staining (cIg-FISH). Read More

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http://dx.doi.org/10.4067/S0034-98872019000100061DOI Listing
March 2019
6 Reads

[Psychometric characteristics of the Patient Health Questionnaire (PHQ-9)].

Rev Med Chil 2019 ;147(1):53-60

Departamento de Psicología, Facultad de Ciencias Sociales, Universidad de Concepción, Concepción, Chile.

Background: Simple and brief questionnaires with adequate psychometric properties are useful for the early detection of depressive disorders.

Aim: To analyze the psychometric behavior of the Patient Health Questionnaire (PHQ-9) in Chile.

Material And Methods: Data were collected from 1,738 adult patients, consulting in primary health care centers. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100053DOI Listing
March 2019
4 Reads

[Female adolescents with eating disordes: cardiac abnormalities].

Rev Med Chil 2019 ;147(1):47-52

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

Background: Cardiovascular complications can occur in up to 80% of adolescent patients with eating disorders (ED) and account for 30% of their mortality.

Aim: To evaluate cardiovascular complications in adolescents with ED and their evolution after refeeding.

Patients And Methods: In adolescents with ED admitted to treatment, we assessed the nutritional status, weight loss prior to consultation, presence of bradycardia (BC, defined as heart rate < 60 bpm), we performed an electrocardiogram (ECG) and an echocardiography and measured thyroid hormones. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100047DOI Listing
March 2019
7 Reads

[Embolization of insufficient pelvic veins for pelvic congestion syndrome. Analysis of 17 cases].

Rev Med Chil 2019 ;147(1):41-46

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

Background: Pelvic venous insufficiency may cause pelvic congestion syndrome that is characterized by chronic pelvic pain exacerbated by prolonged standing, sexual activity or menstrual cycle. It may be treated by embolizing the dysfunctional pelvic venous drainage and sometimes resecting vulvar, perineal and thigh varices.

Aim: To assess the results of embolization of insufficient pelvic or ovarian veins on pelvic congestion syndrome. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100041DOI Listing
March 2019
10 Reads

[Registry of perioperative cardiac arrests in a clinical hospital in the period 2006-2017].

Rev Med Chil 2019 ;147(1):34-40

Departamento de Anestesiología y Reanimación, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Background: Perioperative cardiac arrest (PCA) is a rare but important event in the operating room.

Aim: To describe PCA events at a Clinical Hospital in Santiago, Chile.

Material And Methods: Registry of PCA that occurred in the operating room (OR) and during procedures not carried out in the OR between September 2006 and November 2017. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100034DOI Listing
March 2019
1 Read

[Characterization of Salmonella Heidelberg strains isolated in Chile].

Rev Med Chil 2019 ;147(1):24-33

Laboratorio de Bacteriología, Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, España.

Background: Salmonella Heidelberg (S. Heidelberg) causes gastroenteritis and sometimes bacteremia and endocarditis. In other countries, this serovar has multidrug resistance including extended-spectrum β-lactamases (ESBLs) and AmpC (β-lactamases (AmpC), associated with the blaCMY-2 gene. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100024DOI Listing
March 2019
5 Reads

[Primary plasma cell leukemia. Report of five cases].

Rev Med Chil 2019 ;147(1):18-23

Sección de Hematología, Hospital del Salvador, Santiago, Chile.

Background: Primary plasma cell leukemia (pPCL) is uncommon, aggressive and has a different biology than multiple myeloma (MM).

Aim: To report the features of patients with pPCL.

Material And Methods: Review of databases of the Hematology Department and the Hematology laboratory. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100018DOI Listing
March 2019
6 Reads

[Cytarabine and hematopoietic cell transplantation for mantle cell lymphoma. Analysis of 20 patients].

Rev Med Chil 2019 ;147(1):9-17

Escuela de Medicina, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: Mantle cell lymphoma (MCL) has high relapse and mortality rates. There is a survival benefit when treatment is intensified with cytarabine (AraC), hematopoietic cell transplantation (HCT) and maintenance with rituximab.

Aim: To assess the outcomes of patients with MCL treated in a university hospital. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100009DOI Listing
March 2019
2 Reads

[Medical Society of Santiago (Chilean Society of Internal Medicine) 150 years to the Service of Medicine].

Rev Med Chil 2019 ;147(1):7-8

Presidente Sociedad Médica de Santiago (Sociedad Chilena de Medicina Interna), Santiago, Chile.

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http://dx.doi.org/10.4067/S0034-98872019000100007DOI Listing
March 2019
1 Read

[Evolution of the Hippocratic Oath: What has changed and why?]

Rev Med Chil 2018 Dec;146(12):1498-1500

Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Perú.

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http://dx.doi.org/10.4067/s0034-98872018001201498DOI Listing
December 2018
1 Read

[The sensitive patient: extending the methodology of content validity].

Rev Med Chil 2018 Dec;146(12):1497-1498

Universidad Autónoma del Estado de Morelos, Mexico.

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http://dx.doi.org/10.4067/s0034-98872018001201497DOI Listing
December 2018
1 Read
0.373 Impact Factor

[Diffuse idiopathic skeletal hyperostosis (DISH). Report of one case].

Rev Med Chil 2018 Dec;146(12):1493-1496

Servicio de Neurocirugía, Hospital Metropolitano de Santiago, República Dominicana.

Forestier Disease, or Diffuse Idiopathic Skeletal Hyperostosis (DISH), causes a considerable ossification of the anterior longitudinal ligament of the spine. When it involves cervical segments, it can be accompanied by dysphagia, dysphonia and/or dyspnea. This entity usually has a benign course. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201493DOI Listing
December 2018
9 Reads

[Hypophysitis and retroperitoneal fibrosis associated with autoimmune polyglandular syndrome and IgG4-related disease. Report of one case].

Rev Med Chil 2018 Dec;146(12):1486-1492

Servicio de Medicina, Hospital Naval A. Nef., Viña del Mar, Chile.

We report a 23 year old woman presenting with a nephrotic syndrome due to minimal change disease, central diabetes insipidus, primary hypothyroidism, vitiligo and universal alopecia. Eleven years later, she presented secondary amenorrhea due to hypogonadotropic hypogonadism, with mild hyperprolactinemia and central adrenal insufficiency. A magnetic resonance imaging of the sella turcica showed a pituitary mass with suprasellar extension that was resected using a transsphenoidal approach. Read More

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http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.4067/s0034-98872018001201486DOI Listing
December 2018
9 Reads
0.373 Impact Factor

[Cerebral cryptococcosis and immune reconstitution inflammatory syndrome. Case report].

Rev Med Chil 2018 Dec;146(12):1481-1485

Subdepartamento de Medicina, Hospital Base de Valdivia, Valdivia, Chile.

We report a 45-year-old male with AIDS who had a Cryptococcus neoformans central nervous system infection. He was treated with amphotericin B deoxycholate subsequently changed to voriconazole due to systemic toxicity of the former. Plasma levels of voriconazole were insufficient with a standard dose (0. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201481DOI Listing
December 2018
10 Reads

[Guidelines of the Chilean Endocrinology Society for the correct clinical use of bone densitometry].

Rev Med Chil 2018 Dec;146(12):1471-1480

Departamento de Medicina Interna, Facultad de Medicina, Universidad de Concepción, Concepción, Chile.

Osteoporosis is a silent and frequent disease, which increases fracture risk. Approximately half of women and one of five men over 50 years old will suffer an osteoporotic fracture throughout their lives. Dual-energy x-ray absorptiometry (DXA) allows a real bone mineral density (BMD) measurement in different parts of the skeleton and is considered the "gold standard" for quantifying osteoporosis with high accuracy and precision. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201471DOI Listing
December 2018
5 Reads

[Development of an instrument to assess clinical reasoning].

Rev Med Chil 2018 Dec;146(12):1466-1470

Facultad de Medicina, Universidad Andrés Bello, Chile.

Background: Teaching clinical reasoning is a challenge in medical education.

Aim: To design a clinical reasoning assessment instrument.

Material And Methods: Structured interviews were carried out to six physicians with at least five years experience. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201466DOI Listing
December 2018
8 Reads

[The anatomy museum of the University of Chile: a national monument].

Rev Med Chil 2018 Dec;146(12):1459-1465

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

The accrual of anatomical preparations since the nineteenth century in Santiago, Chile, became the so called "anatomical cabinet" under the supervision of professor Julio F Lafargue. Afterwards, this cabinet evolved to form an anatomical museum in the mid twentieth century. It contained preparations using corpses whose identification was not known. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201459DOI Listing
December 2018
1 Read

[Consensus about the duties of pharmacists in intensive care units in Chile].

Rev Med Chil 2018 Dec;146(12):1452-1458

División de Farmacéuticos Clínicos, Sociedad Chilena de Medicina Intensiva, Chile.

In 2015, the directors of the Clinical Pharmacists Division of the Chilean Society of Intensive Care Medicine (SOCHIMI) organized a collaborative work along the country to define the minimum activities and duties that a pharmacist should perform in an Intensive Care Unit in Chile, according to the Ministry of Health and SOCHIMI guidelines and recommendations. This document summarizes the agreements on three priority areas of pharmacists' duties in intensive care: a) pharmacotherapy follow-up; b) pharmacological surveillance and security management of medications, and c) data recording and documentation. The recommendations collect the experiences from Chilean pharmacists along the country and provide information and support for future consensus for other specialties. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201452DOI Listing
December 2018
1 Read

[Immunomodulator drugs for the treatment of multiple myeloma].

Rev Med Chil 2018 Dec;146(12):1444-1451

Departamento de Fisiología, Facultad de Fisioterapia, Universidad de Valladolid, Campus de Soria, España.

Thalidomide changed the treatment of patients with multiple myeloma, however, its effectiveness has been compromised due to its side effects. New strategies are needed to specifically target the challenges of multiple myeloma through innovative, more effective, and less toxic therapy. The new immunomodulatory (IMiDs) compounds are structural and functional analogs of thalidomide, which were designed to improve the immunomodulatory and anticancer properties and tolerability profiles. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201444DOI Listing
December 2018
9 Reads

[Gallbladder epidermoid carcinoma].

Rev Med Chil 2018 Dec;146(12):1438-1443

Departamento de Cirugía Oncológica Gastrointestinal, Instituto Nacional de Cancerología, México.

Background: Gallbladder epidermoid carcinoma is rare and more common in women over 55 years of age.

Aim: To report the features of 15 patients with gallbladder epidermoid carcinoma.

Material And Methods: Review of medical records of patients with gallbladder cancer in an oncology service. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201438DOI Listing
December 2018
5 Reads

Association of maximal voluntary isometric handgrip strength with age, gender and handedness in older people.

Rev Med Chil 2018 Dec;146(12):1429-1437

Department of Sport, Hartpury University, Gloucestershire, UK.

Background: Maximal voluntary isometric handgrip strength (MVIHS) is influenced by age, sex, and handedness.

Aim: To assess the association of MVIHS with age, sex, and handedness in older adults.

Material And Methods: MVIHS was measured using a digital dynamometer in 60 men and 60 women aged 73 ± 6 years. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201429DOI Listing
December 2018
1 Read

[Conventional serum tumor markers in liver cancer. Retrospective analysis of 118 patients].

Rev Med Chil 2018 Dec;146(12):1422-1428

Escuela de Medicina, Facultad de Salud, Universidad Industrial de Santander, Bucaramanga, Colombia.

Background: Conventional serum tumor markers (CSTM) are widely used for monitoring patients with cancer. However, their usefulness as a diagnostic tool is controversial in primary or metastatic liver cancer (PMLC).

Aim: To evaluate the diagnostic performance of the most commonly requested CSTM in the diagnostic approach of PMLC. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201422DOI Listing
December 2018
2 Reads

[Association between depressive symptoms and metabolic control in patients with type 2 diabetes mellitus: a cross-sectional study].

Rev Med Chil 2018 Dec;146(12):1415-1421

Centro Interdisciplinario de Estudios en Salud, Escuela de Medicina, Universidad de Valparaíso, Viña del Mar, Chile.

Background: Patients with diabetes mellitus show a higher risk of developing depressive symptoms when compared to healthy people, hampering the management and prognosis of both diseases. However, national studies on the topic are scarce.

Aim: To study the frequency and severity of depressive symptoms in patients with type 2 diabetes. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201415DOI Listing
December 2018
3 Reads

[Association of a healthy lifestyle index with cardiovascular risk factors in Chileans adults].

Rev Med Chil 2018 Dec;146(12):1405-1414

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

Background: Healthy lifestyles are associated with a better metabolic and cardiovascular health profile.

Aim: To investigate the association between a lifestyle score and cardiovascular risk in Chilean adults.

Material And Methods: A healthy lifestyle score was derived for 2,774 participants in the Chilean National Health Survey 2009-2010 and based on seven modifiable behaviors (salt intake, fruit and vegetable intake, alcohol consumption, sleep duration, smoking, physical activity and sedentary behaviors). Read More

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http://dx.doi.org/10.4067/s0034-98872018001201405DOI Listing
December 2018
7 Reads

[Early and late results of coronary artery bypass grafting in coronary artery disease in Concepcion, Chile].

Rev Med Chil 2018 Dec;146(12):1395-1404

Centro Cardiovascular, Hospital Clínico Regional de Concepción: "Dr. Guillermo Grant Benavente", Concepción, Chile.

Background: Coronary artery bypass grafting (CABG) is the best treatment for a large group of patients with coronary artery disease.

Aim: To describe early and late results of patients treated with CABG at our Center.

Patients And Methods: Revision of data bases, surgical protocols and clinical registers of patients operated between January 2006 and December 2008. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201395DOI Listing
December 2018
2 Reads

[Non-critical care hospital-acquired acute kidney injury. Analysis of 101 cases].

Rev Med Chil 2018 Dec;146(12):1390-1394

Unidad de Nefrología y Trasplante renal, Hospital Universitario San Ignacio, Bogotá, D.C, Colombia.

Background: Non-critical care Hospital-Acquired Acute Kidney Injury (Non-ICU HA-AKI) is a preventable common complication.

Aim: To analyze its risk factors and outcomes in a general hospital ward.

Material And Methods: A retrospective paired case-control 1:2 study was carried out from April to December 2014. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201390DOI Listing
December 2018
12 Reads

[Measurement of the carbon footprint at a regional hospital].

Rev Med Chil 2018 Dec;146(12):1384-1389

Departamento de Cirugía, Traumatología y Anestesia, Universidad de La Frontera, Temuco, Chile.

Background: Measuring the carbon footprint (CF) makes it possible to estimate the contribution of clinical activity to global warming.

Aim: To measure the emitter components of CO2 equivalents (CO2e) at the Hospital Base, Puerto Montt (HBPM).

Material And Methods: Descriptive study with data collected retrospectively between January and December 2016 from the HBPM database. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201384DOI Listing
December 2018
2 Reads

[Features of community-acquired pneumonia in immunocompetent hospitalized adults according to the causal agent].

Rev Med Chil 2018 Dec;146(12):1371-1383

Departamento de Enfermedades Respiratorias, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: Molecular biological techniques allow the identification of more pathogens associated with community-acquired pneumonia (CAP).

Aim: To compare clinical and laboratory parameters of patients with CAP caused by different groups of pathogens.

Material And Methods: In a prospective study, immunocompetent adult patients hospitalized with CAP were tested for the presence of a broad range of possible respiratory pathogens using bacterial cultures, polymerase chain reaction, urinary antigen testing and serology. Read More

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http://dx.doi.org/10.4067/s0034-98872018001201371DOI Listing
December 2018
5 Reads

[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
3 Reads

[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
10 Reads

[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
5 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
7 Reads

[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
10 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
4 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
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[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
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[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
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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
3 Reads