[Reflections on an anniversary: the Public Health School of Chile in its fiftieth anniversary].

Abstract:

:This is the speech pronounced by Dr Abraham Horwitz, Emeritus Professor of the University of Chile and Honorary Director of PAHO, during the academic act that celebrated the fiftieth anniversary of the Chilean Public Health School endowment. The school had a doctrinal and technical impact on Chilean health and decisively influenced the National Health Service creation. The majority of its founders were trained at the John Hopkins Public Health School, therefore naming this school "little Hopkins". Its creation was stimulated by the Chilean health profile of the forties. Chile had 5,273,000 inhabitants and a 28.2% of illiteracy. General mortality was 19.5%, infant mortality 18.1 and newborn mortality 73.3%. At the present time, forty years later, the figures are 14,000,000 inhabitants (85% in urban areas), less than 10% of illiteracy, a general mortality of 5.6%, infant mortality of 14.6, newborn mortality of 7.9% and a life expectancy of 72 and 75 years for men and women. Almost all labors are attended by professionals in institutional settings and only 5.6% of newborns have a low birth weight, one of the lowest figures in the world. To say that health in the Americas is in crisis and that population health needs are not satisfied is a dangerous generalization and Chilean health evolution seems to disprove this assertion. This does not mean that some reforms are needed that can be accomplished with the help of School of Public Health.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Horwitz A

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

1078-84

issue

9

eissn

0034-9887

issn

0717-6163

journal_volume

122

pub_type

历史文章,杂志文章
  • [Addisonian crisis caused by metastatic lung cancer. Report of one case].

    abstract::Addisonian crisis as a first manifestation of metastatic disease secondary to cancer is uncommon. We report a 63-year-old man with a history of one year of fatigue, weakness, weight loss and repeated symptomatic hypoglycemia. The cortisol stimulation test with ACTH confirmed primary adrenal insufficiency. While receiv...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872011000900013

    authors: Utreras C,Díaz RE,Ascui R,Caro R,Véliz J,Wohllk N

    更新日期:2011-09-01 00:00:00

  • [Neurology and HIV/AIDS infection: ethical problems].

    abstract::Human immunodeficiency virus infection raises ethical issues in medical practice. This work presents several problems with ethical connotations related to HIV infections, observed by a neurologist during his medical practice. Patient-physician relationships, confidentiality, the request of patient consent to perform d...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Nogales-Gaete J

    更新日期:1994-10-01 00:00:00

  • [The duty to inform in the Chilean legislation].

    abstract::The new Chilean regulation about patients' rights and duties is generating a significant change in the information that health care professionals must provide to their patients. This issue will gravitate on medical liability. If this duty is accomplished incorrectly, professionals would fall into an illicit act and be...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872018000800909

    authors: Pizarro W C

    更新日期:2018-08-01 00:00:00

  • [Evolution of atypical gynecological cervical smears in a captive population].

    abstract:BACKGROUND:An atypical cervical smear may represent a wide variety of lesions, from banal diseases to invasive neoplastic lesions. AIM:To study the evolution of atypical cervical smears in a highly controlled women population. MATERIAL AND METHODS:A retrospective analysis of 117 women with atypical cervical smears, d...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Vilches K,Escalona A

    更新日期:1998-03-01 00:00:00

  • [Prevalence of vitamin B-12 deficiency in older adults].

    abstract:BACKGROUND:There is a correlation between aging and the decrease of plasma levels of vitamin B-12. AIM:To determine the prevalence of vitamin B-12 and folate deficiency and its hematological impact among older adults (AM). MATERIAL AND METHODS:Cross-sectional study, in 1028 subjects aged 65 to 87years, living in comm...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872010000100006

    authors: Sánchez H,Albala C,Herlramp F E,Verdugo R,Lavados M,Castillo JL,Lera L,Uauy R

    更新日期:2010-01-01 00:00:00

  • [Serotypes and antimicrobial susceptibility of Streptococcus agalactiae].

    abstract:BACKGROUND:Streptococcus agalactiae or group B streptococcus, GBS, is the leading cause of neonatal and maternal infections and an opportunistic pathogen in adults with underlying disease. In the last decade, a dramatic increase in the resistance of this microorganism to erythromycin and clindamycin has been observed. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872004000500003

    authors: Martínez MA,Ovalle A,Durán C,Reid I,Urriola G,Garay B,Cifuentes M

    更新日期:2004-05-01 00:00:00

  • [Selective use of glucocorticoids during the perioperative period of transsphenoidal surgery for pituitary tumors].

    abstract:BACKGROUND:There is consensus in promoting the selective use of glucocorticoids (GC) in the peri-operative period of transsphenoidal surgery (TE) for pituitary adenomas (PA). AIM:To evaluate the safety of a selective glucocorticoid administration protocol and the usefulness of immediate postoperative cortisol levels a...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872014000900004

    authors: Carrasco CA,Villanueva G P

    更新日期:2014-09-01 00:00:00

  • [Systemic leptospirosis as a cause of multiple organ failure. Report of a case].

    abstract::Leptospirosis is a world-spread zoonosis that is incidentally acquired by humans. It causes a diphasic febrile illness in which the Weil syndrome is its severest form, with renal, hepatic, clotting and central nervous system involvement. We report a 73 years old male, that was admitted to an intensive care unit with m...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Garrido R,Castillo L,Hernández G,Abarca J,Montes JM,Monsalve V,Espinoza R,Valenzuela S,Pérez G

    更新日期:1996-03-01 00:00:00

  • [Prevalence of islet cell antibodies among 1021 relatives of type 1 diabetics].

    abstract:BACKGROUND:An immunological damage of beta cells in the islets of Langerhans, plays a role in the pathogenesis of type 1 diabetes. Recently, the identification of individuals in pre clinical phase and with high risk of developing type 1 diabetes, has become possible by means of the detection of immune markers such as i...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Maiz A,Manrique M,Hodgson MI,Díaz de Valdés M,Acosta AM,Andrade L,Olmos P

    更新日期:1999-05-01 00:00:00

  • [Synchronous tumors detected with contrast-enhanced F18-FDG positron emission tomography/computed tomography (PET/CTc) in colorectal cancer].

    abstract:BACKGROUND:Colorectal cancer (CRC) is the third most prevalent cancer in the world and is the second cause of cancer death. Positron emission tomography/computed tomography (PET/CT) using 18F-FDG is used for its staging and follow up. AIM:To assess the occurrence of synchronous colonic and extracolonic tumors detected...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872019000700828

    authors: Ladrón-de-Guevara D,Pérez D,Núñez P,Ramírez F,Zárate A,López F

    更新日期:2019-07-01 00:00:00

  • [Rapidly progressing glomerulonephritis secondary to IgA nephropathy. A clinical case].

    abstract::We report the case of a woman with rapidly progressive IgA nephropathy. She was treated with pulse methylprednisolone sodium succinate (1 g/d for three days), cyclophosphamide, dipyridamole and aspirin. The rapid progression of renal failure was apparently halted after 6 months. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Duclos J,Sánchez B,Espinosa R,Opazo H

    更新日期:1989-10-01 00:00:00

  • [Age of menarche and genetic blood markers].

    abstract::In 160 girls from low and middle socio-economic class of Santiago we correlated the age at menarque with genetic markers such as ABO blood group, Rh, MN, Xg, haptoglobins, Esterase D and Phosphoglucomutase. No significant association of these markers and age at menarque was found. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Valenzuela C,Avendaño A,Huerta J,Wells P,Gana R

    更新日期:1990-07-01 00:00:00

  • [Ectopic or migrating spleen and supernumerary spleens: detection and identification with 99mTc, 51Cr and 113In radioisotopes].

    abstract::Congenital malformations of the spleen are rare. We report a patient with an ectopic spleen located in the left iliac fossa, which was excised in order to prevent severe complications such as torsion of the pedicle, rupture or infection. A second patient with idiopathic thrombocytopenic purpura presented with an acces...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Etcheverry R,Allamand JP,Guzmán G,Robinson MI

    更新日期:1989-12-01 00:00:00

  • [Validity of scales for the functional assessment of critically ill patients].

    abstract::The decrease in mortality in critical patient units led to an increase in intensive care unit acquired weakness (ICUAW), which significantly affects the functional performance and quality of life of patients. There are several scales that measure functionality in critical patients. The aim of this systematic review is...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/s0034-98872017000901137

    authors: Libuy MH,Szita C P,Hermosilla P J,Arellano S D,Rodríguez-Núñez I,Báez R C

    更新日期:2017-09-01 00:00:00

  • [Practice of Internal Medicine in Latin America. Role of the internist].

    abstract::This article explores the causes of the crisis in the role of internists. As in the United States, the progressive specialization of internists lead to a dehumanized, expensive and technical practice of medicine. Aiming to better incomes and prestige, more than 60% of internists practice as specialists. Primary care p...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Varela N

    更新日期:2002-01-01 00:00:00

  • [Visual outcome in patients with macroprolactinoma treated with dopamine agonists].

    abstract:BACKGROUND:Dopamine agonists (DA) effectively reduce tumor size of macroprolactinomas, with the consequent improvement of eventual visual impairment. AIM:To study the visual outcomes in patients with macroprolactinoma treated with DA. MATERIAL AND METHODS:Retrospective cohort study which included patients with macrop...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872013000600001

    authors: Cuevas JL,Fernández V,Rojas D,Wohllk N,González O,Torche E

    更新日期:2013-06-01 00:00:00

  • [Immunophenotype. Clinical and laboratory features of acute lymphoblastic leukemia in Chile. Study of 500 children and 131 adults].

    abstract::We describe the clinical features and immunophenotype of 500 children and 131 adults with acute lymphoblastic leukemia (ALL), diagnosed between 1984 and 1993. Cases were classified, according to immunophenotype in B-cell ALL with three subtypes (pro-B or null, common and B) and T-cell ALL. Among children, common ALL a...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Cabrera ME,Labra S,Ugarte S,Matutes E,Greaves MF

    更新日期:1996-03-01 00:00:00

  • [Prevalence of Staphylococcus aureus among food handlers from a metropolitan university in Chile].

    abstract:BACKGROUND:An important agent of food intoxication is Staphylococcus aureus, that is able to produce enterotoxins. AIM:To detect Staphylococcus aureus contamination in cafeteria food handlers of a Chilean University. SUBJECTS AND METHODS:Nose, throat, hands and nail samples from 87 food handlers were obtained for mic...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Soto A,Saldías ME,Oviedo P,Fernández M

    更新日期:1996-09-01 00:00:00

  • [Hürthle cell carcinoma of the thyroid. A 41 years experience].

    abstract:BACKGROUND:Hürthle cells can be found in non malignant thyroidal diseases such as Basedow Graves and Hashimoto diseases. When Hürthle cells comprise more the 75% of cellularity, they become a neoplasm. There are malignant variants of these neoplasms, constituted by follicular and papillary Hürthle cell carcinomas. AIM...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Sanz J,Cerpa F,Domínguez M,Franco C,Jadresic A,Pérez G,Phillipi V

    更新日期:1999-07-01 00:00:00

  • [Viral etiology of community acquired pneumonia among adults admitted to a general hospital].

    abstract:BACKGROUND:There is paucity of information about viral etiology of community acquired pneumonia in adults. AIM:To investigate the viral etiology of pneumonia among hospitalized patients. MATERIAL AND METHODS:All adults with pneumonia that were hospitalized were prospectively enrolled at Puerto Montt hospital. A micro...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872012000800003

    authors: Rioseco Z ML,Riquelme O R,Riquelme O M,Inzunza P C,Oyarzún G P,Agüero O Y,Ferrés G M,Vial C P,Fasce P R,Torres M A

    更新日期:2012-08-01 00:00:00

  • [Umbilical cord hematopoietic precursors transplantation. Report of five patients].

    abstract::Hematopoietic precursors transplantation is a therapeutic alternative for leukemia, some metabolic diseases and some immune deficiency syndromes. In its allogeneic variety leukemia eradication is based in the conditioning prior to transplantation and the allograñ effect against leukemia. Umbilical cord blood is an alt...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872009000800009

    authors: Burotto P M,Bertín C-M P,Galindo A H,Garrido S M,Melgoza P G,Nervi N B,Ramírez V P,Ocqueteau T M,Besa de C P,García V V,Jara A V,Alvarez J E,Betancur B M,Rivera L M,Alvarez Z M

    更新日期:2009-08-01 00:00:00

  • [Predictive value of clinical features and nocturnal oximetry for the detection of obstructive sleep apnea syndrome].

    abstract:BACKGROUND:Obstructive sleep apnea syndrome (OSA) is an important cause of morbidity and mortality in adults. AIM:To evaluate the diagnostic value of clinical features and oximetric data to screen for obstructive sleep apnea before performing polysomnograpy or respiratory polygraphy. MATERIAL AND METHODS:We studied 3...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872010000800001

    authors: Saldías P F,Jorquera A J,Díaz P O

    更新日期:2010-08-01 00:00:00

  • [Acquired hemophagocytic syndrome treated with HLH 94-04 chemotherapy protocol: Report of four cases].

    abstract::Hemophagocytic syndrome is a severe condition of excessive immune activation that has a high mortality in the absence of treatment. The syndrome is classified as primary if associated with congenital or hereditary problems, or secondary/acquired if associated with infectious, autoimmune or oncology diseases. We report...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872015000900010

    authors: Beffermann C N,Pilcante S J,Ocqueteau T M,Sarmiento M M

    更新日期:2015-09-01 00:00:00

  • [Use of platelet rich plasma in knee ligament surgery].

    abstract::Platelet Rich Plasma (PRP) is used in musculoskeletal lesion surgery, including muscle, bone, tendons and ligaments. PRP might accelerate the healing process and the integration of the graft, allowing an earlier return to sports activities of patients. PRP is obtained from autologous blood, which is centrifuged, obtai...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872013001000011

    authors: Figueroa P D,Figueroa B F,Ahumada P X,Calvo R R,Vaisman B A

    更新日期:2013-10-01 00:00:00

  • [Carotid endarterectomy combined with myocardial revascularization: report of 27 patients].

    abstract::Atherosclerosis is a systemic disease that may involve more than one territory. Myocardial infarction can occur after carotid endarterectomy and stroke is a well documented morbidity of coronary artery bypass grafting. To optimize results, we have performed concomitant carotid endarterectomy and myocardial revasculari...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Mertens R,Valdés F,Krämer A,Morán S,Zalaquett R,Irarrázaval M,Maturana G

    更新日期:1996-12-01 00:00:00

  • [Spontaneous closure of a residual fistula after surgical closure of a traumatic aorto-right ventricular fístula. Report of one case].

    abstract::We report a 16-year-old boy, who suffered a right vent ride penetrating injury caused by a sharp blade that evolved to cardiac tampon. He underwent surgery and was discharged four days later. Thirteen days later, a cardiac murmur was found. An echocardiography showed an aorta-right ventricular fistula. Surgical closur...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872010000200010

    authors: González R,Santander C,Seguel E,Stockins A,Alvarez R,Cárdenas P,Campos R,Alarcón E

    更新日期:2010-02-01 00:00:00

  • [Biomedical informatics].

    abstract::Biomedical Informatics is a new discipline that arose from the need to incorporate information technologies to the generation, storage, distribution and analysis of information in the domain of biomedical sciences. This discipline comprises basic biomedical informatics, and public health informatics. The development o...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:/S0034-98872011001200013

    authors: Capurro D,Soto M,Vivent M,Lopetegui M,Herskovic JR

    更新日期:2011-12-01 00:00:00

  • [Early determinants of acute kidney injury during experimental intra-abdominal sepsis].

    abstract:BACKGROUND:Sepsis-induced acute kidney injury (AKI) is an early and frequent organ dysfunction, associated with increased mortality. AIM:To evaluate the impact of macrohemodynamic and microcirculatory changes on renal function and histology during an experimental model of intra-abdominal sepsis. MATERIAL AND METHODS:...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872014000500001

    authors: Regueira T,Andresen M,Mercado M,Lillo F,Soto D

    更新日期:2014-05-01 00:00:00

  • [Proposal to address the mental health problems detected after the February 27, 2010 earthquake].

    abstract::One of the most important topics mentioned by people from places affected by the February 27th, 2010 earthquake to the Presidential Delegation for the Reconstruction, was the urgent need of mental health care. Given the enormous individual and social burden of mental health sequelae after disasters, its treatment beco...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872016000200014

    authors: Figueroa RA,Cortés PF

    更新日期:2016-02-01 00:00:00

  • [Renal oncocytoma: 4 cases].

    abstract::Oncocytomas are tumors characterized by cells with an eosinophilic cytoplasm. Renal oncocytomas were described in 1942. Among 46 consecutive patients operated on for renal tumors, oncocytomas were found in 4 (8.7%). In spite of a supposedly benign nature, renal oncocytoma cannot be adequately differentiated from renal...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Castillo O,van Cauwelaert R,Aguirre C,Arellano L,Medina FJ

    更新日期:1992-05-01 00:00:00