[Teaching of clinical reasoning to medical students using prototypical clinical cases].

abstract：UNLABELLED:Appropriate antimicrobial therapy shortens the duration of Shigellosis and significantly reduces the risk of transmission. Shigella strains resistant to common antimicrobials have increased during the past years, determining the need for a periodic surveillance, to guide effective therapy. AIM:To report the...

journal_title：Revista medica de Chile

authors： Prado V,Pidal P,Arellano C,Lagos R,San Martin O,Levine MM

更新日期：1998-12-01 00:00:00

abstract：BACKGROUND:Dipyridamole (DIP) is the most commonly employed pharmacological stressor for myocardial perfusion tomography (SPECT) in patients unable to reach an adequate work load. AIM:To assess the predictive capacity of DIP SPECT on survival. MATERIAL AND METHODS:We included 985 adults aged 66 ±11 years (45% women) ...

journal_title：Revista medica de Chile

authors： Alarcón L,Rau M,Prat H,Fernández R,Carmona J,Zhindon JP,González J,Massardo T

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:Domestic violence can have an important influence on mother and child health. AIM:To assess the consequences of remote and actual, emotional or physical, domestic violence on the reproductive and newborn health in pregnant women. MATERIAL AND METHODS:A longitudinal epidemiological observation from an Urban...

journal_title：Revista medica de Chile

authors： Arcos E,Uarac M,Molina I,Repossi A,Ulloa M

更新日期：2001-12-01 00:00:00

abstract：BACKGROUND:In Chile, occupational illnesses are defined by the "Work-related accidents and occupational illnesses law". The institutions that administer that law have the legal obligation to determine the "occupational" or "common" origin of accidents and diseases. AIM:To compare symptoms and problems at work in a gro...

journal_title：Revista medica de Chile

authors： Trucco B M,Rebolledo M P

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Guillain-Barré syndrome (GBS) is the commonest cause of acute flaccid paralysis worldwide, with an incidence of 0.6-4 per 100.000 inhabitants per year. It affects all age groups and carries an incapacity burden of up to 20%. AIM:To describe the features of GBS in adult Chilean patients admitted to a tertiar...

journal_title：Revista medica de Chile

authors： Cea G,Jara P,Quevedo F

更新日期：2015-02-01 00:00:00

abstract：:Background Patients discharged from general hospitals with a potentially disabling condition can benefit in their recovery with the aid of physical medicine and rehabilitation services. Aim To determine the proportion of patients discharged from a general hospital with a potentially disabling condition, who were deriv...

journal_title：Revista medica de Chile

authors： Hofmann U N,Paolinelli G C,Castro L A

更新日期：2017-12-01 00:00:00

abstract：:ECMO (Extracorporeal Membrane Oxygenation) is an extracorporeal life support system in catastrophic lung failure, shock and cardiopulmonary resuscitation, in different age groups, with multiple physiologic features. When the candidate to be submitted is too unstable to be transported to a hospital with ECMO, cannulati...

journal_title：Revista medica de Chile

authors： Díaz R,Antonini MV,Orrego R,Abrams D

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Stroke is the second cause of mortality and the first cause of morbidity in Chile and worldwide. Nowadays there is a major interest in introducing new therapies applying evidence based medicine for these patients. AIM:To describe the clinical profile of patients attended after a stroke, to determine stroke ...

journal_title：Revista medica de Chile

authors： Mellado T P,Court L J,Godoy F J,Mery C V,Barnett T C,Andresen H M,Huete L I,Tevah C J,Tomicic F V,Romero P C,Fadic R R,Soza M MA,Valenzuela M R,Tapia I J

更新日期：2005-11-01 00:00:00

abstract：:A toxicology testing is the search by the laboratory of the possible etiologic agents that can cause poisoning. Given the wide variety of substances that can poison a person, the laboratories should work coordinated with the emergency wards in order to determine the appropriate tests menu and the required turn around ...

journal_title：Revista medica de Chile

authors： Solari G S,Ríos B JC

更新日期：2009-10-01 00:00:00

abstract：BACKGROUND:Central nervous system damage associated to HTLV-I does not limit itself to the spinal cord, but also involves subcortical structures, producing cognitive impairment and behavioral changes which eventually could conform a new form of subcortical dementia. AIM:To study cognitive changes in patients with HTLV...

journal_title：Revista medica de Chile

authors： Cartier L,Gormaz A

更新日期：1999-04-01 00:00:00

abstract：:This review examines the evidence about the relationship between dental procedures and the incidence of transient bacteremia. One of the main obstacles was to define "invasive dental procedure" as an indication for antimicrobial prophylaxis for patients with high risk of bacteremia. A search in WorldWideScience and Sc...

journal_title：Revista medica de Chile

authors： Fernández E,Reyes C,Benavides C,Irarrázaval T,Padilla P

更新日期：2018-07-01 00:00:00

abstract：:Renal failure secondary to effort rhabdomyolysis is uncommon. We report three males age 28, 37 (military sportsmen) and 44 years (sedentary obese), with this condition. Episodes occurred after a training session to run a triathlon, during the course of a mini marathon and during a rescue attempt of a drowning person. ...

journal_title：Revista medica de Chile

authors： Vega J,Gutiérrez M,Goecke H,Idiáquez J

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:The economic impact of irritable bowel syndrome (IBS) in Mexico in terms of excessive diagnostic testing can be considerably reduced if the recommendations of the Latin American Consensus (LATAM) for IBS are followed. AIM:To estimate the economic impact of IBS in terms of excessive diagnostic testing. MATE...

journal_title：Revista medica de Chile

authors： Schmulson MJ

更新日期：2008-11-01 00:00:00

abstract：:Microbiology starts in Chile at the end of the XIXth century as part of the effort to develop basic sciences at the University of Chile Medical School. Publications by Vicente Izquierdo on gonorrheae and Alejandro del Río on the organisms of dysenteriae were pioneer works in this area. The field was progressively deve...

journal_title：Revista medica de Chile

authors： Rodríguez M

更新日期：1992-04-01 00:00:00

abstract：BACKGROUND:Few trials have studied the prevalence of sexual dysfunction (SD) and related risk factors in postmenopausal women using the DSM-IV criteria. AIM:To evaluate the prevalence of SD in menopausal women and the impact of risk factors. PATIENTS AND METHODS:Five hundred thirty four healthy women, 40 to 64 years ...

journal_title：Revista medica de Chile

authors： Blümel JE,Araya H,Riquelme R,Castro G,Sánchez F,Gramegna G

更新日期：2002-10-01 00:00:00

abstract：:Kidney graft loss because arterial thrombosis is not common and is related to risk factors such as recurrent vascular hemodialysis access thrombosis, collagen-vascular disease, repeated miscarriage, diabetes mellitus and thrombophilia. Patients having this last disorder have an increased risk of repeated thrombosis in...

journal_title：Revista medica de Chile

authors： Vega S J,Goecke S H,Vásquez G A,Peña M A

更新日期：2007-01-01 00:00:00

abstract：:One thousand women hospitalized at a maternity were surveyed after their delivery or abortion about their first sexual intercourse and pregnancy. Mean age at the first sexual intercourse was 18.7 years and only 9.2% used a contraceptive method in spite that 20% were not willing to become pregnant. The mean age of sexu...

journal_title：Revista medica de Chile

authors： Henríquez R,Vargas NA

更新日期：1995-07-01 00:00:00

abstract：:Chile made several legal, practical and educational changes to the organ donation and transplant system in recent years, to improve its results. However, studies evaluating these reforms and suggesting further corrections are still pending. Our aim is to assess the new regulations and their reception by both the popul...

journal_title：Revista medica de Chile

authors： Zúñiga-Fajuri A,Merino MDP,Urtubia M

更新日期：2018-06-01 00:00:00

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,...

journal_title：Revista medica de Chile

authors： Araya B M,Padilla O,Garmendia ML,Atalah E,Uauy R

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:The dual potential to promote tolerance or inflammation when facing self-antigens makes dendritic cells (DCs) fundamental players in autoimmunity. There is an association between smoking and DCs maturation in patients with rheumatoid arthritis (RA). However, ethnicity is a key factor in autoimmune disorders....

journal_title：Revista medica de Chile

authors： Prado C,Iruretagoyena M,Burgos PI,Pacheco R

更新日期：2018-02-01 00:00:00

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

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

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Several genetic polymorphisms of adiponectin have been associated to metabolic diseases as obesity and co-morbidities. AIM:To investigate if there are associations between +45TG, +276GT, -11,377CG y -11,391GA adiponectin SNPs (single nucleotide polymorphism) with obesity in a Chilean children population. M...

journal_title：Revista medica de Chile

authors： Orellana G,Sapunar J,Sáez K,Aguayo C,Calvo C,Radojkovic C,Riffo B,Gleisner A,Asenjo S,Ulloa N

更新日期：2012-10-01 00:00:00

abstract：:Endothelial lipase (EL) is synthetized by endothelial cells and its main substrates are lipoprotein phospholipids. Over expression of EL reduces high density lipoprotein (HDL) cholesterol and phospholipids, in vivo and in vitro. Inhibition of the enzyme achieves the opposite effects. The synthesis of the enzyme is reg...

journal_title：Revista medica de Chile

authors： Pierart Z C,Serrano L V

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. AIM:To report the experience with OSCE in an environment with a high...

journal_title：Revista medica de Chile

authors： Bozzo Navarrete S,Arancibia Salvo C,Contreras Reyes D,Pérez González L

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Inferior vena cava (IVC) filters are used to prevent massive pulmonary embolism in cases where anticoagulation is contraindicated or has failed. It is usually implanted below the renal veins. In a few cases it is necessary to deploy the filter above them, with theoretical risk of secondary renal failure. AI...

journal_title：Revista medica de Chile

authors： Mariné L,Mertens R,Krämer Sch A,Valdés F,Bergoeing M,Arriagada I,Vergara J,Carvajal C

更新日期：2008-12-01 00:00:00

abstract：:Nucleolar organizer regions may be observed by colloidal silver stains. A considerable increase in the number of regions may be observed in tumors and other pathologic processes as an index of cellular proliferation. Among 20 studies in patients with gastric carcinoma we found a significantly greater number of nucleol...

journal_title：Revista medica de Chile

authors： Roa I,Araya JC,de Aretxabala X,Mauriz A,Cea M

更新日期：1989-08-01 00:00:00

abstract：BACKGROUND:Beliefs about professionals' healthcare may influence healthcare behaviors. Such beliefs are in part the result of the interactions that professionals have with their patients. Recent studies highlight the importance of beliefs about physicians, their effect on health-care behaviors, and the requirement of c...

journal_title：Revista medica de Chile

authors： Baeza-Rivera MJ,Betancourt H,Salinas-Oñate N,Ortiz MS,Marín O,Valle G

更新日期：2018-03-01 00:00:00

abstract：:An analysis of the interaction of evolutionary factors such as migration, mutation, selection random drift, and consanguinity upon the genome of Easter islanders is attempted. As many primitive populations, the Easter islanders genome has at least 2/3 of genetic loci in an isogenic state. The HLA system is reduced; ot...

journal_title：Revista medica de Chile

authors： Cruz-Coke R

更新日期：1989-06-01 00:00:00

abstract：BACKGROUND:Postpartum depression is a serious, common, treatable condition, with broad repercussions in mother and family life, but frequently under diagnosed. A screening tool, the Edinburgh Postnatal Depression Scale (EPDS) could improve the detection rate of depressive symptoms. AIM:To assess the efficacy of EPDS i...

journal_title：Revista medica de Chile

authors： Castañón S C,Pinto L J

更新日期：2008-07-01 00:00:00

abstract：:This editorial emphasizes the descriptive character of two of the most widely employed psychiatric diagnostic systems currently in use: DSM-IV and ICD-10. While they cannot be deemed atheoretical, they strive for neutrality and propose a nomenclature devoid of derogatory connotations. It is contended that the lowered ...

journal_title：Revista medica de Chile

authors： Stepke FL

更新日期：2000-07-01 00:00:00