[Epidemiological transition: the other side of the coin].

Abstract:

:The model of epidemiological transition proposed by Omram explains the changes in disease patterns in communities. In societies with a high level of development this model has been complemented with the study of the post transition process. In this context, the emergence of allergic diseases, asthma and subsequently, of autoimmune diseases, has reached worrisome proportions in some countries, and no model can explain these changes. The hygiene theory supported by Strachan gives a reasonable explanation to this phenomenon. It postulates that the reduction of early exposure to biological agents, along with an improvement of sanitation conditions, immunizations and medical therapies, causes an asymmetrical immunological response, favoring the expression of Th2 response. The hygiene theory does not fully explain by itself what is happening in developed countries and it is not universally accepted. Chile is experiencing an epidemiological transition from a high burden of infectious diseases to a growing prevalence of non communicable diseases. In a previous similar setting in developed countries, there is some evidence to suspect that asthma, allergic and autoimmune diseases are becoming part of the epidemiological situation of Chile.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Valdivia G

doi

10.4067/s0034-98872006000600001

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

675-8

issue

6

eissn

0034-9887

issn

0717-6163

pii

S0034-98872006000600001

journal_volume

134

pub_type

社论
  • [The contribution of Augusto Orrego Luco to Chilean psychiatry].

    abstract::Augusto Orrego Luco born in 1848 and dead in 1933 in Valparaiso, was one of the greatest clinicians and researchers of chilean medicine during the late nineteenth and early twentieth century. Besides being a psychiatrist he contributed to literature, history, politics and medicine. He received his medical degree in 18...

    journal_title:Revista medica de Chile

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Ruiz Torres A

    更新日期:1996-01-01 00:00:00

  • [Comparative analysis of A(H1N1) influenza epidemiological dynamics in Chile].

    abstract::In order to increase awareness of the pandemic and to streamline control measures before any new outbreak of influenza we analyze the behavior of the cases of Chile and from 9 countries with more cases in 2009. Reproductive numbers, doubling times and estimations of susceptible and infected at the end of the epidemic ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872010000900016

    authors: Canals L M

    更新日期:2010-09-01 00:00:00

  • [Malignant neuroleptic syndrome, medical-psychiatric approach].

    abstract::We report the case of a 42 years old male, with a bipolar disorder and receiving lithium therapy, valproic acid and clonazepam. Due to an exacerbation of his underlying disease, he was admitted to a psychiatric clinic and received 50 mg of intramuscular chlorpromazine in two occasions. Afterwards, the patient had an a...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Giacamán P,Andresen M,Gareca N,Bitrán J,Dougnac A

    更新日期:1997-02-01 00:00:00

  • [Acoustic analysis of wheezing in infants with acute bronchial obstruction. A follow-up study ].

    abstract:BACKGROUND:There is some information about wheeze characteristics in infants, however it is not clear whether the different wheeze patterns relates to prognosis and evolution during the first two years of life. OBJECTIVES:To characterize wheezing and spectral pattern of lung sounds in infants with acute bronchiolitis ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Sánchez I,Navarro H,Bertrand P,Alvarez C,Lisboa C

    更新日期:2002-07-01 00:00:00

  • [Renal failure secondary to effort rhabdomyolysis: report of three cases].

    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

    pub_type: 杂志文章

    doi:10.4067/s0034-98872006000200012

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

    更新日期:2006-02-01 00:00:00

  • [Carcinoma hepatocellular. Description of verified clinical characteristics in a region of Southern Chile].

    abstract:BACKGROUND:Hepatocellular carcinoma is the most frequent primary tumor of the liver. It is associated to chronic liver diseases and has a high prevalence in some regions of Africa and Asia. AIM:To describe the clinical characteristics of patients with hepatocellular carcinoma, admitted to two hospitals of the IX regio...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Manterola C,Muñoz S,Araya JC,Calderón C,Barroso MS

    更新日期:2000-08-01 00:00:00

  • [Concentration of cefotaxime in the exudate from ischemic ulcer after systemic and regional administration].

    abstract::We evaluated the concentration of cefotaxime in the exudate from ischemic leg ulcers in 9 subjects with severe obstructive arterial disease. The administration of the drug was either systemic (1 g in 250 ml of saline given in 30 min) or regional at a vein of the foot while a tourniquet was applied at the level of the ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Acevedo A,Schoop W

    更新日期:1990-03-01 00:00:00

  • [A historical view of cardiology in Chile 1930-1990].

    abstract::The most significant facts in the development of Chilean cardiology since 1930 are reviewed. The preeminence of great clinicians in the thirties was followed by the creation of Departments of Cardiology in University Hospitals. The emergence of powerful diagnostic tools and cardiac surgery allowed an accelerated devel...

    journal_title:Revista medica de Chile

    pub_type: 历史文章,杂志文章

    doi:

    authors: Noguera H

    更新日期:1990-10-01 00:00:00

  • [Fascioliasis in populations of rural areas with high prevalence of animal infection].

    abstract::Between January 1986 and December 1990 the prevalence of F. hepatica infection was studied in 5861 rural inhabitants of the provinces of Curico, Talca and Linares, VII Region, an hyperendemic zone of animal fascioliasis. Every one was screened by intradermal (IDR), complement fixation (CF), double diffusion (DD) count...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Apt W,Aguilera X,Vega F,Zulantay I,Retamal C,Apt P,Sandoval J

    更新日期:1992-06-01 00:00:00

  • [Microalbuminuria and urinary albumin excretion in clinical practice].

    abstract::Microalbuminuria is a new tool in the management of patients with diabetes mellitus or hypertension. Microalbuminuria is an easily measured biomarker in a urine sample. Urinary albumin to creatinine ratio in first morning urine sample correlates with 24 hours urinary albumin excretion, but it is easier to obtain, and ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872012000600016

    authors: Tagle R,González F,Acevedo M

    更新日期:2012-06-01 00:00:00

  • [Risk markers for insulin-dependent diabetes mellitus and duration of exposure to gluten in celiac patients].

    abstract:BACKGROUND:Celiac patients are at high risk of developing insulin-dependent diabetes mellitus, a condition that has a long pre-diabetic period. During this lapse, anti-islet cell antibodies serve as markers for future disease. This may be related with the duration of the exposure to gluten. AIM:To test the hypothesis ...

    journal_title:Revista medica de Chile

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    doi:10.4067/s0034-98872004000800010

    authors: Verbeke S,Cruchet S,Gotteland M,Ríos G,Hunter B,Chávez E,Brunser O,Araya M

    更新日期:2004-08-01 00:00:00

  • [Direct costs of pharmacotherapy for acute leukemia at a Regional Hospital in Chile].

    abstract:BACKGROUND:In Chile, leukemia is one of the diseases whose treatment is guaranteed by a special law called AUGE (universal access and explicit guaranties). Therefore, the knowledge of its treatment costs is of utmost importance. AIM:To determine and to characterize the direct costs of pharmacotherapy for leukemia at a...

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    doi:/S0034-98872009001200002

    authors: Molina F,Schramm C,Ruiz G

    更新日期:2009-12-01 00:00:00

  • [Recurrent Impetigo Herpetiformis: successfully managed with ciclosporine. Report of one case].

    abstract::Impetigo Herpetiformis is a high-risk gestational skin disease that represents a risk for both the mother and offspring. Its management is based on multisystemic support and maternal steroid therapy. When these measures are insufficient to control the disease, the association of ciclosporine to the treatment has been ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872005000900011

    authors: Valdés E,Núñez T,Pedraza D,Muñoz H

    更新日期:2005-09-01 00:00:00

  • [Spontaneous tendon rupture in disseminated lupus erythematosus. A clinical case].

    abstract::A 37-year-old female with systemic lupus erythematosus and chronic treatment with steroids developed spontaneous bilateral rupture of tendons of both quadriceps muscles below the patella. Surgical treatment was undertaken with good results. The histologic features and a review of the literature are included. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Segovia A,Román JC,Hinojosa M,Ruiz A,Guzmán L

    更新日期:1990-09-01 00:00:00

  • [Andres Bello and the origins of the University of Chile].

    abstract::During colonial times the Royal University of San Felipe was founded in 1738. The first plan for medical studies was outlined in 1779. During the Independence, the National Institute created in 1813 took over higher education. The first Course of Medicine was dictated there in 1833. The University of San Felipe was re...

    journal_title:Revista medica de Chile

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Costa-Casaretto C

    更新日期:1992-01-01 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

  • [The work environment as a source of exposure to secondhand smoke: a study in workers of bars and restaurants of Santiago, Chile].

    abstract:BACKGROUND:Secondhand smoke (SHS) is an established cause of morbidity and mortality among non-smokers. The workplace is an important source of exposure, especially among workers of restaurants, bars and nightclubs. AIM:To estimate the daily occupational exposure to SHS among non-smoking workers of bars and restaurant...

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    pub_type: 杂志文章

    doi:/S0034-98872010001300007

    authors: Aceituno P,Iglesias V,Erazo M,Droppelmann A,Orellana C,Navas-Acién A

    更新日期:2010-12-01 00:00:00

  • [Medical, ethical and legal issues in cryopreservation of human embryos].

    abstract::Embryo cryopreservation improves efficiency and security of assisted reproduction techniques. Nonetheless, it can be questionable, so it must be justified from technical, legal and ethical points of view. This article analyses these perspectives. Embryo cryopreservation maximizes the probability of pregnancy, avoids n...

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    authors: Beca JP,Lecaros A,González P,Sanhueza P,Mandakovic B

    更新日期:2014-07-01 00:00:00

  • [Skin prick test of immediate hypersensitivity in a selected Chilean pediatric population sample].

    abstract:BACKGROUND:Skin prick test (SPT) of immediate hypersensitivity is a main instrument in the diagnosis of allergy. AIM:To demonstrate the applicability of skin prick test in different age groups. PATIENTS AND METHODS:We studied children and adolescents with the diagnosis of allergy in the Pediatric Respiratory Laborato...

    journal_title:Revista medica de Chile

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    authors: Martínez J,Méndez C,Talesnik E,Campos E,Viviani P,Sánchez I

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  • [Aseptic meningitis following spinal anesthesia. Report of a case].

    abstract::Aseptic meningitis after lumbar puncture and spinal anesthesia is a rare but serious complication, whose acute onset and clinical symptoms mimic septic meningitis. A 33 year old woman presented this complication 5 h after an uneventful cesarean section under subarachnoid blockade. Though lumbar puncture revealed pleoc...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Bugedo G,Valenzuela J,Muñoz H

    更新日期:1991-04-01 00:00:00

  • [Esophageal manometry in patients with non cardiac chest pain].

    abstract:BACKGROUND:Non cardiac chest pain can be caused by esophageal problems such as gastroesophageal reflux or smooth muscle motor disorders. AIM:To perform esophageal manometry in patients with non cardiac chest pain. MATERIAL AND METHODS:One hundred patients with chest pain in whom coronary problems were discarded, were...

    journal_title:Revista medica de Chile

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    authors: Rencoret G,Csendes A,Henríquez A

    更新日期:2006-03-01 00:00:00

  • [Papillary muscle rupture in myocardial infarction].

    abstract::We report nine patients with acute mitral regurgitation secondary to post-infarction papillary rupture operated between 1980 and 1992. Seven cases had posterior papillary muscle rupture. All patients were in critical conditions with pulmonary edema at the moment of surgery. In eight cases, mitral valve replacement was...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Zalaquett R,Morán S,Irarrázaval MJ,Becker P,Maturana G,Navarro M,Braun S

    更新日期:1995-02-01 00:00:00

  • [Results of acute myeloid leukemia treatment. Analysis of 63 patients between 2010-2014].

    abstract:BACKGROUND:Acute myeloid leukemia (AML) is the most common acute leukemia in adults, emphasizing its high recurrence rate despite hematopoietic cell transplantation (HCT). AIM:To report the results of AML treatment at the Catholic University of Chile Clinical Hospital. PATIENTS AND METHODS:Review of medical records o...

    journal_title:Revista medica de Chile

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    doi:10.4067/S0034-98872015001000005

    authors: Fuentes M,Rojas P,Ernst D,Ocqueteau M,Bertin P,Sarmiento M,Ramírez P

    更新日期:2015-10-01 00:00:00

  • [Limited diagnostic testing can decrease the direct economic impact of irritable bowel syndrome].

    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

    pub_type: 杂志文章

    doi:10.4067/s0034-98872008001100005

    authors: Schmulson MJ

    更新日期:2008-11-01 00:00:00

  • [Markers of HIV infection in prostitutes: analysis of preventive and risk factors].

    abstract::We studied 501 prostitutes from the northern and eastern areas of Santiago in november and december, 1987. HIV infection was studied by the HIV antibody and also by HIV antigen. At that time no positive reactors were found. Prostitutes from the northern area were older, of a lower socioeconomic background and less pro...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Quero MS,Suárez M,Uribe J,Cerda P,Espoz H,Arroyave R

    更新日期:1989-06-01 00:00:00

  • [Cardiovascular risk factors in middle-age women with acute coronary syndromes].

    abstract:BACKGROUND:In Chile, 40% of deaths due to acute myocardial infarction occur in women. AIM:To assess the presence of cardiovascular risk factors in women with acute coronary syndromes. PATIENTS AND METHODS:Thirty four women aged 46 to 55 years old, admitted to the hospital due to an acute coronary syndrome and 102 age...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Blümel JE,Prieto JC,Leal T,Cruz MN,Gallardo L

    更新日期:2001-09-01 00:00:00

  • [The training of specialists. The case of nephrologists].

    abstract::Specialists must be trained in properly certified university centers. There are established applicant selection programs and mechanisms and faculties maintain a favorable learning environment. The careful selection of teachers must be based in their personal attributes, their interest and dedication to academic work a...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Vial S

    更新日期:1995-05-01 00:00:00

  • [Comparative study of the frequency and features of emotional disturbances in patients in primary care clinics].

    abstract:BACKGROUND:Psychological problems are a frequent cause of consultation in primary care outpatient clinics. AIM:To report the results for Santiago de Chile of the World Health Organisation multicentric collaborative study on Psychological Symptoms in General Health Care. PATIENTS AND METHODS:The results of 1453 patien...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Florenzano R,Acuña J,Fullerton C,Castro C

    更新日期:1998-04-01 00:00:00

  • [Hepatitis B virus vaccine: early and late response in Chileans with high risk of infection].

    abstract:BACKGROUND:Hepatitis B vaccine has demonstrated to be very effective and safe preventing hepatitis B virus infection. Long term protection induced by hepatitis B vaccination depends on the initial immune response and the declining rate of anti-HBs titers. AIM. To investigate early and late response to hepatitis B vacci...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Hurtado C,Brahm J,Chesta J,Latorre R,Velasco M

    更新日期:1993-05-01 00:00:00

  • [Long term results of mitral balloon valvuloplasty].

    abstract:BACKGROUND:Mitral balloon valvuloplasty (MBV) is the therapy of choice for the treatment of symptomatic mitral stenosis with suitable anatomy. Although its short and mid-term results are favorable, there is a paucity of information about long-term follow-up. AIM:To assess the late results of MBV. MATERIAL AND METHODS...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872014001100001

    authors: Martínez R G,Fajuri N A,Córdova A S,Braun J S,Marchant D E,Guarda S E,Veas P N,Méndez L M,Lindefjeld C D,Pérez P O,Flores A,Valenzuela E,Martínez S A

    更新日期:2014-11-01 00:00:00