[The social meaning of medical professionalism].

abstract：BACKGROUND:Ménétrier disease is a rare disorder of the stomach, characterized by giant hypertrophic folds that usually involve the gastric body and fundus, associated to hypoalbuminemia due to serum protein loss across the gastric mucosa. We report a 55-years-old male presenting with abdominal pain, vomiting, weight lo...

journal_title：Revista medica de Chile

authors： Gompertz M,Montenegro C,Bufadel ME,Defilippi C,Castillo J,Morales C

更新日期：2012-09-01 00:00:00

abstract：:Medicine is progressively loosing its prestige and efficacy and needs to rebuild the moral values that maintain the tacit social contract subscribed between doctors and patients. This altruistic commitment to serve people has been devaluated by changes in health systems, by advances in knowledge and by social and econ...

journal_title：Revista medica de Chile

authors： Rosselot J E

更新日期：2006-05-01 00:00:00

abstract：BACKGROUND:Bottled water consumption has currently increased and their fluoride (F) concentration may not be ideal in terms of caries benefit or risk of fluorosis. While low concentrations would have little anticaries effect, high F concentration would increase the risk of dental fluorosis. AIM:To measure F concentrat...

journal_title：Revista medica de Chile

authors： Fernández CE,Giacaman RA,Cury JA

更新日期：2014-05-01 00:00:00

abstract：:We report a 70 years old man presenting with malaise, anal pain and progressive defecation difficulty, with a decrease in stool caliber. The patient had no contact or past history of tuberculosis. On physical examination, there was an ulcerated anal lesion with purulent discharge, that produced an anal stenosis. The p...

journal_title：Revista medica de Chile

authors： Rocha M,Carrasco C,Naquira N,Venegas J,Kauer G,Coñoman H

更新日期：1997-10-01 00:00:00

abstract：BACKGROUND:Demands on primary health care services in Chile are increasing. The staff perception of specific sources of tension at work is not known. This knowledge is necessary to avoid preventable health problems caused by distress. AIM:To identify specific work stressors in primary health care facilities and to exa...

journal_title：Revista medica de Chile

authors： Guic S E,Mora O P,Rey C R,Robles G A

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:The Chilean Ministry of Health proposed the use of "Mini Nutritional Assessment", to identify elders at nutritional risk. This score considers anthropometric, dietary and quality of life items. AIM:To assess the concordance of the mini nutritional assessment with body mass index and dietary parameters in Ch...

journal_title：Revista medica de Chile

authors： Urteaga C,Ramos RI,Atalah E

更新日期：2001-08-01 00:00:00

abstract：:Persistent left superior vena cava is the most common venous congenital malformation and is usually asymptomatic. Its presence could increase the difficulty for transvenous lead implantation. We report a 71-year-old woman with an idiopathic dilated cardiomyopathy, atrial fibrillation and heart failure that required bi...

journal_title：Revista medica de Chile

authors： Vergara SI,Frangini SP,Barrero VR

更新日期：2012-01-01 00:00:00

abstract：:A loop ileostomy with intraoperative anterograde colonic lavage has been described as an alternative to colectomy in the management of cases of Clostridium difficile infection refractory to medical treatment. We report a 69 years old diabetic women admitted with a septic shock. An abdominal CAT scan showed a pan-colit...

journal_title：Revista medica de Chile

authors： Quezada F,Castillo R,Villalón C,Zúñiga JM,Manterola C,Molina ME,Bellolio F,Urrejola G

更新日期：2015-05-01 00:00:00

abstract：:We studied genetic polymorphism of isoniazid acetylation in 47 tuberculous patients treated with 4 drugs between Aug 1987 and Dec 1988. Inactivation of isoniazid was estimated from urine samples after administration of the drug (10 mg/kg). There were 18 slow and 29 fast acetylators. The frequency of the slow mutant ge...

journal_title：Revista medica de Chile

authors： Ligueros M,Cruz Coke R,Neira S,Saavedra H,Kramer V,Prieto JC,Gelman M,Saavedra A,Nuñez A,Pescio S

更新日期：1989-12-01 00:00:00

abstract：BACKGROUND:Liver cirrhosis is an important public health problem in Chile. AIM:To review the main epidemiological features of liver cirrhosis in Chile in the last 22 years. METHODS:Review of yearbooks of mortality and causes of death of the Ministry of Health and Instituto Nacional de Estadísticas, review of hospital...

journal_title：Revista medica de Chile

authors： Serra I,Araneda J,Decinti E

更新日期：1995-11-01 00:00:00

abstract：:We report a 52 years old male admitted for fever lasting one month, dry cough, headache and malaise. Initial laboratory work up showed an AST of 172 U/l, and ALT of 252 U/l, a GGT of 353 U/l and alkaline phosphatases of 952 U/l. An abdominal CAT scan disclosed a mild hepatosplenomegaly. A liver biopsy showed a granulo...

journal_title：Revista medica de Chile

authors： Rodríguez M,Montagud JB,Robert J,Mayol MJ,Merino J

更新日期：2002-11-01 00:00:00

abstract：:The great diversity of commercially available products for the serologic diagnosis of Chagas disease led us to conduct a study of these products in comparison with the indirect immunofluorescence test. Percent agreement between methods ranged from 79 to 100%, the details for each product being given in the text. Bette...

journal_title：Revista medica de Chile

authors： Astorga B,Herskovic P

更新日期：1990-10-01 00:00:00

abstract：:Equity has been recognized as one of the driving principles of many health systems in the world. In Latin America, Chile has led the explicit inclusion of equity in their health policies, which is reflected in its recent health reform. On the other hand, Chile faces the challenge of defining and implementing a policy ...

journal_title：Revista medica de Chile

authors： Espinoza MA,Cabieses B

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:The dose of oral anticoagulants (OAC) shows great variability among patients. Pharmacogenetic studies have shown that common variants in genes CYP2C9 (*2 and *3) and VKORC1 (-1639G>A) are associated with lower requirements of OAC. AIM:To study the association between average maintenance doses of oral antico...

journal_title：Revista medica de Chile

authors： Benavides F,Grossman N,Poggi H,Nieto E,Bertrán A,Araos D,Vásquez M,Ibarra I,Cáceres F,Espinoza K,Lagos M,Repetto M G

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:Free-text imposes a challenge in health data analysis since the lack of structure makes the extraction and integration of information difficult, particularly in the case of massive data. An appropriate machine-interpretation of electronic health records in Chile can unleash knowledge contained in large volum...

journal_title：Revista medica de Chile

authors： Villena F,Dunstan J

更新日期：2019-10-01 00:00:00

abstract：:In this issue of the journal Lanas et al report an estimation of population attributable risk (PAR) for myocardial infarction (MI) derived from different risk factors in Chile. Cigarette smoking, dyslipidemia and hypertension accounted for 71% of total PAR. Mortality from MI has decreased in Chile, but epidemiologic s...

journal_title：Revista medica de Chile

authors： Chamorro S G

更新日期：2008-05-01 00:00:00

abstract：BACKGROUND:Wiskott-Aldrich syndrome (WAS) is an X linked congenital disease that presents as eczema, thrombocytopenia and immune deficiency. The only curative procedure for this illness is hematopoietic stem cell transplant (HSCT), preferably from a healthy HLA identical sibling donor. Cord blood is becoming an excelle...

journal_title：Revista medica de Chile

authors： Wietstruck P MA,Zúñiga C P,Talesnik G E,Méndez R C,Barriga C F

更新日期：2007-07-01 00:00:00

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...

journal_title：Revista medica de Chile

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

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Cardiac rehabilitation (CR) programs play an important role in the control and prevention of new cardiac events. AIM:A survey was performed to evaluate the current situation of CR programs in Chile. MATERIAL AND METHODS:A questionnaire evaluating the structure of rehabilitation centers, characteristics of ...

journal_title：Revista medica de Chile

authors： Santibáñez C,Pérez-Terzic C,López-Jiménez F,Cortés-Bergoderi M,Araya MV,Burdiat G

更新日期：2012-05-01 00:00:00

abstract：BACKGROUND:There is a very strong documented correlation between the appearance of cancer cells in blood and occurrence of metastasis in gastrointestinal cancer. AIM:To determine MUC1, CK19, CK20 and CEA mRNA expression in bone marrow of patients with gallbladder cancer and evaluate its clinical significance. MATERIA...

journal_title：Revista medica de Chile

authors： Roa JC,Aretxabala Xd,Melo A,Faría G,Araya JC,Villaseca MA,Guzmán P,Roa I

更新日期：2004-12-01 00:00:00

abstract：BACKGROUND:The determination of thyroid stimulating hormone (TSH) reference values is critical for the diagnosis of thyroid diseases. AIM:To explore and discuss different definitions to establish TSH reference values using a Chilean national survey sample. MATERIAL AND METHODS:The 2009-2010 Chilean National Health Su...

journal_title：Revista medica de Chile

authors： Mosso L,Margozzini P,Trejo P,Domínguez A,Solari S,Valdivia G,Arteaga E

更新日期：2013-01-01 00:00:00

abstract：:The aim of this study was to study the degree of cellular proliferation quantifying the immunohistochemical expression of the proliferating cell nuclear antigen. We assessed paraffin embedded samples of 25 infiltrating epidermoid cervical carcinomas, 76 precursor lesions (34 of low and 42 of high grade), 29 normal and...

journal_title：Revista medica de Chile

authors： Wistuba I,Roa I,Araya JC,Villaseca M,Capurro I,Chávez F

更新日期：1995-09-01 00:00:00

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

authors： Varela N

更新日期：2002-01-01 00:00:00

abstract：:Most studies of gastric transmucosal potential difference concern acute damage. We studied this phenomenon in 168 patients with different pathologic processes: erosive gastritis, duodenal and prepyloric ulcer, atrophic gastritis, gastric ulcer and normal controls. Ag-AgCl electrodes and Agar-KCl bridges were used to r...

journal_title：Revista medica de Chile

authors： Defilippi C,Morales A,Smok G,Angelo S

更新日期：1989-04-01 00:00:00

abstract：:We report a 35 years old female presenting with a right wrist pain. Physical examination was normal but, on a hand X ray examination, multiple dense para-articular bone foci were observed. Studying the rest of the skeleton, similar alterations were found in pelvis, knees, ankles, feet, shoulders and elbows. Osteopoiki...

journal_title：Revista medica de Chile

authors： Guerra M,Gutiérrez L,Vergara V,East F

更新日期：1995-07-01 00:00:00

abstract：:The prevalence of enamel fluorosis and its severity was studied in 118 young men of 2 socio-economic levels. The subjects were born and resided for at least 6 years in Chilean communities with different natural levels of fluoride in drinking water. There was a high prevalence of enamel defect overall (54%) most of it ...

journal_title：Revista medica de Chile

authors： Mella S,Atalah E,Aranda W,Montagna R

更新日期：1992-08-01 00:00:00

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

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

更新日期：2002-07-01 00:00:00

abstract：BACKGROUND:Intestinal intussusception, a medical emergency, is more commonly idiopathic and ileocolic and occurs with higher frequency in children aged 6 months to 2 years. Barium enema confirms the diagnosis and allows its hydrostatic reduction, that is the treatment of choice of this condition. AIM:To report our exp...

journal_title：Revista medica de Chile

authors： García C,Flores P,Zúñiga S,Accorsi E,Monsalva R,Lastra M,Montes P

更新日期：1997-01-01 00:00:00

abstract：:Results of morbidity and medical care surveys performed in Santiago in 1993-94 are presented in this paper. The study has been done in an aleatory population sample of 4,700 people coming from 1,000 dwellings. Main results are as following: The Health National Fund (FONASA) is the most important financing medical care...

journal_title：Revista medica de Chile

authors： Medina E,Kaempffer AM,Cornejo E,Hernández E,Wall V

更新日期：1995-01-01 00:00:00

abstract：BACKGROUND:Maximal oxygen uptake is considered by the International Biological Programme as the international standard of cardiorespiratory adequacy and physical condition. AIM:To measure maximal oxygen uptake in normal Chilean subjects, to establish normal reference values. SUBJECTS AND METHODS:Maximal oxygen uptake...

journal_title：Revista medica de Chile

authors： Donoso H,Osorio J

更新日期：1997-09-01 00:00:00