[Trends in current medicine].

Abstract:

:Predicting the future of medicine is daring. One can speculate about some of its future traits at the most. The spectacular progress in biological sciences has nurtured the hope that medicine will be able to dominate all ailments, improve the quality of life and longevity. Physicians are uncomfortable with the weak knowledge that they have about some diseases such as cancer, connective tissue diseases, degenerative diseases, mental and psychosocial conditions. They are also worried about the aggressive and mutilating surgical procedures that are required nowadays. One can foresee that molecular medicine and applied technology will advance at a great speed and will modify the therapy of several diseases and the social organization of health care. Scientific progress will also change our values and will pose new political and economical challenges. I believe that medical ethics and bioethics will become a growing concern for medical education and professional organizations. The so called biotechnology century will also be the bioethics century. The revision and elucidation of the fundamentals of medicine will differentiate, in the future, a medicine devoted to mankind with a solid ethical background from an impersonal health care that considers man as an object or maybe a merchandise. The second option will cast medical care through the abyss of decadence, to its end.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Goic A

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

1136-8

issue

9

eissn

0034-9887

issn

0717-6163

journal_volume

127

pub_type

杂志文章
  • [Automatic keyword retrieval from clinical texts: an application of natural language processing to massive data of Chilean suspected diagnosis].

    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

    pub_type: 杂志文章

    doi:10.4067/s0034-98872019001001229

    authors: Villena F,Dunstan J

    更新日期:2019-10-01 00:00:00

  • [Management of pediatric patients with esophageal varices].

    abstract:BACKGROUND:There is a paucity of good quality research about the diagnosis of esophageal varices and the prophylaxis and treatment of variceal bleeding in pediatric patients with portal hypertension There is little consensus and practically no evidence-based approach about the management of these patients. AIM:To desc...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872016000700008

    authors: Verdaguer D S,Gana A JC

    更新日期:2016-07-01 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

  • [Percutaneous puncture and drainage previous to elective surgical resection of a pheochromocytoma presenting as a retroperitoneal abscess: report of one case].

    abstract::We report a 57 year-old woman with a big partially cystic adrenal pheochromocytoma presenting with high fever and abdominal pain. Based on CT scan images and before knowing urinary catecholamines level, the diagnosis of sepsis secondary to an abscessed adrenal macrotumor was done. A diagnostic percutaneous fine-needle...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872007000400013

    authors: Lam J,Henríquez R,Rojas O,Marina V

    更新日期:2007-04-01 00:00:00

  • [Bovine serum albumin (BSA) antibodies in children with recently diagnosed type 1 diabetes with breast feeding and milk exposition].

    abstract:BACKGROUND:Environmental and genetic factors (viruses, toxins and diet) are involved in the aetiology of type 1 diabetes. Among the dietary factors, the role of breast feeding and exposure to cow's milk proteins deserve special attention. AIM:To determine the anti-BSA-IgG levels in type 1 diabetic children and to anal...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Oyarzún A,Santos JL,Carrasco E,Albala C,Salinas A,Pérez F

    更新日期:2003-08-01 00:00:00

  • [Academic self-efficacy among health care undergraduate students in a Chilean university].

    abstract:BACKGROUND:Self-efficacy refers to people's expectations about personal resources available for goal achievement. Higher self-efficacy expectations are correlated with higher academic performance. AIM:To analyze the psychometric properties of the Academic Behavior Self-Efficacy Scale (ABSES) and to describe Self-effic...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872019000700914

    authors: Hechenleitner-Carvallo MI,Jerez-Salinas AA,Pérez-Villalobos CE

    更新日期:2019-07-01 00:00:00

  • [Impact of a diploma on medical education in a medical school in Chile].

    abstract:BACKGROUND:The medical school of the Pontificia Universidad Católica de Chile offers a Diploma on Medical Education (DME) for its faculty since 2000. However its impact had never been evaluated. AIM:To determine the perception of the graduates of the impact of DME, using the Kirkpatrick model for evaluation of educati...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872011001100019

    authors: Triviño X,Sirhan M,Moore P,Montero L

    更新日期:2011-11-01 00:00:00

  • [Thyroid stimulating hormone reference values derived from the 2009-2010 Chilean National Health Survey].

    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

    pub_type: 杂志文章

    doi:10.4067/S0034-98872013000100013

    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

  • [Proposing a data mining scaffolding for preventing harmful alcohol consumption in Chilean adolescents].

    abstract:BACKGROUND:Adolescent alcohol and drug consumption are important public health problems in the Chilean young population. AIM:The purpose of this study was to examine the potential ofa data mining approach in scaffolding policy making, using the particular case of differential risks of harmful alcohol consumption in ad...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872013000500013

    authors: Marcelo Villalón C,Cuellar C

    更新日期:2013-05-01 00:00:00

  • [Reference values of growth hormone binding protein (GHBP) for a normal pediatric population].

    abstract:UNLABELLED:Circulating concentrations of the high affinity growth hormone binding protein (GHBP) may be a marker of GH receptor density as well as GH sensitivity. GOAL:To determine values of GHBP for a normal Chilean pediatric population. METHODS:We determined GHBP levels in 73 males and 73 females between 4 to 15.5 ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Salazar TE,Méricq MV,Espinoza M,Iñiguez G,de Carvallo P,Cassorla F

    更新日期:2001-04-01 00:00:00

  • [Prevalence of hepatitis C virus antibodies in a hemodialysis unit].

    abstract::The prevalence of hepatitis C antibody was studied using the EIA 2 Abbott assay in patients and staff of the San Juan de Dios Hospital Hemodialysis Unit. The antibody was detected in 29.8% of patients, no member of the staff had positive antibodies. Patients with a positive antibody had been on hemodialysis for a long...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Rodríguez MI,Estay R,Soto JR,Wolff C,Plubins L,Child R,Armas R

    更新日期:1993-02-01 00:00:00

  • [Blood transfusions in Jehovah's witnesses].

    abstract::Jehovah Witnesses cite religious motives to refuse transfusions of whole blood or its components for themselves and their children, even when life is endangered. An ethical analysis of decision making in health problems is made, giving priority to the alternatives chosen by the patient. One of the elements that turns ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Aguilera P

    更新日期:1993-04-01 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

  • [Laugier-Hunziker syndrome in a patient with Sjögren’s syndrome: Report of one case].

    abstract::Laugier-Hunziker syndrome is a rare benign idiopathic condition characterized by acquired macular pigmentation of lips and buccal mucosa, often accompanied with melanonychia. The main concern with this condition is to rule out other differential diagnosis with systemic repercussions and similar hyperpigmentation patte...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872016000500017

    authors: Fajre X,Aspillaga M,McNab M,Navarrete J,Sanhueza V,Benedetto J

    更新日期:2016-05-01 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

  • [Association of acute bronchiolitis with climate factors and environmental contamination].

    abstract:BACKGROUND:Annually, acute bronchiolitis (AB) occurrence peaks during winter and is probably associated with air pollution. AIM:To relate the number of ambulatory consultations, emergency and hospital admission due to AB with climatic factors and air pollution. PATIENTS AND METHODS:Patients of less than 1 year old wi...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Zamorano A,Márquez S,Aránguiz JL,Bedregal P,Sánchez I

    更新日期:2003-10-01 00:00:00

  • [Effects of ursodeoxycholic acid in patients with cholestasis of pregnancy].

    abstract::In an open, pilot study, the efficacy and safety of ursodeoxycholic acid (UDCA) in the treatment of intrahepatic cholestasis of pregnancy was investigated. Four patients received 1 g/day of UDCA during 20 days and another 2 patients received 2 identical periods of treatment separated by a 14-day interval free of drug....

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Palma J,Reyes H,Ribalta J,Iglesias J,González M,Hernández I,Alvarez C,Molina C,Danitz AM

    更新日期:1991-02-01 00:00:00

  • [Hypertension as a biological marker of systemic atherosclerotic disease].

    abstract::There is a close link between hypertension and atherosderosis. Hypertension causes atherosclerotic damage of several organs, called target organs and the risk factors for hypertension and atherosderosis are very similar. The risk of mortality associated to hypertension increases with blood pressure values below the cu...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:/S0034-98872010000300015

    authors: Román A O,Badilla S M,Dussaubat A AM

    更新日期:2010-03-01 00:00:00

  • [Multiplex PCR assay in spinal fluid to identify simultaneously bacterial pathogens associated to acute bacterial meningitis in Chilean children].

    abstract:BACKGROUND:Acute bacterial meningitis (ABM) is a serious disease that needs rapid diagnosis for an accurate treatment. The most important etiological agents are: Streptococcus pneumoniae, Neisseria meningitidis and Haemophilus influenzae type b. Overall pathogen detection rate in patients with ABM in Chile is 83%. AIM...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872008000300009

    authors: Reyes S M,Torres T JP,Prado J V,Vidal A R

    更新日期:2008-03-01 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

    pub_type: 杂志文章

    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

  • [In vitro comparative activity of moxifloxacin and other antimicrobials against respiratory pathogens].

    abstract:BACKGROUND:Respiratory pathogens are becoming increasingly resistant to antimicrobials. A new group of drugs, called respiratory quinolones have been synthesized to overcome this problem. AIM:To study the in vitro susceptibility of respiratory pathogens to old and new antimicrobials. MATERIALS AND METHODS:Forty five ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Prado V,Giangrieco M,Durán C,Ojeda A,van Flaskamp R

    更新日期:2000-12-01 00:00:00

  • [Ischemic colitis induced by cocaine. Clinical case].

    abstract::We report a 29 years old male, with a history of cocaine abuse and excessive alcohol intake, who was admitted to the hospital with an acute peritonitis. The patient was operated and multiple perforations of the cecum were found. A right hemicolectomy was performed and the pathological study of the surgical piece showe...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Boza C,Dagnino B,Garrido AM,Llanos O

    更新日期:2002-06-01 00:00:00

  • [Characteristics of acute myocardial infarction in patients with diabetes mellitus].

    abstract::We analyzed retrospectively the clinical course and prognosis of 565 consecutive patients with acute myocardial infarction (AMI), 117 of them with a previous history of diabetes mellitus. Male/female ration was 7.9/2.1 in non diabetics and 7.0/3.0 in diabetics (p < 0.03). Incidence of hypertension and hyperlipidemia w...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Kunstmann S,Corbalán R,Rodríguez JA,Casanegra P,Varela ML

    更新日期:1993-06-01 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...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872014000700011

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

    更新日期:2014-07-01 00:00:00

  • [Molecular pathology: applications of molecular biology in pathological anatomy].

    abstract::The rapid development of molecular biology techniques as well as recent progress in the understanding of genetic and molecular basis of human diseases have had enormous impact in the practice of clinical pathology. Since new diagnostic (molecular) tools are now available, the concept of Molecular Pathology is emerging...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Wistuba II

    更新日期:2001-07-01 00:00:00

  • [Resistance of human immunodeficiency virus (HIV) to zidovudine. Genotypic analysis in strains isolated from Chilean patients].

    abstract:BACKGROUND:Resistance of HIV to AZT is the result of mutations in the pol gene that codifies the enzyme reverse transcriptase. AIM:To assess the resistance to antiretroviral drugs in Chilean patients infected with HIV. MATERIAL AND METHODS:The presence of mutations was searched in 22 patients infected with HIV. The e...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Vial PA,Vial C,Abarca K,Noriega M,Jiménez G,Labarca J,Gasep J,Palacios O,Pérez C,Acuña G

    更新日期:1998-01-01 00:00:00

  • [The notion of decision making capacity in medical and legal practice].

    abstract:BACKGROUND:The relationship between patients and health professionals emphasizes deliberation and joint decision making, that derives in the informed consent. AIM:To evaluate decision making of patients in health care and to identify the notion of capacity for decision making, according to lawyers and physicians. MAT...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872007000900009

    authors: Bórquez E G,Raineri B G,Horwitz C N,Huepe O G

    更新日期:2007-09-01 00:00:00

  • [Determination of plasma levels of phenytoin. Evaluation of 2 techniques].

    abstract::We compared 2 techniques for determination of plasma levels of phenytoin, liquid-gas chromatography (LGC) and homogeneous enzymatic immunoassay (EI) in samples from 72 patients receiving monotherapy with this drug. Determinations were also made in samples of normal plasma with known concentrations of phenytoin. Good c...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Estruch J,Galdames D,Varas S,Saavedra I

    更新日期:1989-08-01 00:00:00

  • [Subcortical dementia in HTLV-I tropical spastic paraparesis. Study of 43 cases].

    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

    pub_type: 杂志文章

    doi:

    authors: Cartier L,Gormaz A

    更新日期:1999-04-01 00:00:00

  • [The right to a good quality of health care].

    abstract::Quality has a central role in medical care. The satisfaction of the rights of people to medical care, presupposes good quality medical acts. The meaning of quality goes further than a good attention based on scientific evidence and with competent skills. It comprises patient-physician relationship where professional b...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Rosselot E

    更新日期:2000-12-01 00:00:00