abstract：:We report a 58-year-old female presenting with fever and vomiting. The initial laboratory examination disclosed two blood cultures that were positive for Streptococcus Pyogenes. An abdominal CAT scan showed a right basal pneumonia. The patient was treated with antimicrobials and discharged with oral cefadroxil for 21 ...

journal_title：Revista medica de Chile

authors： Ramírez C,Arab JP,Eymin G

更新日期：2010-07-01 00:00:00

abstract：:When assessing a patient with depression it is crucial not to miss a diagnosis of bipolar depression. In this review we suggest that it can be achieved, first, by consistently usingstandardised diagnostic criteria (e.g., DSM-IV-TR or ICD 10) and, second, by ascertaining the presence of some clinical features. The latt...

journal_title：Revista medica de Chile

authors： Leyton F,Barrera A

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:There are several diagnostic criteria for Metabolic Syndrome (MS) definition. AIM:To study their application in the Chilean general adult population. MATERIAL AND METHODS:We analyzed data from a random sub sample of 1.833 adults aged 17 years and older surveyed during the First Chilean National Health Surv...

journal_title：Revista medica de Chile

authors： Valenzuela AA,Maíz A,Margozzini P,Ferreccio C,Rigotti A,Olea R,Arteaga A

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:Clients and providers of health care can have contrasting perceptions about the quality of service. Provider perceptions are mostly devoted to design and delivery of services while those of clients are focused in the attention received. AIM:To assess perceptions of health care providers and clients about cl...

journal_title：Revista medica de Chile

authors： Riveros J,Berné C,Múgica JM

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:Intensive medicine is especially expensive and requires an efficient management. AIM:To measure the real costs of diseases treated in an intensive care unit and compare them with the costs assigned by the Chilean National Health Fund (FONASA) for 2008. MATERIAL AND METHODS:Retrospective review of 225 patie...

journal_title：Revista medica de Chile

authors： Alvear V S,Canteros J,Rodríguez P

更新日期：2010-05-01 00:00:00

abstract：:Pulmonary hypertension is a clinical condition with a low prevalence, but carries high morbidity and mortality. Important advances in the understanding of this disease and in its therapy have occurred. A particular scenario is pulmonary hypertension in patients undergoing non-cardiac as well as cardiac surgery. The ai...

journal_title：Revista medica de Chile

authors： Fermandois C M,López B R,León S P,Lema F G

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:A high proportion of women consulting for depression have a history of childhood abuse and trauma. AIM:To compare the efficacy and costs associated with a treatment that enquires directly into childhood trauma and understands present interpersonal difficulties as a compulsion to repeat the traumatic past, v...

journal_title：Revista medica de Chile

authors： Vitriol G V,Cancino A A,Florenzano U R,Ballesteros T S,Schwartz P D

更新日期：2010-04-01 00:00:00

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

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

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:Culture is defined by the Webster's dictionary as acquaintance with and taste in fine arts, humanities, and broad aspects of science as distinguished from vocational and technical skills. AIM:To assess the general cultural knowledge of university students. MATERIAL AND METHODS:A test containing 58 question...

journal_title：Revista medica de Chile

authors： Vargas C NA,Pinochet T D,Juárez E P

更新日期：2010-03-01 00:00:00

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

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

abstract：:Ulcerative colitis (UC) is a chronic inflammatory disease of unknown etiology that affects a variable length of the colon, starting from the rectum. When the disease is confined to the rectum is called ulcerative proctitis (UP). Several studies have unsuccessfully attempted to determine the factors that determine the ...

journal_title：Revista medica de Chile

authors： Caselli M G,Pinedo M G,Zúñiga D A,Alvarez L M

更新日期：2010-01-01 00:00:00

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

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

abstract：:Celiac disease (CD), with a 1% worldwide prevalence, is an enteropathy caused by an autoimmune reaction to gluten in genetically susceptible individuals, which codify for histocompatibility molecules HLA DQ-2/DQ-8. From the anatomical point of view, CD is characterized by intestinal villous atrophy, crypt hyperplasia,...

journal_title：Revista medica de Chile

authors： Herrera MJ,Hermoso MA,Quera R

更新日期：2009-12-01 00:00:00

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...

journal_title：Revista medica de Chile

authors： Molina F,Schramm C,Ruiz G

更新日期：2009-12-01 00:00:00

abstract：:There is an urgent need to increase the awareness on the Joint Hyper mobility Syndrome QHS). This is a congenital and prevalent emergent condition that is frequently undiagnosed and that causes significant health problems. Besides recurrent muscular-skeletal problems and signs and symptoms derived from tissue fragilit...

journal_title：Revista medica de Chile

authors： Bravo JF

更新日期：2009-11-01 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:Behçet's disease (BD) is a rare multisystemic inflammatory disease that is potentially disabling and may cause death. AIM:To describe the characteristics of BD patients from two Chilean centers. PATIENTS AND METHOD:Retrospective review of the clinical records of patients with BD attended in two rheumatolog...

journal_title：Revista medica de Chile

authors： Wurmann P,Díaz G,Sabugo F,Soto L,Solanes F,Pino S,Merino G,Verdaguer JI,Villarroel F,Cuchacovich M

更新日期：2009-10-01 00:00:00

abstract：:Examinations performed beside the bed of patients ("Point-of-care testing, POCT") provide immediate results and are simple to perform. The most common of these tests is the self control of blood glucose levels in diabetic patients. The use of these devices at the hospital level, introduces a new set of requirements to...

journal_title：Revista medica de Chile

authors： Guzmán D AM,Quiroga G T

更新日期：2009-09-01 00:00:00

abstract：:We report a 70-year-old woman, who had recently consumed shellfish, that was admitted to the intensive care unit with septic shock and died 19 hours later due to a multi-organic failure. Microbiological, serological and molecular assays confirmed a hemolytic tdh+ Vibrio cholerae non-01, non 0139 as the etiologic agent...

journal_title：Revista medica de Chile

authors： Briceño L I,Puebla A C,Guerra A F,Jensen F D,Núñez B H,Ulloa F MT,Osorio A CG

更新日期：2009-09-01 00:00:00

abstract：:This is a translation into Spanish, done by Mario Uribe, M.D., F.A.C.S., and authorized by the Conference Organization, of the official statements signed by The Transplantation Society, The International Society of Nephrology and the representatives who participated at a WHO sponsored Conference held in Istambul, Turk...

journal_title：Revista medica de Chile

authors： Transplantation Society.,International Society of Nephrology.

更新日期：2009-08-01 00:00:00

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

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

abstract：:Although the use of cadaveric split or living donor liver transplantation is a valid option for liver transplants, they have several complications, being the "small-for-size syndrome" one of the most frequent. This entity is mainly due to the incapacity that the graft has to meet the blood drainage demands. We report ...

journal_title：Revista medica de Chile

authors： Yarur A,Castro L,Segovia R,Roblero JP,Uribe M,Ferrario M,Buckel E

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Parents have a control role in the development and treatment of eating disorders among teenagers. AIM:To compare attitudes, beliefs and behaviors between mothers of patients with eating disorders and mothers of teenagers without these disorders. MATERIAL AND METHODS:Twenty one mother-sibling pairs of adole...

journal_title：Revista medica de Chile

authors： Cordella P,Castro L,Díaz C,Zavala C,Lizana P

更新日期：2009-06-01 00:00:00

abstract：:Regardless of the diagnostic criteria, the metabolic syndrome is found at least in 20% of the population. The adipose tissue plays an important role in the insulin resistance found in this syndrome. Free fatty acids released by intra-abdominal adipocytes produce an inflammatory and pro-thrombotic response and the pers...

journal_title：Revista medica de Chile

authors： Martínez R G,Alonso K R,Novik A V

更新日期：2009-05-01 00:00:00

abstract：BACKGROUND:Despite being among the best academically prepared of the country, many medical students have difficulties to communicate in writing. In 2005, the School of Medicine at the Pontificia Universidad Católica de Chile introduced a writing workshop in the undergraduate curriculum, to enhance the students' writing...

journal_title：Revista medica de Chile

authors： Bitran M,Zúñiga D,Flotts P,Padilla O,Moreno R

更新日期：2009-05-01 00:00:00

abstract：:We report a 74-year-old male with liver metastases from a neuroendocrine tumor (NET) of unknown origin. Conventional imaging studies with ultrasound, computed tomography colonoscopy and Positron emission tomography-computed tomography (PET/CT) with 18Fluor odeoxyglucose did not identify the site of origin of the prima...

journal_title：Revista medica de Chile

authors： Amaral H,Pruzzo R,Redondo F,Gil MC,Pizarro A,de la Fuente H,Butte JM,Coudeu TM

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND:Illicit drug abuse is a public health problem, generally starting in adolescence. Medical students are not an exception. AIM:To assess the consumption of illicit drugs among medical students of the Pontificia Universidad Católica de Chile. MATERIAL AND METHODS:A questionnaire used by the National Council f...

journal_title：Revista medica de Chile

authors： Romero MI,Santander J,Hitschfeld MJ,Labbé M,Zamora V

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND:Toxic epidemial necrolysis (TEN) is an acute adverse drug reaction, that has an unpredictableprogression and a 30% mortality. The incidence of TEN in the general population is approximately 0.4 to 1.2 cases/million/year. It is characterized pathologically by keratinocyte apoptosis which leads to epidemial de...

journal_title：Revista medica de Chile

authors： Molgó M,Carreño N,Hoyos-Bachiloglu R,Andresen M,González S

更新日期：2009-03-01 00:00:00

abstract：:Prader-Willi syndrome is an uncommon multisystem genetic disorder caused by defects of chromosome 15 (15qll-ql3), often due to deletions or uniparental disomy The syndrome is characterized by neonatal hypotonia, dysmorphic facial features, short stature, motor and mental disabilities, behavioral changes, hyperphagia, ...

journal_title：Revista medica de Chile

authors： Santos VM,Henrique de Paula F,Osterne EM,Nery NS,Turra TZ

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:Subjects with glucose intolerance or high fasting glucose levels have a higher cardiovascular risk and frequently become diabetic. AIM:To assess clinical and metabolic characteristics of patients with glucose intolerance or high fasting glucose levels. MATERIAL AND METHODS:Fasting and post glucose load ser...

journal_title：Revista medica de Chile

authors： Arteaga Llona A,Pollak F,Robres L,Velasco N

更新日期：2009-02-01 00:00:00

abstract：:In the last decades there has been an important decrease in infant mobidity and mortality, but these achievements are not equally distributed across the whole population. Children are one of the most susceptible groups due to their unique vulnerabilities to environmental factors. Unhealthy environments, indoor polluti...

journal_title：Revista medica de Chile

authors： París M E,Bettini M,Molina H,Mieres JJ,Bravo V,Ríos JC

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:The prevalence of pediatric arterial hypertension (AHT) is approximately 1% to 2%. In the last tenyears, mean blood pressure levels (BP) have raised due to obesity and changes in lifestyles. Family history (FH) of AHT is a risk factor to develop AHT in children. AIM:To assess blood pressure, cardiovascular ...

journal_title：Revista medica de Chile

authors： Aglony I M,Arnaiz G P,Acevedo B M,Barja Y S,Márquez U S,Guzmán A B,Berríos C X

更新日期：2009-01-01 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：:This article reviews some key issues of early rheumatoid arthritis such as the dfficulties to recognize this condition during the first months after onset. Therefore, three reference diagnostic criteria have been proposed for any patient presenting with more than three simultaneously inflammed joints, involvement of m...

journal_title：Revista medica de Chile

authors： Massardo L

更新日期：2008-11-01 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：:The association of gastric lymphoma and gastric adenocarcinoma in the same patient is uncommon. We report a 76 year-old male with a previous history of massive upper gastrointestinal bleeding who required a subtotal gastrectomy with Billroth II reconstruction in 1974. Pathology demonstrated a gastric lympho-histiocyti...

journal_title：Revista medica de Chile

authors： Butte JM,Torres J,Duarte I,Guzmán S,Llanos O

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:The incidence of morbid obesity is increasing and gastric bypass is the most effective surgical treatment. AIM:To assess the long term results of resection gastric bypass among morbidly obese patients aged less than 18 and over 65 years in terms of weight loss and correction comorbidities. MATERIAL AND MET...

journal_title：Revista medica de Chile

authors： Burgos L AM,Csendes J A,Papapietro V K

更新日期：2008-10-01 00:00:00

abstract：:Gabriel Cano de Aponte was Governor of Chile since 1717 and until his death in 1733, being 68 years old. As a soldier, he was an experienced horse rider. The sequence of events that caused his death three months after an equestrian accident is unclear. A systematic clinical analysis of the latter is the main objective...

journal_title：Revista medica de Chile

authors： Bravo G S,Moles P P,Quiroga M D,Pancorvo P R,Espinoza G R

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:An appropriate measurement of physical activity (PA) in children is useful, since inactivity is associated to obesity, cardiovascular and metabolic risk. AIM:To assess the reliability of the INTA questionnaire of PA, to compare the derived PA score with accelerometry and to assess its ability to identify ex...

journal_title：Revista medica de Chile

authors： Godard M C,Rodríguez N Mdel P,Díaz N,Lera M L,Salazar R G,Burrows A R

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:Petcoke is a remnant of the oil refining process that contains Ni and other heavy metals. Undesired human exposure to these compounds may result from petcoke combustion in plants located in the vicinity of the cities. AIM:To compare levels of urinary Ni in schoolchildren residing in cities exposed and not e...

journal_title：Revista medica de Chile

authors： Iglesias A V,Burgos D S,Marchetti P N,Silva Z C,Pino Z P

更新日期：2008-08-01 00:00:00