abstract：BACKGROUND:During the last few years, multiple new medical schools have emerged in Chile, associated to the constant preoccupation to provide a good quality medical care. This created the need to evaluate medical training programs and to open a discussion about the attributes that a good physician should have. AIM:To ...

journal_title：Revista medica de Chile

authors： García-Huidobro D,Núñez F,Vargas P,Astudillo S,Hitschfeld M,Gennero R,Salvatierra L,Benavente A

更新日期：2006-08-01 00:00:00

abstract：BACKGROUND:The frequency of diseases caused by non tuberculous mycobacteria has increased in the last years. Their clinical diagnosis is difficult, mainly in immunocompromised patients. The identification of these mycobacteria by traditional methods is based on phenotypic characteristics and the results are obtained tw...

journal_title：Revista medica de Chile

authors： Araya R P,Velasco R M,Fernández O J

更新日期：2006-07-01 00:00:00

abstract：BACKGROUND:Since February 2002, Flextend electrode catheters are used at the Cardiovascular Unit of the Catholic University Clinical Hospital. These transvenous catheters have an IS-1 connector, silicone coating, active fixation and retractile helix with dexamethasone acetate. AIM:To report early and one year results ...

journal_title：Revista medica de Chile

authors： Frangini P,Vergara I,González R,Baeza M,Cambón AM

更新日期：2006-06-01 00:00:00

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, ...

journal_title：Revista medica de Chile

authors： Valdivia G

更新日期：2006-06-01 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:Chile, a middle-income country with an HIV epidemic of moderate proportions (global infection rate 0.2%) began a government sponsored, free, highly active antiretroviral therapy (HAART) for patients from the public health system in 2001 reaching in 2004 a 100% coverage. Arriaran Foundation (AF) is the larges...

journal_title：Revista medica de Chile

authors： Wolff R M,Alvarez P P,Flores S I,Northland A R,Wolff L C

更新日期：2006-05-01 00:00:00

abstract：:This essay looks into the meaning of today's professionalism and the apparent inconsistency between its growing status and a context of profound changes and dissatisfaction with medical practice. The cultural climate of our times is reviewed, as the framework for understanding changes in the social organization of med...

journal_title：Revista medica de Chile

authors： Horwitz Campos N

更新日期：2006-04-01 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 implementation of the marketing strategies in public hospitals provides management advantages and improves the relationship between customers and staff. AIM:To analyze the application of marketing strategies in a public hospital, from the perspective of the staff. MATERIAL AND METHODS:A structured surv...

journal_title：Revista medica de Chile

authors： Riveros S J,Berné M C

更新日期：2006-03-01 00:00:00

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

authors： Rencoret G,Csendes A,Henríquez A

更新日期：2006-03-01 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:Acute appendicitis is the most common non obstetric surgical emergency during pregnancy. AIM:To asses our experience in the diagnosis and management of acute appendicitis occurring during pregnancy. PATIENTS AND METHODS:Data from all pregnant patients who were subjected to an appendectomy for a suspected a...

journal_title：Revista medica de Chile

authors： Butte JM,Bellolio MF,Fernández F,Sanhueza M,Báez S,Kusanovich R,Viñuela E,González R,Pruyas M,Díaz V,Martínez J

更新日期：2006-02-01 00:00:00

abstract：:Both epidemiological and clinical evidence suggest a relationship between the prenatal environment and the risk of developing diseases during adulthood. The first observations about this relationship showed that prenatal growth retardation or stress conditions during fetal life were associated to cardiovascular, metab...

journal_title：Revista medica de Chile

authors： Recabarren SE,Sir-Petermann T,Maliqueo M,Lobos A,Rojas-García P

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Diagnostic scores have been developed as simple, user-friendly, cost-effective instruments to improve the early diagnosis of acute appendicitis. AIM:To assess the yield of a diagnostic score for acute appendicitis, measured by trained health-related non-physician professional. PATIENTS AND METHODS:A prospe...

journal_title：Revista medica de Chile

authors： Beltrán MA,Villar M R,Cruces KS

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:The ras gene family (H-ras, N-ras and K-ras) are oncogenes that mutate frequently in human cancer, specially in tumors of the biliary tract and pancreas. AIM:To determine the frequency of K-ras gene codon 12 mutation in pancreatic and biliary tumors. MATERIAL AND METHODS:Samples of 35 gallbladder, 15 ampul...

journal_title：Revista medica de Chile

authors： Roa JC,Anabalón L,Tapia O,Melo A,de Aretxabala X,Roa I

更新日期：2005-12-01 00:00:00

abstract：:Aneurysmal bone cysts are benign fibro osseous lesions, rarely present in maxillary region. We report the CT and morphological findings of aneurysmal bone cyst of the maxilla in a 15 years old female. The patient was subjected to a maxillectomy, preserving the orbit floor. The postoperative evolution has been uneventf...

journal_title：Revista medica de Chile

authors： Guzmán G P,Baeza O A,Araya O J,Roa S J,Brevis O L,Torres L P

更新日期：2005-11-01 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：BACKGROUND:Several studies indicate that doctors who work in the same area of the medical profession tend to behave somehow similarly. Thus, it has been suggested that personality relates to the medical specialty choice. However, it is not known whether people self-select into the medical specialties according to their...

journal_title：Revista medica de Chile

authors： Bitran M,Zúñiga D,Lafuente M,Viviani P,Mena B

更新日期：2005-10-01 00:00:00

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

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

更新日期：2005-09-01 00:00:00

abstract：:In the last years our country has been affected by several outbreaks of infectious diseases such as Cholera and Hanta virus and recently, by pathogens associated to red tide. Chile was able to manage those emergencies using the local health system. The new threat that may emerge and could eventually overcome that capa...

journal_title：Revista medica de Chile

authors： Spencer E

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:The epidemic of cardiovascular diseases in Chile, requires the development of strategies in health promotion and prevention. AIM:To assess the prevalence of risk factors for chronic non communicable diseases among workers of a financial company in Metropolitan Santiago. MATERIAL AND METHODS:Assessment of 2...

journal_title：Revista medica de Chile

authors： Fagalde Mdel P,del Solar JA,Guerrero M,Atalah E

更新日期：2005-08-01 00:00:00

abstract：:Low plasma HDL cholesterol levels are an independent risk factor for atherosclerotic cardiovascular disease. During the past years, the study of HDL has been stimulated by the discovery of novel genes and proteins, which have provided new insights into the molecular and cellular mechanisms involved in HDL metabolism. ...

journal_title：Revista medica de Chile

authors： Laris Mdel R,Arteaga A,Cuevas A,Rigotti A

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:Mortality caused by cardial gastric cancer in Chile, is increasing. Previously we demonstrated an association between Epstein Barr virus and this specific location of gastric cancer. AIM:To perform a clinical and molecular characterization of cardial gastric cancer associated to Epstein Barr virus. MATERIA...

journal_title：Revista medica de Chile

authors： Corvalán A,Akiba S,Valenzuela MT,Cumsille MA,Koriyama C,Argandoña J,Backhouse C,Bal M,Mena F,Palma M,Eizuru Y

更新日期：2005-07-01 00:00:00

abstract：:In a short historical review of the outstanding changes occurred in the whole of endocrinology and particularly in Chile over the last 60 years -with the background of an infant mortality drop from 200 per thousand in 1940 to 8 per thousand today and a mean life expectancy increase from 42 to 76 years- the author outl...

journal_title：Revista medica de Chile

authors： Jadresic A

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:Ultraviolet light exposure has a pathogenic effect on the development of skin cancer, whose prevalence increases worldwide. In Chile and the rest of the world, preventive educational campaigns are carried out to change high risk sun exposure behaviors. AIM:To study the behavior of the Chilean population tow...

journal_title：Revista medica de Chile

authors： Molgó M,Castillo C,Valdés R,Romero W,Jeanneret V,Cevo T,Torres C,Silva P,Flores L,Riquelme A,Ayala MF,González F,Hasbún MT,Baladrón MJ

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:Most oral cancers are squamous cell carcinomas (90%) which are two to four times more common in men than in women. The reasons for these differences are associated with exposure to factors such as tobacco and alcohol. Age is also considered as a risk factor (about 90% of the cases are diagnosed after 45 year...

journal_title：Revista medica de Chile

authors： Riera P,Martínez B

更新日期：2005-05-01 00:00:00

abstract：BACKGROUND:The great variability in the clinical presentation of Chagas disease may depend in part in the genetic variability of Trypanosoma cruzi populations. AIM:To compare prepatent period, parasitemia, mortality and histological lesions in mice infected with two populations of Trypanosoma cruzi isolated in Chile. ...

journal_title：Revista medica de Chile

authors： Pizzi P T,Wallace R A,Villagra O R,Muñoz V S,Ortiz Z S,Solari I A

更新日期：2005-04-01 00:00:00

abstract：:Chronic kidney disease is a worldwide health problem. The incidence and prevalence of kidney failure is in constant increase, involving poor outcomes and high costs. The leading causes of kidney failure are type 2 diabetes and hypertension. The new initiative "Kidney Disease Improving Global Outcomes (KDIGO)" is a glo...

journal_title：Revista medica de Chile

authors： Mezzano S,Aros C

更新日期：2005-03-01 00:00:00

abstract：BACKGROUND:Systemic vasculitis are a group of heterogeneous diseases characterized by inflammation and necrosis of blood vessel walls. The etiology is not known, but geographic and environmental factors are implicated. AIM:To describe the clinical features of microscopic polyangiitis (MPA) and Wegener's granulomatosis...

journal_title：Revista medica de Chile

authors： Cisternas M,Soto L,Jacobelli S,Marinovic MA,Vargas A,Sobarzo E,Saavedra J,Chauan K,Meléndez G,Foster C,Pacheco D,Wainstein E,Grupo de estudio de las vasculitis, Sociedad Chilena de Reumatología.

更新日期：2005-03-01 00:00:00

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

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

更新日期：2005-02-01 00:00:00

abstract：BACKGROUND:Microbial invasion of amniotic cavity occurs in 30 to 50% of patients with premature membrane rupture. AIM:To determine the outcomes associated with microbial invasion of the amniotic cavity (MIAC) in patients with preterm premature rupture of membrane (pPROM). PATIENTS AND METHODS:One hundred thirty four ...

journal_title：Revista medica de Chile

authors： Ovalle S A,Gómez M R,Martínez T MA,Kakarieka W E,Fuentes G A,Aspillaga M C,Ferrand M P,Ramírez F C

更新日期：2005-01-01 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:Subacute combined degeneration is a clinical manifestation of vitamin B12 deficiency, that we observe with unusual frequency. AIM:To report a series of eleven patients with subacute combined degeneration. PATIENTS AND METHODS:Retrospective analysis of 11 patients hospitalized in a public hospital in Santia...

journal_title：Revista medica de Chile

authors： Nogales-Gaete J,Jiménez P,García P,Sáez D,Aracena R,González J,Lay-Son L,Tenhamm E,Figueroa T,Chávez A,Oelker C,Vega L

更新日期：2004-11-01 00:00:00

abstract：:The mortality of acute bacterial meningitis (BM) has remained stable in the last decades in spite of the use of new antibiotics, probably due to vascular complications. We report a 68-year-old woman with BM who had a malignant infarction of left middle cerebral artery territory 72 hours after admission to the hospital...

journal_title：Revista medica de Chile

authors： López MG,Mellado PT,Huete IL

更新日期：2004-10-01 00:00:00

abstract：:An alternative strategy for cancer treatment is the manipulation of the immune system, denominated cancer immunotherapy. The immunotherapeutical use of cells of the immune system, like dendritic cells (DC), is being explored in different clinical protocols. Recently, we finalized a clinical phase I protocol, for the t...

journal_title：Revista medica de Chile

authors： López M,Escobar A,Alfaro J,Fodor M,Larrondo M,Ferrada C,Salazar-Onfray F

更新日期：2004-09-01 00:00:00

abstract：BACKGROUND:Genes for dopamine receptor DRD4 and dopamine transporter DAT1 have been implicated in attention deficit with hyperactivity disorder (ADHD). However, the findings are not conclusive. More studies in populations with different genetic backgrounds may contribute to solve the discrepancies observed. AIM:To tes...

journal_title：Revista medica de Chile

authors： Carrasco X,Rothhammer P,Moraga M,Henríquez H,Aboitiz F,Rothhammer F

更新日期：2004-09-01 00:00:00

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

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

abstract：BACKGROUND:Elderly people (>60 years) in Chile represented 11.4% (n=1,717,478) of the total population in 2002. The group with disabilities or mental problems is increasing and there is no reliable information about the number of institutionalized elderly subjects. AIM:To estimate the number of elderly people living i...

journal_title：Revista medica de Chile

authors： Marín PP,Guzmán JM,Araya A

更新日期：2004-07-01 00:00:00

abstract：:This article analyzes important changes in medical practice, focusing in those most deeply perceived by a group of physiciansfrom the Metropolitan Region of Santiago, included in a joint research conducted by the Departments of Psychiatry and Mental Health (East) of the Medical Faculty at the University of Chile and P...

journal_title：Revista medica de Chile

authors： Horwitz N

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:CEA is widely used in the follow up of patients with colorectal carcinoma. AIM:To study the value of preoperative CEA as an independent prognostic factor in colorectal carcinoma. PATIENTS AND METHODS:Analysis of 373 operated patients (204 females, age range 21-92 years) with colorectal carcinoma and a mean...

journal_title：Revista medica de Chile

authors： Bannura G,Cumsille MA,Contreras J,Barrera A,Melo C,Soto D

更新日期：2004-06-01 00:00:00