abstract：:Clinical pathways or structured multidisciplinary care plans are a tool to standardize clinical practice. The aim of this article is to describe and propose a methodology for the development of clinical pathways in a highly complex health institution. We used the guidelines of the European Quality of Care Pathway, whi...

journal_title：Revista medica de Chile

authors： Chávez Barrientos P,Menajovsky Haas C,Arriagada Beyzaga L

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:Vitamin K antagonist medications (VKA) are essential for the prevention of thromboembolic events, but their effectiveness is influenced by multiple factors, such as the type of medication chosen. AIM:To evaluate the efficacy in anticoagulant control of the bioequivalent and non-bioequivalent drugs of acenoc...

journal_title：Revista medica de Chile

authors： Rodríguez D,Nieto E,Quiroga T,Rojas E,Vera F

更新日期：2020-09-01 00:00:00

abstract：:In the last decades, there has been an increase in life expectancy in the world, with the consequent modification in the proportion of adults over 60 years. This is accompanied by an increase in pathologies for which aging is the main risk factor, such as dementia and hearing loss, which profoundly affect the quality ...

journal_title：Revista medica de Chile

authors： Wimmer Del Solar J,Delgado C,Torrente MC,Délano PH

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Syphilis continues to be a common sexually transmitted disease. AIM:To describe the epidemiologic features of patients with syphilis consulting in a Chilean sexually transmitted diseases clinic. MATERIAL AND METHODS:Review of medical records of patients with positive serology for syphilis, who attended a u...

journal_title：Revista medica de Chile

authors： Cavero Tardones A,Ramírez-Santana M

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. AIM:To report the experience with OSCE in an environment with a high...

journal_title：Revista medica de Chile

authors： Bozzo Navarrete S,Arancibia Salvo C,Contreras Reyes D,Pérez González L

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Evaluation of 24-hour collection accuracy is based on urinary creatinine excretion (UCr), usually using wide ranges indexed by weight. Equations that predict the expected UCr are also available. AIM:To generate an equation for estimating UCr in Chilean population and evaluate its performance in comparison t...

journal_title：Revista medica de Chile

authors： Huidobro Espinosa JP,Sepúlveda RA,Muñoz GM

更新日期：2020-06-01 00:00:00

abstract：:In Chile, there are four bills to legalize euthanasia, an act which public surveys report as supported by most of the population. At the legislative, healthcare and social level, there is an active debate about euthanasia, the rights of terminally ill patients and the context of Palliative Care (PC) in the country. Ch...

journal_title：Revista medica de Chile

authors： Dittborn B M,Micolich V C

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:In Chile, Thyroid cancer (TC) is included in a list of diseases that have a guaranteed access to treatment, endorsed by the Ministry of Health. The care burden of the disease will depend on its incidence. AIM:To estimate the incidence of TC in Chilean patients with access to thyroid surgery and describe its...

journal_title：Revista medica de Chile

authors： Sapunar Z J,Ferrer R P

更新日期：2020-05-01 00:00:00

abstract：:ECMO (Extracorporeal Membrane Oxygenation) is an extracorporeal life support system in catastrophic lung failure, shock and cardiopulmonary resuscitation, in different age groups, with multiple physiologic features. When the candidate to be submitted is too unstable to be transported to a hospital with ECMO, cannulati...

journal_title：Revista medica de Chile

authors： Díaz R,Antonini MV,Orrego R,Abrams D

更新日期：2020-03-01 00:00:00

abstract：:A narrative review of the evidence regarding the role of inflammation in the pathophysiology of coronary heart disease and depression is presented. As a common pathogenic factor, inflammation could explain the frequent association of both diseases. We discuss the benefit of exercise and diet modifications in both cond...

journal_title：Revista medica de Chile

authors： Cavieres F Á

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Postmenopausal women have higher severity of coronary heart disease (CHD) than premenopausal women and type 2 diabetes mellitus (T2DM) is an independent risk factor. AIM:To assess the severity of CHD in pre and postmenopausal patients undergoing coronary angiography and the impact of T2DM in both groups. M...

journal_title：Revista medica de Chile

authors： Gajardo-Navarrete J,Ibieta G,Concha M,Garcés P,Robles I,Vera-Calzaretta A,González-Burboa A,Gajardo I,Gutiérrez M,Villarroel M,Aguayo M

更新日期：2020-02-01 00:00:00

abstract：:Endoscopy is essential in the assessment and treatment of the bariatric patient, especially in the postoperative state. Since bariatric surgery is increasing exponentially, endoscopists should be familiar with the anatomy and how to manage possible complications. New less invasive therapeutic tools will have a major i...

journal_title：Revista medica de Chile

authors： Díaz R,Narvaez A,Welsh L,Pérez JE,Dávalos G,Portenier D,Guerron AD

更新日期：2020-01-01 00:00:00

abstract：:Background The treatment of choice of newly diagnosed multiple myeloma (NDMM) is an induction with proteasome inhibitors followed autologous stem cell transplantation (HSCT). Since 2013, the treatment of these patients in the public system is based on CTD (cyclophosphamide, thalidomide, and dexamethasone). Aim To eval...

journal_title：Revista medica de Chile

authors： Peña C,Rojas-Vallejos J,Espinoza M,Donoso J,Soto P,Cardemil D,Aranda S,Contreras C,Vergara CG,LA Rocca G,Osorio R,López-Vidal H,Chandía M,Rojas C

更新日期：2019-12-01 00:00:00

abstract：:Background Sleep duration may be a risk factor for cognitive impairment. Aim To investigate the association between sleep duration and cognitive function in Chilean older adults. Material and Methods We analyzed information from 1,384 participants aged > 60 years participating in the National Health Survey 2009-2010 w...

journal_title：Revista medica de Chile

authors： Nazar G,Leiva AM,Troncoso C,Martínez A,Petermann-Rocha F,Villagrán M,Mardones L,Martorell M,Labraña AM,Ulloa N,Díaz-Martínez X,Poblete-Valderrama F,Garrido-Méndez A,Celis-Morales C

更新日期：2019-11-01 00:00:00

abstract：:Tridimensional printing is becoming relevant in medicine, specially in surgical and interventional specialties. We review the technical aspects and clinical application of airway tridimensional printing. Using this technique, simulation models for bronchoscopy and models for diagnostic and therapeutic procedures such ...

journal_title：Revista medica de Chile

authors： Gando S,Labarca G,Majid A,Folch E,Mehta HJ,Jantz M,Fernandez-Bussy S

更新日期：2019-10-01 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：BACKGROUND:Recent data suggest an increase in tuberculosis (TB) incidence in Chile. AIM:To evaluate recent epidemiological trends, geographic extension and potential factors associated with TB reemergence in Chile. MATERIAL AND METHODS:Data analysis from official sources and trend analysis. RESULTS:TB incidence rate...

journal_title：Revista medica de Chile

authors： Fica A,Herrera T,Aguilera X

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND:Type 2 diabetes etiology has a strong genetic component. More than 20 genetic variants have been associated with diabetes and other metabolic markers. However, the polymorphism rs7903146 of the TCF7L2 gene has shown the strongest association. AIM:To investigate the association of TCF7L2 (rs7903146) genotype...

journal_title：Revista medica de Chile

authors： Petermann-Rocha F,Lasserre-Laso N,Villagrán M,Mardones L,Martínez MA,Leiva AM,Ulloa N,Celis-Morales C

更新日期：2019-08-01 00:00:00

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

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

更新日期：2019-07-01 00:00:00

abstract：BACKGROUND:Colorectal cancer (CRC) is the third most prevalent cancer in the world and is the second cause of cancer death. Positron emission tomography/computed tomography (PET/CT) using 18F-FDG is used for its staging and follow up. AIM:To assess the occurrence of synchronous colonic and extracolonic tumors detected...

journal_title：Revista medica de Chile

authors： Ladrón-de-Guevara D,Pérez D,Núñez P,Ramírez F,Zárate A,López F

更新日期：2019-07-01 00:00:00

abstract：:Rheumatoid arthritis (RA) and chronic periodontitis (CP) may be related due to a bidirectional etiology. The evidence shows that CP could alter the clinical course of RA. We performed a systematic search to determine if CP alters the morbidity of RA, analyzing its clinical and molecular aspects. Of 552 initial article...

journal_title：Revista medica de Chile

authors： Wen S,Beltrán V,Chaparro A,Espinoza F,Riedemann JP

更新日期：2019-06-01 00:00:00

abstract：BACKGROUND:Reproductive number (R0)-maps estimate risk zones of vector-borne diseases and geographical distribution changes under climate change. AIM:To map R0 aiming to estimate the epidemiological risk of Chagas disease in Chile, its distribution and possible changes due to the global climate change. MATERIAL AND M...

journal_title：Revista medica de Chile

authors： Ayala S,Alvarado S,Cáceres D,Zulantay I,Canals M

更新日期：2019-06-01 00:00:00

abstract：:We report a 64 years old female admitted with fever, cough, dyspnea and lung opacities in the chest X ray. A chest tomography scan (CTS) showed multiple-bilateral ring-shaped opacities and the reversed halo sign (RHS). The patient did not improve with antimicrobial therapy (AT). Infection and rheumatologic causes were...

journal_title：Revista medica de Chile

authors： Schiappacasse G,Acevedo A,Martínez R,Escobar J,Hernández A,Pires Y

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Quality of life and psychological well-being are readily hampered by depression. The changes that students face during college life impact their psychological health and well-being, including the emergence of mental health problems like depression Aim: To determine the relationship between depressive symptom...

journal_title：Revista medica de Chile

authors： Rossi JL,Jiménez JP,Barros P,Assar R,Jaramillo K,Herrera L,Quevedo Y,Botto A,Leighton C,Martínez F

更新日期：2019-05-01 00:00:00

abstract：:DSM-5 is a significant factor in promoting the "remedicalization" of psychiatry as the focus of psychiatric knowledge, developed by the evidence-based medicine movement, shifted from the clinically-based biopsychosocial model to a research-based medical model. DSM-5 purposes are 1]clinical: diagnosis, prevention, earl...

journal_title：Revista medica de Chile

authors： Figueroa G

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:Pharmacological treatment improves survival in patients with heart failure with reduced ejection fraction. The use of sacubutril/valsartan and ivabradine has been recently approved and incorporated in the latest guidelines. AIM:To identify candidates eligible for these therapies among patients treated in a ...

journal_title：Revista medica de Chile

authors： Rossel V,Duarte M,Muñoz P,Bravo C,Bobadilla G,Verdugo F,Guardamagna C

更新日期：2019-03-01 00:00:00

abstract：:Environmental factors may influence the development of Inflammatory Bowel Disease and modify its natural history. The objective of this review is to evaluate current evidence about environmental factors associated with the disease. A better knowledge about the pathogenesis of the disease can lead to better treatment s...

journal_title：Revista medica de Chile

authors： Meligrana NE,Quera R,Figueroa C,Ibáñez P,Lubascher J,Kronberg U,Flores L,Simian D

更新日期：2019-02-01 00:00:00

abstract：:The author in this short text remembers the passing of a beloved pet cat. Cats are beautiful animals and wonderful companions. They evolved together with humans in Africa, subsequently spread over the five continents with them, and became the subject of many human cultural activities, including art, poetry and religio...

journal_title：Revista medica de Chile

authors： Cabello C F

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:Primary plasma cell leukemia (pPCL) is uncommon, aggressive and has a different biology than multiple myeloma (MM). AIM:To report the features of patients with pPCL. MATERIAL AND METHODS:Review of databases of the Hematology Department and the Hematology laboratory. RESULTS:Of 178 patients with monoclonal...

journal_title：Revista medica de Chile

authors： Mendoza MG,Valladares X,Roa M,Reyes M,Osorio R,Undurraga MS,Legües ME,Cabrera ME,Peña C

更新日期：2019-01-01 00:00:00

abstract：:The accrual of anatomical preparations since the nineteenth century in Santiago, Chile, became the so called "anatomical cabinet" under the supervision of professor Julio F Lafargue. Afterwards, this cabinet evolved to form an anatomical museum in the mid twentieth century. It contained preparations using corpses whos...

journal_title：Revista medica de Chile

authors： Cárdenas V JL

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:Measuring the carbon footprint (CF) makes it possible to estimate the contribution of clinical activity to global warming. AIM:To measure the emitter components of CO2 equivalents (CO2e) at the Hospital Base, Puerto Montt (HBPM). MATERIAL AND METHODS:Descriptive study with data collected retrospectively be...

journal_title：Revista medica de Chile

authors： Balkenhol M,Castillo A,Soto M,Feijoo M,Merino W

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:There is a misconception that the main cause of death among women is breast cancer, even among physicians, who may neglect cardiovascular preventive measures in this gender Aim: To assess the knowledge among physicians about the main cause of death among women. MATERIAL AND METHODS:A survey was answered by ...

journal_title：Revista medica de Chile

authors： Fernández M,Parra M,Calligaris S,Parada V,Ojeda MJ,Quiroz S,Carreño C

更新日期：2018-12-01 00:00:00

abstract：:Sickle cell anemia was a rare disease in Chile, especially in adults, however the recent immigration wave from Haiti is changing this scenario. We report a 29 year old black female from Haiti with a non-disclosed history of sickle cell anemia. She was transfused with two units of red blood cells, found unconscious and...

journal_title：Revista medica de Chile

authors： Moya F,Rivera M,Araya F,Donoso J,Sandoval P,Varas P

更新日期：2018-11-01 00:00:00

abstract：BACKGROUND:Adequate management of high blood pressure (HBP) and Type 2 Diabetes (DM2) is a challenge to the healthcare system in Chile. AIM:To evaluate the effectiveness of a case management (CM) approach to manage HBP and DMII at Primary Healthcare (PHC) level, headed by healthcare technicians with the supervision of...

journal_title：Revista medica de Chile

authors： Poblete F,Barticevic N,Bastías G,Quevedo D,Vargas I

更新日期：2018-11-01 00:00:00

abstract：:Vasculitic midline destructive lesions can be a complication of cocaine use. We report a 44-year-old man who presented with a two months history of left facial pain associated with ipsilateral facial paralysis and a cheek phlegmon. Magnetic resonance imaging showed broad soft tissue destruction linked to important cra...

journal_title：Revista medica de Chile

authors： Barrera O M,Rivera V M,Vela U J,Barrera M R,Mönckeberg F G

更新日期：2018-09-01 00:00:00

abstract：BACKGROUND:Postpartum depression (PPD) is a public health issue, and appropriate screening may lead to clinical gains. AIM:To describe the screening for PPD, its relationship with the use of health care services, and treatment access barriers in Chilean public primary health care (PHC) centers. MATERIAL AND METHODS:P...

journal_title：Revista medica de Chile

authors： Rojas G,Guajardo V,Martínez P,Fritsch R

更新日期：2018-09-01 00:00:00

abstract：:The new Chilean regulation about patients' rights and duties is generating a significant change in the information that health care professionals must provide to their patients. This issue will gravitate on medical liability. If this duty is accomplished incorrectly, professionals would fall into an illicit act and be...

journal_title：Revista medica de Chile

authors： Pizarro W C

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:Dipyridamole (DIP) is the most commonly employed pharmacological stressor for myocardial perfusion tomography (SPECT) in patients unable to reach an adequate work load. AIM:To assess the predictive capacity of DIP SPECT on survival. MATERIAL AND METHODS:We included 985 adults aged 66 ±11 years (45% women) ...

journal_title：Revista medica de Chile

authors： Alarcón L,Rau M,Prat H,Fernández R,Carmona J,Zhindon JP,González J,Massardo T

更新日期：2018-08-01 00:00:00

abstract：:This review examines the evidence about the relationship between dental procedures and the incidence of transient bacteremia. One of the main obstacles was to define "invasive dental procedure" as an indication for antimicrobial prophylaxis for patients with high risk of bacteremia. A search in WorldWideScience and Sc...

journal_title：Revista medica de Chile

authors： Fernández E,Reyes C,Benavides C,Irarrázaval T,Padilla P

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Host genetic predispositions may be important determinants of liver fibrosis in patients with chronic hepatitis C (CHC). The association between Interferon-L 4 (IFNL4) rs12979860 C>T polymorphism and risk of liver fibrosis in CHC is contradictory. AIM:To evaluate the impact of IFNL4 rs12979860 polymorphism ...

journal_title：Revista medica de Chile

authors： Brahm J,Urzúa A,Poniachik J,Cáceres DD,Carreño L,Venegas M

更新日期：2018-07-01 00:00:00