Revista medica de Chile最新文献_第2页

[Knowing better, knowing the why, and knowing how to do: assumptions of depression in psychiatry]. [知道得更好，知道原因，知道怎么做:精神病学对抑郁症的假设]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-11-01 DOI: 10.4067/S0034-98872022001101520

Gustavo Figueroa

引用次数: 0

[Cholangiocarcinoma and combined hepatocellular-cholangiocarcinoma in cirrhotic patients]. [肝硬化患者胆管癌及肝细胞-胆管合并癌]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-11-01 DOI: 10.4067/S0034-98872022001101431

Marcelo Salinas, Daniela Simian, Laura Carreño, Máximo Cattaneo, Álvaro Urzúa, Alex Sauré, Hanns Lembach, Jaime Castillo, Juan C Díaz, Jaime Poniachik

{"title":"[Cholangiocarcinoma and combined hepatocellular-cholangiocarcinoma in cirrhotic patients].","authors":"Marcelo Salinas, Daniela Simian, Laura Carreño, Máximo Cattaneo, Álvaro Urzúa, Alex Sauré, Hanns Lembach, Jaime Castillo, Juan C Díaz, Jaime Poniachik","doi":"10.4067/S0034-98872022001101431","DOIUrl":"https://doi.org/10.4067/S0034-98872022001101431","url":null,"abstract":"Background: Cholangiocarcinoma (CCA) is a primary hepatic tumor, frequently found in patients with liver cirrhosis and biliary tract diseases. Its varieties include isolated CCA or \"combined hepatocellular-cholangiocarcinoma\" (cHCC-CCA). The latter is uncommon, with poorly defined diagnostic criteria and natural history.Aim: To characterize patients with cirrhosis with a pathological diagnosis of CCA and cHCC-CCA.Material and methods: Forty-nine liver biopsies with a pathological diagnosis of CCA were reviewed. The clinical records of patients were reviewed to fetch demographic variables, etiology of cirrhosis and clinical presentation.Results: Eight of the 49 patients had cirrhosis (16% of CCA biopsies reviewed). Their median age was 64 (27-71) years and five were females. Four patients had CCA, three patients cHCC-CCA and one had a bifocal tumor. Patients in the CCA group were more commonly symptomatic. Alpha-fetoprotein and CA 19-9 levels were elevated in one of eight and four of six patients, respectively. Within 12 months from diagnosis, five of eight patients died.Conclusions: In most of these cases, the diagnosis of cHCC-CCA and CCA was made in the liver explant study without previous imaging diagnosis. This reinforces the usefulness of the histological study, in specific cases, prior to liver transplantation and emphasizes the importance of systematic explant exploration in these cases.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 11","pages":"1431-1437"},"PeriodicalIF":0.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10045350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Academic residents fellowship program at the University of Chile Clinical Hospital]. [智利大学临床医院学术住院医师奖学金项目]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-11-01 DOI: 10.4067/S0034-98872022001101477

Cristián Miranda V, María Graciela Rojas C

{"title":"[Academic residents fellowship program at the University of Chile Clinical Hospital].","authors":"Cristián Miranda V, María Graciela Rojas C","doi":"10.4067/S0034-98872022001101477","DOIUrl":"10.4067/S0034-98872022001101477","url":null,"abstract":"The mission of the University of Chile Clinical Hospital is to be the main University Hospital in the country. Along with training of health professionals in clinical practice and research, the Hospital provides comprehensive health solutions to the community. Since its foundation, it played an important role in the training of health professionals and specialists. To fulfill this mission, it is important to have outstanding academics and a system that allows their renewal and replacement. From January 25, 2001, the University of Chile approved the regulations that rule the Residents Program Fellowship, aimed to train the new generations of clinical academics. These regulations allow the financing of training programs in basic or primary specialties (such as internal medicine, surgery, obstetrics and gynecology, among others) or in specialties derived from them (such as cardiology, gastroenterology and reproductive medicine, among others.) The different clinical departments and the Hospital Direction define each year how many places will be offered and in which specialties. The Faculty of Medicine Graduate School carries out the formal selection of the applicants. This article reviews the results of this program between 2013 and 2021, analyzing in detail the traceability of each graduate over the years.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 11","pages":"1477-1483"},"PeriodicalIF":0.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10045352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Efficiency of the Chilean health system: comparative analysis between health services]. [智利卫生系统的效率:卫生服务的比较分析]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-11-01 DOI: 10.4067/S0034-98872022001101501

Sebastián Mayanz

{"title":"[Efficiency of the Chilean health system: comparative analysis between health services].","authors":"Sebastián Mayanz","doi":"10.4067/S0034-98872022001101501","DOIUrl":"https://doi.org/10.4067/S0034-98872022001101501","url":null,"abstract":"Background: The assessment of health systems efficiency determines how they use their supplies to produce results of health value.Aim: To determine the efficiency of the health services in Chile, managing their budget to improve the health of the population in 2016.Material and methods: Data envelopment analysis (DEA) was used. The relationship or efficiency with external factors was determined ussing a multivariate analysis. As an input, the operating expense accrued per member of the public health system (National Health Fund, FONASA) was obtained. The years of life potentially lost were used as output.Results: The health services of Chile had an efficiency of 68.8% for constant return and 81.3% for variable return. Sixteen percent of their inefficiency was related to the size of the health service. The most efficient health service was the Metropolitano Sur-Oriente and the least efficient was the Araucanía Norte. Urban health services had more uniform and higher efficiency than their rural counterparts. The external factors that were associated with a greater efficiency were having lower proportion of rural population, a lower proportion of beneficiaries of the National Health Fund (FONASA), fewer hospital discharges, fewer hospital beds, less poverty calculated by income, and a higher access to drinking water.Conclusions: Numerous factors influence the efficiency of the Chilean health system and delving into them would allow a better use of public resources for the benefit of the population.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 11","pages":"1501-1512"},"PeriodicalIF":0.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The future is now: The Fifth Industrial Revolution has reached the biomedical and health sciences. 未来就是现在:第五次工业革命已经触及生物医学和健康科学。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-11-01 DOI: 10.4067/S0034-98872022001101545

Manuel E Cortés, Érika Cortés

引用次数: 0

[Genetic revolution: New challenges and opportunities]. [基因革命:新的挑战和机遇]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-11-01 DOI: 10.4067/S0034-98872022001101547

Paula Saffie Awad, Ignacio Mata, Pedro Chana-Cuevas

引用次数: 0

Long-lasting brain fog is related with severity clusters of symptoms in COVID-19 patients. 持续的脑雾与COVID-19患者的严重症状群有关。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-11-01 DOI: 10.4067/S0034-98872022001101484

José Ramón Lanz-Luces, Héctor Aceituno, Fernando Quiroz-Bravo, Felipe Rodríguez-Flores, Marcela Osores-Espinoza, Dairene Rigaud, Denis Pérez-Cuesta, Abid Khan, Aline Tobar-Bustamente, Andrea Barrancas, Carla Figueroa-Torres, José Gutiérrez de la Cruz, Francisca Burgos-Alarcón, Jenifer Gómez-Donoso

{"title":"Long-lasting brain fog is related with severity clusters of symptoms in COVID-19 patients.","authors":"José Ramón Lanz-Luces, Héctor Aceituno, Fernando Quiroz-Bravo, Felipe Rodríguez-Flores, Marcela Osores-Espinoza, Dairene Rigaud, Denis Pérez-Cuesta, Abid Khan, Aline Tobar-Bustamente, Andrea Barrancas, Carla Figueroa-Torres, José Gutiérrez de la Cruz, Francisca Burgos-Alarcón, Jenifer Gómez-Donoso","doi":"10.4067/S0034-98872022001101484","DOIUrl":"https://doi.org/10.4067/S0034-98872022001101484","url":null,"abstract":"Background: COVID-19 patients may experience Long-lasting symptoms from weeks to even months.Aim: To evaluate long-term cognitive impairment based on the severity of symptoms of COVID-19 infection in a primary health system setting.Material and methods: From a database of 363 patients, 83 cases aged 47 ± 15 years, (58% females) were selected from June to August 2020. In patients who survived the virus, 24 infection-related symptoms were collected to create three severity clusters (mild, moderate, and severe). The follow-up time was at least seven months. Comparing the first two clusters with the severe cluster, the existence of brain fog and risk factors (obesity, hypertension, diabetes, chronic lung disease, and hypothyroidism) were analyzed.Results: Thirty-one patients (37%) had persistent symptoms lasting up to 240 days. Fifty-one patients (61%) experienced brain fog. Concentration was affected by symptom severity (odds ratio [OR] 3.63, 95% confidence interval [CI] 1.26-10.46, p = 0.02). Short- or long-term memory loss was not affected. Moreover, symptom severity was related to brain fog (OR 3.16, 95% CI 1.05-9.51, p = 0.04). Patients with persistent symptoms had a concentration impairment associated with severity patterns (OR 24.3, 95% CI 1.73-340.11, p = 0.03).Conclusions: Brain fog is associated with symptom severity in COVID-19 survivors and lasts for more than eight months.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 11","pages":"1484-1492"},"PeriodicalIF":0.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic angina secondary to Takayasu arteritis. Report of one case. 慢性心绞痛继发于高须动脉炎。报告1例。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-11-01 DOI: 10.4067/S0034-98872022001101534

Bruno Dighero, Fernando J Verdugo, Hugo Fuentes, Matías Herrera, Jorge Sandoval, Cecilia Muñoz, Christian Dauvergne, Yenny Ortega, Claudio Parra, Gonzalo Torres

引用次数: 0

[Proposal of an informed consent form to obtain audiovisual material from patients]. [建议使用知情同意书从患者处获取视听资料]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-10-01 DOI: 10.4067/S0034-98872022001001291

Rodrigo Tejos, Alfonso Navia, Susana Searle, Gonzalo Yáñez, Gabriel Díaz, Montserrat Fontbona, Stefan Danilla, Claudio Thomas, José Lasen, Diego Marré, José Ramón Rodríguez, Claudio Guerra, Álvaro Cuadra

{"title":"[Proposal of an informed consent form to obtain audiovisual material from patients].","authors":"Rodrigo Tejos, Alfonso Navia, Susana Searle, Gonzalo Yáñez, Gabriel Díaz, Montserrat Fontbona, Stefan Danilla, Claudio Thomas, José Lasen, Diego Marré, José Ramón Rodríguez, Claudio Guerra, Álvaro Cuadra","doi":"10.4067/S0034-98872022001001291","DOIUrl":"https://doi.org/10.4067/S0034-98872022001001291","url":null,"abstract":"Background: An informed consent is mandatory to obtain any clinical audiovisual material from patients. Although there are some documents created for this purpose, there are some barriers for their application, such as the context in which they were created, the language and download availability.Aim: To create a proposal for an informed consent form (ICF) for the capture and different uses for audiovisual material from patients.Material and methods: A bibliographic search was carried out to obtain different ICFs in Spanish and English, which were subjected to a process of translation, counter-translation and fragmentation. Subsequently, a panel of experts was formed by members of the Chilean Society of Plastic Surgery with extensive experience in social networks. Delphi methodology was applied to reach a consensus about the definitive content of the ICF based on the previously selected fragments.Results: ICFs available for download were identified. The panel was made up of seven Plastic Surgeons and two Delphi rounds were carried out through electronic surveys. At the end of the process, an ICF proposal was obtained for therapeutic, academic or scientific purposes and another for dissemination or education in the mass media.Conclusions: The proposed ICFs were liberated for their use among health care professionals in Chile, who could use them, provided that they are approved by the local healthcare ethics committees.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 10","pages":"1291-1298"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Clinical features of Chilean patients with Fibrous Dysplasia/McCune-Albright Syndrome]. [智利纤维发育不良/McCune-Albright综合征患者的临床特征]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-10-01 DOI: 10.4067/S0034-98872022001001275

Catalina Jiménez, Paulina Schneider, Rene Baudrand, Hernán García, Alejandro Martínez, Carolina Mendoza, Francisca Grob, Cristián Seiltgens, Pablo Florenzano

{"title":"[Clinical features of Chilean patients with Fibrous Dysplasia/McCune-Albright Syndrome].","authors":"Catalina Jiménez, Paulina Schneider, Rene Baudrand, Hernán García, Alejandro Martínez, Carolina Mendoza, Francisca Grob, Cristián Seiltgens, Pablo Florenzano","doi":"10.4067/S0034-98872022001001275","DOIUrl":"https://doi.org/10.4067/S0034-98872022001001275","url":null,"abstract":"Background: Fibrous Dysplasia/McCune-Albright Syndrome (FD/MAS) is characterized by a spectrum of manifestations that may include fibrous dysplasia of bone and multiple endocrinopathies.Aim: To describe the clinical spectrum, the study and follow-up of patients with FD/MAS cared at our institution.Material and methods: Review of medical records of 12 pediatric and adult patients (11 women) who met the clinical and genetic diagnostic criteria for FD/ MAS.Results: The patients' mean age at diagnosis was 4.9 ± 5.5 years. The most common initial clinical manifestation was peripheral precocious puberty (PPP) in 67% of patients and 75% had café-au-lait spots. Fibrous dysplasia was present in 75% of patients and the mean age at diagnosis was 7.9 ± 4.7 years. Ten patients had a bone scintigraphy, with an age at the first examination that varied between 2 and 38 years of age. The most frequent location of dysplasia was craniofacial and appendicular. No patient had a recorded history of cholestasis, hepatitis, or pancreatitis. In four patients, a genetic study was performed that was positive for the pathogenic variant of guanine nucleotide binding protein, alpha stimulating (GNAS).Conclusions: These patients demonstrate the variable nature of the clinical presentation and study of FD/MAS. It is essential to increase the index of diagnostic suspicion and adherence to international recommendations.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 10","pages":"1275-1282"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0