Revista medica de Chile最新文献_第6页

[Challenges for training medical professionalism values in times of COVID-19 and social crisis]. [新冠肺炎疫情和社会危机下医学职业价值观培养面临的挑战]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-09-01 DOI: 10.4067/S0034-98872022000901248

Paola Castelli-Candia

{"title":"[Challenges for training medical professionalism values in times of COVID-19 and social crisis].","authors":"Paola Castelli-Candia","doi":"10.4067/S0034-98872022000901248","DOIUrl":"https://doi.org/10.4067/S0034-98872022000901248","url":null,"abstract":"The essence of professional education not only involves transmitting knowledge, but also values and attitudes for a practice that allows us to face changing global and national scenarios. Physicians are currently facing new challenges derived from the impacts of the pandemic as well as the social crisis. Increased workload, limited access to health systems, economic uncertainty, and increased public scrutiny hamper physicians to fulfill their responsibilities to patients and society. Likewise, digital learning and few opportunities for face-to-face practice during the pandemic abruptly altered the training process for students and residents. In this essay, teaching of medical professionalism and its values is reviewed, considering the challenges posed by new social and healthcare contexts fort the future professional behavior. This commitment, however, requires not only ethical values but also humanism and social commitment. Medical professionalism acts as a stabilizing and morally protective social force. Thus, it is critical to fathom essential values of professionalism that characterize medical practice today. Indeed, the explicit incorporation of these values in undergraduate and postgraduate programs will undoubtedly allow the training of better professionals for the practice of medicine. (Rev Med Chile 2022; 150: 1248-1255).","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 9","pages":"1248-1255"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680204","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

[Prevalence of gallbladder cancer in a Northern Chilean region]. [智利北部地区胆囊癌的患病率]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-09-01 DOI: 10.4067/S0034-98872022000901131

Marcelo Fonseca C, José García R, Attila Csendes J, Sergio Calcagno Z, Dino Ibaceta O, Pablo Báez B, Katherine Marcelain C

{"title":"[Prevalence of gallbladder cancer in a Northern Chilean region].","authors":"Marcelo Fonseca C, José García R, Attila Csendes J, Sergio Calcagno Z, Dino Ibaceta O, Pablo Báez B, Katherine Marcelain C","doi":"10.4067/S0034-98872022000901131","DOIUrl":"https://doi.org/10.4067/S0034-98872022000901131","url":null,"abstract":"Background: Gallbladder Cancer (GBC) prevalence varies among countries, associated with different geographical and genetic factors. The Mapuche ethnicity (Ethnia mostly located between the VIII and X Chilean regions) stands out in Chile due to its high GBC prevalence.Aim: To estimate the GBC prevalence in patients undergoing cholecystectomy at a public hospital in the Northern region of Chile (Tarapaca), where other ethnical groups are common.Material and methods: Pathological reports of 3270 patients (72% women) who underwent cholecystectomy between January 2016 and December 2019 were revised. Subsequently, the accreditation of ethnic belonging for each patient to one of the ten native communities in Chile was requested to the National Corporation for Native Communities Development (CONADI).Results: According to the analysis of pathological reports, the global GBC prevalence was 0.3 %. The prevalence in Aymaras was 0.4% and 0% in Mapuches. The distribution of ethnic origins among analyzed patients was Aymara in 14.3, Mapuche in 2.7%, Diaguita in 1.7%, Quechua in 1.3%, Atacameña in 0.2%, and Colla in 0.2%. No specific ethnic origin was found in 79% of patients.Conclusions: There was a low GBC prevalence rate in Northern Chile and among the Aymara population.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 9","pages":"1131-1137"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680206","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

[Professionalism and narrative medicine]. 【专业主义与叙事医学】。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-09-01 DOI: 10.4067/S0034-98872022000901234

Catherine Soto-Faúndes, Cristhian Pérez-Villalobos

{"title":"[Professionalism and narrative medicine].","authors":"Catherine Soto-Faúndes, Cristhian Pérez-Villalobos","doi":"10.4067/S0034-98872022000901234","DOIUrl":"https://doi.org/10.4067/S0034-98872022000901234","url":null,"abstract":"This work is a bibliographical review of the challenges of professionalism in medical training. Medicine practiced with narrative competence, called narrative medicine, is proposed as a model for humane and effective medical practice. By virtue of the changes in the practice of medicine during the last years, professionalism values emerge as qualities that should reshape medicine. Several medical associations are redefining professionalism and insist that this issue should be included in the training curriculum. Thus, several medical education institutions are pursuing strategies to teach and assess professionalism. Modeling is still relevant as a learning strategy, but it must be tutored and directed. Also, timely and formative feedback appears as the most frequently suggested evaluative action. Both processes incorporate a personal reflective practice. Several recent studies suggest that a reflective experience is relevant for the formation of a professional identity. Narrative Medicine methodology emerges as an innovative strategy to address this issue, as it seeks to deliver valuable learning experiences to the students through reflection and the search for a new paradigm for medical practice.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 9","pages":"1234-1238"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9686577","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

[Cardiac transplant program Guillermo Grant Benavente Hospital]. [心脏移植项目吉列尔莫格兰特贝纳文特医院]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-09-01 DOI: 10.4067/S0034-98872022000901267

Enrique Seguel S, Fabrizio Fasce V, Aleck Stockins L, Patricio Córdova C, Alexis González-Burboa

引用次数: 0

[Late-onset hereditary transthyretin amyloidosis with polyneuropathy. Report of one case]. 迟发性遗传性甲状腺素转淀粉样变性伴多发性神经病。报告1例]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-09-01 DOI: 10.4067/S0034-98872022000901260

José Manuel Matamala, Camila Peña, Javier Moreno-Roco, Jaime Álvarez, Pablo Villegas, Andres Stuardo, Bárbara Puga, Ricardo Valjalo, Gonzalo Correa, Cecilia Jeraldo, Gonzalo Méndez, Jorge Larrondo, Marianne Gosch, Rodrigo Carrasco

{"title":"[Late-onset hereditary transthyretin amyloidosis with polyneuropathy. Report of one case].","authors":"José Manuel Matamala, Camila Peña, Javier Moreno-Roco, Jaime Álvarez, Pablo Villegas, Andres Stuardo, Bárbara Puga, Ricardo Valjalo, Gonzalo Correa, Cecilia Jeraldo, Gonzalo Méndez, Jorge Larrondo, Marianne Gosch, Rodrigo Carrasco","doi":"10.4067/S0034-98872022000901260","DOIUrl":"https://doi.org/10.4067/S0034-98872022000901260","url":null,"abstract":"Hereditary transthyretin amyloidosis is a multisystemic autosomal dominant genetic disorder characterized by progressive distal sensory-motor polyneuropathy or restrictive cardiomyopathy, secondary to amyloid deposits. Its pathogenesis lies in the TTR gene mutation, and the Val50Met mutation is the most frequent. Patients have significant differences in the onset and severity of clinical presentation according to their country of origin. The diagnosis of this pathology is complex, even more in countries where it is not considered endemic. However, early suspicion and management are essential to improve survival and avoid unnecessary diagnostic and therapeutic strategies. We report a 69-year-old woman who presented a sensory-motor polyneuropathy, predominantly sensory, associated with distal neuropathic pain and bilateral vitritis. The history of her Italian father with polyneuropathy of unspecified etiology stood out. A vitreous biopsy identified amyloid substance deposits (congo red positive). These were also confirmed on a superficial peroneal nerve biopsy. During the etiological study of her polyneuropathy, an increased Kappa/Lambda index of 2.55 mg/L stood out. Therefore, light chain amyloidosis was suspected, and chemotherapy treatment was indicated without favorable response. After 10 years of progressive neurological and ophthalmological involvement, a genetic study confirmed the first case of late-onset hereditary transthyretin amyloidosis Val50Met with polyneuropathy in Chile.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 9","pages":"1260-1265"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680201","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

[Risk factors associated with 10-year survival after coronary artery bypass grafting]. [与冠状动脉旁路移植术10年生存率相关的危险因素]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-09-01 DOI: 10.4067/S0034-98872022000901162

Roberto González L, Andrés Schaub C, Felipe Alarcón O, Rodrigo Reyes M, Aleck Stockins L, Enrique Seguel S, Alejandra Riquelme U, Sebastián Barra M, Diego Saldivia Z, Patricio Madrid C, Alejandro Pérez G, Emilio Alarcón C

{"title":"[Risk factors associated with 10-year survival after coronary artery bypass grafting].","authors":"Roberto González L, Andrés Schaub C, Felipe Alarcón O, Rodrigo Reyes M, Aleck Stockins L, Enrique Seguel S, Alejandra Riquelme U, Sebastián Barra M, Diego Saldivia Z, Patricio Madrid C, Alejandro Pérez G, Emilio Alarcón C","doi":"10.4067/S0034-98872022000901162","DOIUrl":"https://doi.org/10.4067/S0034-98872022000901162","url":null,"abstract":"Background: Coronary artery bypass grafting (CABG) is the treatment of choice for a broad spectrum of patients with coronary disease.Aim: To describe global survival and factors associated with lower long-term survival in patients operated with isolated CABG.Material and methods: Analysis of a cohort of patients who underwent CABG between January 2006 and December 2008 at a public hospital. The database and operation records of 1.003 cardiac surgeries were reviewed. Of these, an isolated CABG was performed in 658 patients aged 62 ± 9 years including 516 male (78%). Survival data were obtained from the Chilean Civil Registry Office and a complete ten-year follow up was accomplished. Survival was analyzed with Kaplan-Meier method with log-rank test and Cox regression.Results: Operative mortality occurred in 13 patients (2%). Survival at 1, 3, 5 and 10 years was 97, 94, 91 and 76%, respectively. One, 3, 5 and 10-year free of cardiovascular death survival was 98, 97, 95 y 89%, respectively. Factors associated with long-term survival were chronic kidney disease in hemodialysis (Hazard ratio (HR) 7.9; 95% confidence intervals (CI) 4.6-13.6), chronic obstructive pulmonary disease (HR 2.3; 95% CI 1.4-3.7), chronic arterial occlusive disease (HR 2.2; 95% CI 1.4-3.4) and diabetes mellitus (HR 1.9; 95% CI 1.4-2.6). According to EuroSCORE, 10-year survival was 86, 75 and 62% (p < 0.01) in low, medium and high-risk patients, respectively.Conclusions: These patients had a 10-year survival comparable to large international series. Groups associated with lower 10-year survival were identified.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 9","pages":"1162-1170"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9688541","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

[Anxiety and depression among medical students during COVID-19 pandemic]. [新冠肺炎大流行期间医学生焦虑抑郁状况分析]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-08-01 DOI: 10.4067/S0034-98872022000801018

Francisco J Villalón López, María Ivonne Moreno Cerda, Williams GonzáLez Venegas, Adrián Alonso Soto Amaro, Javiera Valentina Arancibia Campos

{"title":"[Anxiety and depression among medical students during COVID-19 pandemic].","authors":"Francisco J Villalón López, María Ivonne Moreno Cerda, Williams GonzáLez Venegas, Adrián Alonso Soto Amaro, Javiera Valentina Arancibia Campos","doi":"10.4067/S0034-98872022000801018","DOIUrl":"https://doi.org/10.4067/S0034-98872022000801018","url":null,"abstract":"BACKGROUND Medical students are especially prone to anxiety and depression. AIM To characterize the presence of anxiety and depression and their association with gender and academic year among medical students. MATERIAL AND METHODS Standardized electronic surveys about anxiety and depression symptoms were sent to 498 medical students with a response rate of 78%. RESULTS We analyzed 359 surveys. A mean of 11.4 points out of 27 was observed in the depression symptoms scale. Also, 23 and 10% of respondents had moderately severe or symptoms of depression, respectively. A mean of 8.9 out of 21 points in the anxiety symptoms scale was observed. Moderate or severe anxiety symptoms were present in 26 and 15% of respondents, respectively. Women and preclinical students had higher depression and anxiety scores. CONCLUSIONS A high presence of anxiety and depression symptoms was characterized among medical students during the pandemic. Preclinical students and women had higher scores in both scales.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 8","pages":"1018-1025"},"PeriodicalIF":0.6,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10062880","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: 1

[Handgrip strength as a predictor of adverse health outcomes]. [握力作为不良健康结果的预测因子]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-08-01 DOI: 10.4067/S0034-98872022000801075

Yeny Concha-Cisternas, Fanny Petermann-Rocha, José Castro-Piñero, Solage Parra, Cecilia Albala, Vanessa Van De Wyngard, Jaime Vásquez, Igor Cigarroa, Carlos Celis-Morales

引用次数: 1

[Right to food in the Chilean constitution: legal, social and nutritional elements for a proposal]. [智利宪法中的食物权:法律、社会和营养要素提案]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-08-01 DOI: 10.4067/S0034-98872022000801026

Lorena Rodríguez Osiac, Jorge Aranda Ortega, Patricia Gálvez Espinoza, María Begoña Carroza, Pamela Estay Castro, Andrea Marín Figari, Francisca Rojo Medina, Marcela Araya Bannout

{"title":"[Right to food in the Chilean constitution: legal, social and nutritional elements for a proposal].","authors":"Lorena Rodríguez Osiac, Jorge Aranda Ortega, Patricia Gálvez Espinoza, María Begoña Carroza, Pamela Estay Castro, Andrea Marín Figari, Francisca Rojo Medina, Marcela Araya Bannout","doi":"10.4067/S0034-98872022000801026","DOIUrl":"https://doi.org/10.4067/S0034-98872022000801026","url":null,"abstract":"Background: The Human Right to Food is not incorporated in the Chilean Constitution.Aim: To identify the legal, social, and nutritional elements for its incorporation into the new Constitution, and to draft a text proposal for the constituent discussion.Material and methods: Descriptive and qualitative study on the perceptions of experts and key actors of the food chain in Chile. The sample was for convenience and included civil society, academia, international organizations, parliamentarians, food traders and producers, and national and local authorities (n = 26). The research team, previously trained and standardized, applied semi-structured online surveys, which were recorded and transcribed. Through an inductive approach, a thematic analysis was carried out using the Atlas.ti 9.0 software.Results: Eighty-one percent of the interviewees were in favor of the Constitutional incorporation of the Right to Food. According to interviews, a constitutional text was proposed considering the characteristics of adequate, healthy, safe, and nutritious foods. Also, the food items must be available, physically and economically accessible, and culturally relevant. A guaranteed citizen participation, food sovereignty, food security, and environmental sustainability must be considered.Conclusions: The high prevalence of malnutrition due to excess, poor diet, and food insecurity during the COVID-19 pandemic, and a current Constitution that does not explicitly guarantee physical and economic access to food, establish a factual and normative background that justifies the incorporation of this right in a new Constitution.","PeriodicalId":21360,"journal":{"name":"Revista medica de Chile","volume":"150 8","pages":"1026-1035"},"PeriodicalIF":0.6,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9688542","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

[Bilateral pheochromocytoma associates with TMEM127 gene mutation. Report of one case]. 双侧嗜铬细胞瘤与TMEM127基因突变有关。报告1例]。

IF 0.6 4区医学

Revista medica de Chile Pub Date : 2022-08-01 DOI: 10.4067/S0034-98872022000801115

José F Delgado, María Javiera Pérez E, Dasha Delgado, Carlos Lagos, René Baudrand, Thomas Uslar

引用次数: 0