Revista Hospital Clínico Universidad de Chile最新文献_第10页

Las dualidades del 2020 2020年的二元性

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-16 DOI: 10.5354/2735-7996.2019.69986

María Patricia Gómez Morales

引用次数: 0

Uso de telepsiquiatría para apoyar la atención primaria de salud mental en el tratamiento de niños, niñas y adolescentes con vulneración de derechos: resultados preliminares 利用远程精神病学支持初级精神卫生保健治疗侵犯权利的儿童和青少年:初步结果

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-16 DOI: 10.5354/2735-7996.2019.69988

M. Irarrázaval D., Adrian Mundt, Pablo Martínez D., Olga Fernández G., G. Rojas C.

{"title":"Uso de telepsiquiatría para apoyar la atención primaria de salud mental en el tratamiento de niños, niñas y adolescentes con vulneración de derechos: resultados preliminares","authors":"M. Irarrázaval D., Adrian Mundt, Pablo Martínez D., Olga Fernández G., G. Rojas C.","doi":"10.5354/2735-7996.2019.69988","DOIUrl":"https://doi.org/10.5354/2735-7996.2019.69988","url":null,"abstract":"The aim of this study was to present preliminary results of a video-based consultation-liaison psychiatry service (telepsychiatry) to enhance the delivery of mental health services in primary health care (PHC) for institutionalized children and adolescents (ICA). A mixed-methods study was carried out at two PHC clinics in Quilpué, Chile, to assess the feasibility of a telepsychiatry service (TPS). TPS consisted of bimonthly, remotely conducted video-conference sessions between PHC teams and child and adolescent consultant psychiatrists located at the Psychiatric University Hospital in Santiago, to discuss mental health problems of ICA. During July to December 2018 thirteen TPS sessions were carried out, and a total of 15 ICA were discussed to elaborate diagnostic and/or therapeutic recommendations. The intervention was useful and acceptable to PHC providers. Participants perceived that better coordination between substitute care facilities and PHC clinics would be useful, and that training opportunities to address the mental health needs of ICA were required. A TPS to enhance the delivery of mental health services in PHC for ICA was feasible, further studies are needed to determine benefits for ICA.","PeriodicalId":287456,"journal":{"name":"Revista Hospital Clínico Universidad de Chile","volume":"299 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133236187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alergia a ß-lactámicos en niños 儿童对ß-内酰胺过敏

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-16 DOI: 10.5354/2735-7996.2019.70008

A. Guzmán, Rocío Tordecilla, M. A. González

引用次数: 0

Estatinas, drogas de amplio espectro de acción y beneficios 他汀类药物，广谱药物的作用和益处

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-16 DOI: 10.5354/2735-7996.2019.70039

Ildefonzo Arocha-Rodulfo

引用次数: 0

Factores pronósticos de morbimortalidad cardiovascular en pacientes egresados con infarto agudo al miocardio seguidos por un año 急性心肌梗死患者心血管发病率和死亡率的预后因素随访1年

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-16 DOI: 10.5354/2735-7996.2019.70038

H. Ugalde P., Ignacio Cifuentes R., Pablo Romero A., Ariel Castro L.

{"title":"Factores pronósticos de morbimortalidad cardiovascular en pacientes egresados con infarto agudo al miocardio seguidos por un año","authors":"H. Ugalde P., Ignacio Cifuentes R., Pablo Romero A., Ariel Castro L.","doi":"10.5354/2735-7996.2019.70038","DOIUrl":"https://doi.org/10.5354/2735-7996.2019.70038","url":null,"abstract":"Acute myocardial infarction is one of the main causes of death in the world, this occurs in the in-hospital period as well as in the follow-up. It has been much studied what occurs in the in-hospital period, but much less what occurs in the follow-up of patients with this pathology. The objective of this study was to follow patients discharged after myocardial infarction for 1 year and analyze predictors of cardiovascular events. 1174 patients were followed for 1 year, of which 17% presented some serious cardiovascular event, associated with the presence of male sex, older age, arterial hypertension, previous history of angina, hospital treatment only pharmacological, inclusion of positive inotropes in the initial treatment and use of calcium channel blockers, factors already shown by international literature but less analyzed in our country, and furthermore, the demonstration that invasive management with coronary angioplasty or bypass surgery are protective factors of the occurrence of events in this period, which reinforces the idea of a more intensive and invasive management in patients with this pathology.","PeriodicalId":287456,"journal":{"name":"Revista Hospital Clínico Universidad de Chile","volume":"281 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116073458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluación de la corrección angular de la integral velocidad tiempo en ecocardiografía. Estudio piloto 超声心动图中积分速度时间角校正的评价。试点研究

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-16 DOI: 10.5354/2735-7996.2019.70006

D. Ugalde C, Solange Brugere O., Angela Pino L.

{"title":"Evaluación de la corrección angular de la integral velocidad tiempo en ecocardiografía. Estudio piloto","authors":"D. Ugalde C, Solange Brugere O., Angela Pino L.","doi":"10.5354/2735-7996.2019.70006","DOIUrl":"https://doi.org/10.5354/2735-7996.2019.70006","url":null,"abstract":"Background: Echocardiography has now a pivotal role as a tool for hemodynamic monitoring, particularly in the critically ill. However, the ideal acoustic window for relevant measurements such as the velocity time integral are not always available. We propose to evaluate if angular correction of this variable is accurate in comparison with standard technique. Patients and methods: Adult patients were evaluated in the echocardiography unit during Juny 2017, having velocity time integral measured with angulation and standard technique, with convenience sampling. Analysis included difference, means and correlation between basal results and maximal angulation, in Stata 12. Results: 25 patients were included, mean velocity time integral was 23,01cm and with a mean angulation of 32,56º the integral was 24,27cm, with 5,5% difference, statistically significant, linear correlation had a 0,932 coefficient with R-square of 0,7897. Bland-Altman analysis revealed mean difference -1,256cm and agreement limits of -5,219 to 2,707. Discussion: In this study the result of the velocity time integral with angular correction had a good correlation and acceptable precision compared with non-angled measurements, which could allow its use when the acoustic window is sub-optimal, however, these findings should be replicated in critically ill patients.","PeriodicalId":287456,"journal":{"name":"Revista Hospital Clínico Universidad de Chile","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122796494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diseño de un protocolo de telegenética como asistencia al proceso de diagnóstico y registro de los recién nacidos con anomalías congénitas en las regiones de Los Lagos y de Arica y Parinacota 设计一项远程遗传学方案，以协助洛斯拉各斯、阿里卡和帕里纳科塔地区先天性异常新生儿的诊断和登记过程

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-16 DOI: 10.5354/2735-7996.2019.69991

S. Castillo T., Andrea Pardo V

{"title":"Diseño de un protocolo de telegenética como asistencia al proceso de diagnóstico y registro de los recién nacidos con anomalías congénitas en las regiones de Los Lagos y de Arica y Parinacota","authors":"S. Castillo T., Andrea Pardo V","doi":"10.5354/2735-7996.2019.69991","DOIUrl":"https://doi.org/10.5354/2735-7996.2019.69991","url":null,"abstract":"The majority of clinical geneticists in Chile work in the Metropolitan Region (78%). To expand the area of Telemedicine and support the management of the Ministry of Health, we present this Telegenetics development project that includes innovation of assistance and educational nature directed to regions. The implementation of the National Registry of Congenital Anomalies in Chile (RENACH) in the public and private systems, in December 2015, and the obligation to record and describe the anomalies in all newborns, constitutes a favorable scenario that would benefit from the support of clinical geneticists. This proposal brings together a team of 18 specialists and 6 fellows, professionals from different Universities and / or Hospitals of Health Services, in a collaborative project in the area of clinical genetics, which, supported by the HCUCH + CIMT Telemedicine project, will contribute to two regions of Chile better tools for the diagnosis and comprehensive management of newborn patients with congenital anomalies. It can serve as a pilot for a new way to support the registration of malformations throughout Chile and teach clinical genetics concepts. The expected benefits are to improve the quality of care and health management in patients with little-known diseases.","PeriodicalId":287456,"journal":{"name":"Revista Hospital Clínico Universidad de Chile","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125131395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estandarización de la técnica Real Time PCR para la detección molecular de la mutación V617F en el gen de JAK-2 en neoplasias mieloproliferativas crónicas 慢性骨髓增生性肿瘤JAK-2基因V617F突变分子检测实时PCR技术的标准化

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-16 DOI: 10.5354/2735-7996.2019.70005

C. Pérez N., Liliam León V., Araceli Pinto L., G. Muñoz G., J. Alfaro L., M. Larrondo L

{"title":"Estandarización de la técnica Real Time PCR para la detección molecular de la mutación V617F en el gen de JAK-2 en neoplasias mieloproliferativas crónicas","authors":"C. Pérez N., Liliam León V., Araceli Pinto L., G. Muñoz G., J. Alfaro L., M. Larrondo L","doi":"10.5354/2735-7996.2019.70005","DOIUrl":"https://doi.org/10.5354/2735-7996.2019.70005","url":null,"abstract":"V617F mutation in exon 14 of Janus Kinase 2 gene (jak-2) is used as a molecular marker for the diagnosis of Philadelphia negative myeloproliferative neoplasms (Phi-) such as Polycythemia Vera (PV), Essential Thrombocythemia (ET) and Primary Myelofibrosis (MFP). To detect this mutation, we used conventional polymerase chain reaction technique (PCR), a simple and inexpensive technique, however, has some drawbacks that current technology allows to solve. During the last years, more sensitive molecular techniques have been incorporated in clinical practice to support the diagnosis, prognosis and follow-up of hematological patients. For its implementation in the clinical routine should be considered technical and economic aspects, so in this work, we evaluate the Real Time PCR technique as a diagnostic method for the detection of the Jak-2-V617F mutation, using in house primers design. Our result show that the technique implemented has a concordance index of 0.87 with the conventional PCR used in the molecular diagnosis of myeloproliferative neoplasms. In addition, it has the same specificity, greater sensitivity and, shorter execution time in relation to conventional PCR. The implementation of this diagnostic method in our Hospital is technically possible and commercially convenient.","PeriodicalId":287456,"journal":{"name":"Revista Hospital Clínico Universidad de Chile","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122245152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primera Jornada de Investigación Multidisciplinaria Hospital Clínico Universidad de Chile 2018 2018年智利大学临床医院多学科研究第一天

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-01 DOI: 10.5354/2735-7996.2019.70253

Revista Hospital Clínico Universidad de Chile

引用次数: 0

Test radiológico

Revista Hospital Clínico Universidad de Chile Pub Date : 2019-03-01 DOI: 10.5354/2735-7996.2019.69996

Jorge Contardo P., Daniel Rodríguez D.

引用次数: 0