Revista médica de Chile
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Revista médica de Chile · Nov 2024
[Training Present and Future Doctors for Chile: How Many and For What? The Urgent Need to Review the Physician Quota Generation Model].
Before 1990, Chile showed fewer medical schools, six in total, increasing to 13 by 2000. From then on, there was an explosive increase, reaching 29 faculties or schools by 2024. Medical students increased from 1,816 in 2010 to 3,000 by 2024. ⋯ Regarding clinical fields, conducting a relevant study to determine the total public and private sector training capacity that may be part of the training system for the necessary clinical competencies is essential. Forming a working group with relevant stakeholders with knowledge, concern, and involvement would be significant, e.g., the Academy of Medicine, ASOFAMECH, medical schools, Ministry of Health, Ministry of Education, and community representatives. From our higher education perspective, with a nationwide vision, universities should start a joint reflection on our role in this critical topic with a future-oriented view.
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Revista médica de Chile · Nov 2024
Review[Coronary Angiography in Clinical Practice: Update on Indications, Complications, and Contraindications].
Coronary angiography (CA) is the gold standard for identifying the presence and extent of atherosclerotic coronary artery disease or dynamic stenosis of the arteries. ⋯ Since the first CA, performed by Mason Sones in 1958, there has been an exponential growth in interventional cardiology, where CA has improved its technique generating more evidence in its indications.
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Revista médica de Chile · Nov 2024
Case ReportsEncephalitis by Epstein Barr Virus in a Transplant Immunosuppressed Patient.
Encephalitis due to Epstein-Barr Virus (EBV) is a rare condition that primarily affects children and immunosuppressed patients. Diagnosing EBV encephalitis can be challenging due to its nonspecific clinical presentation and the lack of confirmatory tests. We present the case of a 66-year-old woman with a history of kidney transplantation who was admitted due to progressive subacute mental deterioration, preceded by vertigo and without fever. ⋯ The patient was discharged, and outpatient follow-up visits demonstrated full recovery. This case supports the effectiveness of ganciclovir, as observed in previous reports. Overall, patients with EBV encephalitis generally have a benign course with complete recovery or mild sequelae.
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Revista médica de Chile · Nov 2024
Comparative Study[Neurocognitive Performance in Patients with End-Stage Chronic Kidney Disease: Differences Between Conservative Medical Management and Hemodialysis].
No consensus has been reached about how cognitive performance evolves in patients receiving hemodialysis (HD). ⋯ Patients with terminal CKD on HD (even those with a normal MMSE result) show an impairment in their executive functions compared to those who underwent conservative management.
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Revista médica de Chile · Nov 2024
[Social Determinants of Combined Use of Alcohol and Non-prescription Drugs in Older Adults: A Population-based Study in Chile].
Alcohol consumption by older adults has been called the "silent epidemic." An aging population and high levels of alcohol consumption increase the future challenge for epidemiology and public health. In addition, the misuse of prescription drugs is a growing public health problem associated with increased hospitalizations and health complications in older adults. ⋯ The combination of alcohol and medicine without medical prescription is a potential public health problem, especially among older adults. This study represents a national effort to understand this phenomenon, identifying the most vulnerable groups with the highest prevalence of consumption to which public prevention policies should give special attention.