Revista médica de Chile
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Revista médica de Chile · Jan 2020
[Activity based costs of different units in a high complexity Chilean hospital].
Hospitals must have management tools that allow them to fulfil all their requirements with the allocated resources. ⋯ This study identified bed-day costs and provides disaggregated information about the causes of cost differences between medical specialties.
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The incidence rates of cardiac tumors are low. ⋯ Cardiac myxoma usually has nonspecific symptoms. Surgical excision offers excellent short and long-term results. Complications and recurrence rates are low in non-hereditary myxomas but obligates to perform echocardiographic follow-up for early diagnosis of recurrence.
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Revista médica de Chile · Jan 2020
Case Reports[Bilateral renal papillary necrosis of spontaneous resolution as a cause of microscopic hematuria. Report of one case].
Renal papillary necrosis is an infrequent cause of hematuria characterized by ischemic necrosis of the renal medulla, especially the papilla. Its most common cause is analgesic abuse. ⋯ We report a 63-year-old female studied for an asymptomatic microscopic hematuria whose tomographic study showed a bilateral renal papillary necrosis. No etiology was found, and she evolved with a spontaneous complete remission.
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Revista médica de Chile · Jan 2020
[Endoscopy after bariatric surgery: what the endoscopist must know].
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. ⋯ Dreaded complications such as leaks, stenosis or weight regain can be successfully assessed and treated by endoscopy. Postoperative evaluation of symptoms requires the precise search of details that can change patient's management.
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Revista médica de Chile · Jan 2020
[Effect of the presence of student-assistants on the quality of care perception by ambulatory patients].
The time dedicated to patients and how they are treated are crucial in the evaluation of health care quality. Medical students acting as medical assistants could improve the perception of a good quality of care among ambulatory patients. ⋯ These data support the hypothesis that the presence of a Student-Assistant could improve the perception of patients about how they are treated at primary health care centers.