Revista médica de Chile
-
Revista médica de Chile · Jul 2018
Review[Translational medicine and innovation in health: mechanisms and perspectives].
Many new discoveries in Life Sciences cannot be translated into products, services or new applications to improve human health. Translational medicine, defined as "from bench to bedside", refers to the transfer of results or new knowledge achieved in the laboratory into health innovation. We aim to review the state of art of translational medicine, its relationship with innovation processes and the different perspectives to consider. Finally, we contextualize the situation of Research and Development (R&D) in Chile and the main issues of the biotechnology market in the country.
-
Revista médica de Chile · Jun 2018
[Emergency endovascular management of ischemic stroke. Experience in 104 patients].
Recently, five randomized controlled trials confirmed the efficacy and safety of endovascular treatment with or without intravenous thrombolysis in acute ischemic stroke with large-vessel occlusion. ⋯ The clinical improvement of these patients 24 hours after the procedure and at discharge demonstrate the effectiveness of endovascular treatment in ischemic stroke. The presence neurologists able to interpret multimodal images at the emergency room, the use of local guidelines, the availability of an experienced neuro-interventional team engaged with the workflow and the use of stent retrievers are strongly associated with good outcomes.
-
Revista médica de Chile · Jun 2018
[Verbal and physical abuse towards health care workers in emergency services].
One of the peculiarities of our society is the increase in violence and its repercussions in various areas. Health care is not an exemption. ⋯ There is a high prevalence of verbal abuse and physical violence in emergency services, which requires measures to achieve a zero tolerance to violence in these spaces.
-
The United Nations Convention on the Rights of Persons with Disabilities Article 12 General Commentary, explicitly states that persons with mental illnesses must always have full exercise of their legal rights in all their aspects. Assistants or support persons must not substitute or have undue influence on the decisions of persons with disabilities, including the expression of their consent. However, the number of involuntary psychiatric hospitalizations appears to be increasing globally and in our country. ⋯ The authors conclude that the conflict in this issue is not limited to the respect for autonomy and the obligation to provide care. We are now experiencing a new way of caring patients. The complex local, social and cultural realities, require a renewed knowledge and documentation of experiences.
-
Revista médica de Chile · Feb 2018
Case Reports[Extracorporeal cardiopulmonay resuscitation: case report on an out-of-hospital cardiopulmonary arrest].
Out-of-hospital cardiopulmonary arrest (OHCA) is highly lethal. Although overall survival is increasing, hospital discharge with good neurological prognosis remains low and highly variable. ⋯ He was transferred to the emergency department, where optimal advanced resuscitation was continued, until the connection to extracorporeal cardiopulmonary support, with the aim of reestablishing blood flow, a technique known as cardiopulmonary resuscitation (ECPR: extracorporeal cardiopulmonary resuscitation). The patient was discharged from the hospital 25 days later.