Revista médica de Chile
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Revista médica de Chile · Nov 2022
[The perception of teachers and students about clinical reasoning in health care careers].
Clinical reasoning (CR) is a training mainstay in health care careers. ⋯ Both students and teachers point to CR as an analysis process that is indispensable in both careers. Exposure to variable educational experiences through active educational strategies in small groups encourages CR.
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Revista médica de Chile · Nov 2022
[A review about the putative mechanisms of action of electroconvulsive therapy in schizophrenia in human research].
Electroconvulsive therapy (ECT) has multiple uses in psychiatry, but its mechanisms of action (MA) in patients with schizophrenia (PS) are poorly understood. We synthesize and discuss the available evidence in this regard. We conducted a search for primary human studies and systematic reviews searching MA of ECT in PS published in PubMed/Medline, SciELO, PsycInfo, and the Cochrane Library, including 24 articles. ⋯ Most of the included studies are observational or quasi-experimental, with small sample sizes. However, they show simultaneous changes at different neurobiological levels, with a pathophysiological and clinical correlation. We propose that the research on ECT should be carried out from neurobiological dimensions, but with a clinical perspective.
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Revista médica de Chile · Nov 2022
[Efficiency of the Chilean health system: comparative analysis between health services].
The assessment of health systems efficiency determines how they use their supplies to produce results of health value. ⋯ Numerous factors influence the efficiency of the Chilean health system and delving into them would allow a better use of public resources for the benefit of the population.
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Revista médica de Chile · Nov 2022
Case ReportsChronic angina secondary to Takayasu arteritis. Report of one case.
Chronic coronary syndromes are usually considered uncommon in young women, related to slower progression of atherosclerotic coronary artery disease, have atypical clinical presentations, and experience less diagnostic investigation. Non-atherosclerotic causes of coronary artery disease should be considered in young women experiencing angina. We report a 25-year-old woman who consulted for five months of moderate exertion angina. ⋯ The patient experienced an apparent clinical response to initial medical therapy. However, follow-up evaluation revealed persistence of significant ischemia and requirement for myocardial revascularization. A percutaneous coronary intervention was performed.