Revista médica de Chile
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Revista médica de Chile · Mar 2024
[Analysis of Medical Referrals from Primary Health Centers to the Otorhinolaryngology Department at Sótero del Río Hospital].
Medical consultations play a crucial role in the collaboration between health centers, particularly in primary care settings, when managing complex pathologies beyond their scope. Analyzing the characteristics of consultations and their prioritization is essential for enhancing referrals to higher complexity centers. This study aims to profile the consultations referred from the primary health care of the South East Metropolitan Health Service to the Otorhinolaryngology Service of the Sótero del Río Hospital, while also evaluating the concordance in their prioritization. ⋯ Evaluating the concordance in the prioritization of consultations is essential for gaining insights into the reality of referrals from primary care to higher complexity centers. Identifying the quality of these referrals can lead to the implementation of strategies to improve the process. Our study suggests that there is a need of improving the communication and education between higher complexity centers and primary health care centers.
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Revista médica de Chile · Mar 2024
Case Reports[First Report of a Family with Familial Hypocalciuric Hypercalcemia in Chile: Differential Diagnosis in a Patient with PTH-Dependent Hypercalcemia Post-Parathyroidectomy].
We report a 45-year-old woman with persistent post-parathyroidectomy PTH-dependent asymptomatic hypercalcemia who, after evaluation in our bone clinic, was diagnosed as having familial hypocalciuric hypercalcemia based on concomitant hypocalciuria and a family history of asymptomatic hypercalcemia. Genetic study shows a variant of uncertain significance in the CASR gene. To our knowledge, this is the first report on a Chilean family with HHF.
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Revista médica de Chile · Mar 2024
[Assessment of the Diagnostic Utility of Cerebrospinal Fluid Flow Cytometry Immunophenotyping and Cytology in Acute Leukemias at a Public Chilean Hospital].
The diagnosis of blast cell presence in cerebrospinal fluid (CSF) in acute leukemias (AL) is made using techniques such as flow cytometry (FCM) and conventional cytology (CC). This study aims to evaluate CSF blast cell presence frequency in LA using both techniques (CC and FCM) in our center. ⋯ CMF detects more than twice as many CSF blast-positive cases in LA as CC and is, therefore, suitable for routine use along with CC.
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Revista médica de Chile · Mar 2024
[Criteria for Designating a Health Care Facility as a Teaching Institution: An Analysis of International Regulations and Practices].
The requirements of health care facilities (HCF) being recognized as having 'university' status are relevant for providing high-quality clinical education to health profession students. However, no previous studies have reported the key features of the Chilean HCF as having university rank. ⋯ The findings represent a significant contribution to the requirements that must be considered to strengthen and develop health facilities that currently welcome students, in order to comprehensively develop safe and quality care, teaching and research, promoting effective collaboration between these institutions.