Revista médica de Chile
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Revista médica de Chile · Jul 2010
[Endovascular management of acute complications of type B aortic dissection].
Type B aortic dissection is usually managed by intensive care medical therapy and surgery is reserved for treating the complications that can occur during the evolution of a case. ⋯ Endovascular treatment is effective in closing the aortic tear as well as the thoracic aortic false lumen in aortic type B dissections with a low complication rate. Due to the high frequency of distal aortic false lumen persistence, it is not a definitive treatment for this condition but it is useful for the acute complications of the initial phase of type B aortic dissection.
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Revista médica de Chile · Jun 2010
Editorial[Revista Médica de Chile: A new member in the "International Committee of Medical Journal Editors"].
After a worldwide call for applications that took place in 2009, two medical journals were selected to become new members of the "International Committee of Medical Journal Editors (ICMJE)": Chinese Medical Journal and Revista Médica de Chile. Both Editors: Getu Zhaori, MD, and Humberto Reyes, MD, respectively, attended the ICMJE Meeting, 12-14 April 2010, in Queenstown, New Zealand. The meeting agenda included several topics that had been studied in advance by the attendants: editors or deputy editors of the 14 journals integrating this Committee plus a representative for the U. ⋯ These recommendations will be published shortly in ICMJE member journals. An important issue discussed refers to improvements in the "ICMJE Uniform Disclosure Form for Potential Conflicts of Interest"' that had some changes, a glossary of terms will be attached to it and the Instructions will be accompanied by translations into the official WHO languages as well as other languages used by ICMJE member journals. For our journal it is an honor and a great responsibility to become a member of this highly qualified Committee, the only journal published in Spanish and the first one from Latin America.
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Revista médica de Chile · Jun 2010
Randomized Controlled Trial[Effect of a tele-care model on self-management and metabolic control among patients with type 2 diabetes in primary care centers in Santiago, Chile].
Telephone based self-management support may improve the metabolic control of patients with type2 (DM2) diabetes if it is coordinated with primary care centers, if telephone protocols and clinical guidelines are used and if it is provided by nurses trained in motivational interviewing. ⋯ The ATAS intervention, in low income primary care centers, significantly increased the probability of stabilizing the metabolic control of patients with DM2 and improved their use of health services.
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Revista médica de Chile · Jun 2010
[An instrument in Spanish to evaluate the performance of clinical teachers by students].
The modernization of clinical teaching has called for the creation of faculty development programs, and the design of suitable instruments to evaluate clinical teachers' performance. ⋯ MEDUC30 is a valid, reliable and useful instrument to evaluate the performance of clinical teachers. To our knowledge, this is the first instrument in Spanish for which solid validity and reliability evidences have been reported. We hope that MEDUC30 will be used to improve medical education in Spanish-speaking medical schools, providing teachers a specific feedback upon which to improve their pedagogical practice, and authorities with valuable information for the assessment of their faculty.
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Revista médica de Chile · May 2010
[Calculation of costs per inpatient day in an intensive care unit].
Intensive medicine is especially expensive and requires an efficient management. ⋯ All diseases studied had significantly higher costs than those assigned by the National Health Fund.