Revista médica de Chile
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Revista médica de Chile · Oct 2001
Case Reports[Massive pericardial effusion and cardiac tamponade as the presentation form of hypothyroidism].
We report a 43 years old female, admitted due to fatigability, asthenia and diffuse abdominal pain. On admission, obesity, slowness of thinking, bradycardia, distention of jugular veins and ascites were observed on physical examination. ⋯ A pericardial tap was performed, draining 350 ml. Thyroid hormone substitution was started and after 12 months of follow up, the heart size decreased and a control echocardiogram showed a minimal pericardial effusion.
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Revista médica de Chile · Sep 2001
Comparative Study[Problem based learning in the teaching of physics to medical students. Comparison with traditional teaching].
Problem based learning, integrating basic science with clinical problems, is one of the most recommended forms of teaching for medical schools. ⋯ Physics education, using problem based learning, obtains the same cognitive results but a higher degree of satisfaction than traditional teaching among students.
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Revista médica de Chile · Aug 2001
Review Case Reports[Gemcitabine in the treatment of 4 patients with cholangiocarcinoma].
Cholangiocarcinoma is a biliary tree cancer of unknown etiology, whose symptoms are unspecific and is usually detected in advanced stages. Surgery continues to be the only curative therapy. Median survival in patients with inoperable tumors ranges between 5 and 8 months. ⋯ We report four patients with advanced cholangiocarcinoma, treated with gemcitabine 1000 mg/m2, weekly for 3 weeks every 28 days. There was a stabilization of tumor size and symptoms were alleviated. Toxicity was low and there was a probable prolongation of survival.
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Revista médica de Chile · Aug 2001
[Accreditation of medical schools. Purpose, development and projections of a process (corrected)].
Important advances in the accreditation of higher education institutions and programs have occurred in Chile. A definite step forward had been the accreditation of three of the six Medical Schools, considered in the agreement subscribed between the Chilean Medical Faculties Association and the National Committee for Undergraduate Program Accreditation (CNAP). ⋯ Its observation has revealed the difficulties of accreditation procedures and the early benefits obtained after they have been completed. The careful observation of the evaluation procedure will help to improve the used model and to design an effective accreditation instrument that will ultimately improve undergraduate teaching programs.
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Revista médica de Chile · Jun 2001
[Characteristics of hospitalization of patients with rheumatic diseases admitted to a tertiary care hospital].
The diagnostic profile of patients with rheumatic diseases admitted to a general hospital is variable. ⋯ Admissions due to rheumatic diseases are prolonged, correspond to 0.46% of all admissions and the main responsible disease is systemic lupus erythematosus.