Revista médica de Chile
-
Revista médica de Chile · Nov 1999
Comparative Study[Systemic inflammatory response syndrome: is it comparable with severe sepsis?].
In 1992, a consensus conference defined the terms systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock. Since then, numerous reports have validated the prognostic usefulness of these operative definitions. ⋯ The Consensus sepsis severity criteria can be applied to noninfectious SIRS, defining a population subset with similar high mortality and organ dysfunction incidence, although with greatly heterogeneous etiologies.
-
Revista médica de Chile · Oct 1999
[Association of non-syndromic cleft lip and cleft palate with microsatellite markers located in 6p].
Nonsyndromic cleft lip with or without cleft palate (NSCLP) is a common craniofacial developmental defect. Association studies have suggested that a clefting locus is located on chromosome 6p at or near two possible loci, Factor 13A (FI3A) in the region 6p 25-24 and HLA at 6p 21.3. ⋯ Our results support the hypothesis that a NSCLP locus maps on 6p23 very close to D6S89. Results for D6S109 and D6S105 do not show a clear association. Differences observed between NSCLP-MX and Sx families seem to represent different etiologic entities. The results of the present study, plus those already published for candidate loci, TGFA and MSX1, support the hypothesis that several interacting major genes participate in the etiology of NSCLP.
-
Revista médica de Chile · Jun 1999
Randomized Controlled Trial Clinical Trial[Acute effect of dobutamine and amrinone on hemodynamics and splanchnic perfusion in septic shock patients].
-
This was a lecture given by Monsignor Piñera, Honorary Member of the Chilean Academy of Medicine who is a Bishop of the Catholic Church and also an MD. The author addresses the problem of the dying patient in the different positions held by a churchman and by the physician. ⋯ But in both positions, hope must be sustained to the very end and due respect to the patient's will as a human being has to be maintained, helping him her to die with dignity and the best comfort available. Unnecessary or unjustified measures to resuscitate or to prolong life are criticised.