Revista médica de Chile
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Revista médica de Chile · Aug 1994
Historical Article[Celebration of the 50th anniversary of the School of Public Health of the University of Chile].
The joined initiative of the University of Chile, the Health institutions, the Bacteriological Institute and the Rockefeller Foundation support allowed the creation of the School of Public Health. A group of skilled and talented young specialists gave rise to the School, as an expression of the need to refurbish the medical care of the forties. The aim of the School was to communicate the scientific basis of sanitary practice, to study national problems and to group people that can contribute to improve the health status of the country. ⋯ It is difficult to make adequate decisions at the present time, due to the complexity of Chilean health situation, that is going through an epidemiological and demographic transition. A systematic effort to investigate and to train people in public health and health administration is mandatory. These are the principal tasks of the School, that maintains its fifty years tradition left by its founders.
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Revista médica de Chile · Jun 1994
Case Reports[Spontaneous coronary artery dissection in a young woman with acute myocardial infarction. Clinical case].
Spontaneous coronary artery dissection in the absence of atherosclerosis, is a rare cause of acute myocardial infarction. We report a 37 years old woman with an inferior wall acute myocardial infarction secondary to an spontaneous dissection of the right coronary artery. The patient's evolution was uneventful and a new angiography performed six months later showed that the dissection persisted. The possible etiologies and treatment are discussed.
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Revista médica de Chile · Nov 1993
Comparative Study[Molecular genetic study of cystic fibrosis in the Chilean population. Relationship to its clinical expression].
Aiming to establish a genotype-phenotype relationship and to search a clinical expression in heterozygotes, 25 Chilean subjects with Cystic Fibrosis and 165 relatives were subjected to a clinical-molecular study. The most common mutations found worldwide were studied: delta F-508, G-542X, N-1303K, R-553X and G551D. Clinical and laboratory assessment comprised chest X-rays, spirometry, clinical evaluation, nutritional assessment, sweat test and carotenemia. ⋯ In this group, Brasfield and Schawchman scores were better, probably due to an earlier initiation of treatment. No other differences were found among genotypic groups or relatives. Genetic markers indicated a higher european component of the sample, compared to the general Chilean population.
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Revista médica de Chile · Oct 1993
Comparative Study[Risk factors for low birth weight and intrauterine growth retardation in Santiago, Chile].
An epidemiologic case-control study to ascertain the determinants of low birthweight was carried out in Santiago, Chile, from January to December 1989. The cases were defined as livebirths < 2500 g. The controls were livebirths > or = 2500 g of birthweight. ⋯ Only nutritional factors were related to LBW in preterm group. Women who delivered a LBW or IUGR infant were more likely to have fewer pregnancies, a history of previous LBW, lower prepregnancy weight and lower gestational weight gain. ICP was associated with an elevated risk of LBW that was independent of gestational age.
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Diverse indicators were used to examine medical research in Chile. According to participation in Fondecyt projects, it was concluded that 420 persons were involved in medical sciences research and that 41.9% of them had no postgraduate title. During the eighties, there was a clear aging of the community dedicated to medical research. ⋯ The University of Chile published the greatest number of articles, followed by the Catholic University and, with a remarkable lower amount, other Universities. The impact of the published articles in Clinical Medicine and Biomedical Sciences was calculated from the citations that they generated from 1986 to 1988. Likewise, the articles registered in 1985 with the higher citation indexes were identified.