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Balu K, Chicardi E, Sepúlveda R, Durai M, Ishaque F, Chauhan D, Ahn YH. BiOX (X= I or Cl?) modified Na-K2Ti6O13 nanostructured materials for efficient degradation of Tetracycline, Acid Black 1 dye and microbial disinfection in wastewater under Blue LED. Sep Purif Technol 2022. [DOI: 10.1016/j.seppur.2022.122998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Sepúlveda R, Saldivia M, Vásquez S. Niveles séricos de la isoenzima creatina quinasa-MB y lactato deshidrogenasa como indicadores de daño miocárdico en perros con enfermedad valvular degenerativa. Rev Med Vet Zoot 2022. [DOI: 10.15446/rfmvz.v69n1.101533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Se analizaron los niveles séricos de creatina quinasa-MB (CK-MB) y lactato deshidrogenasa (LDH) en 10 perros diagnosticados con enfermedad valvular degenerativa y en seis perros clínicamente sanos, con el objetivo de evaluar si sus niveles séricos indican daño miocárdico. Las muestras de suero se analizaron mediante el método UV. Se utilizó la prueba de diferenciación de medias para determinar diferencias entre medias, y la prueba de correlación de Pearson para determinar si existe correlación entre los niveles séricos de ambas enzimas. Los valores de CK-MB y de LDH fueron significativamente diferentes entre los dos grupos de pacientes. Los niveles de CK-MB y LDH tuvieron correlación positiva, pero no significativa.
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Lloreda-Jurado P, Perez-Puyana V, Romero A, Sepúlveda R. Influences of the solid load on the microstructure and compressive behavior of Fe2O3 scaffolds manufactured by freeze-casting using stearic acid as dispersant agent. Ann Ital Chir 2022. [DOI: 10.1016/j.jeurceramsoc.2021.09.056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Sepúlveda R, Zitko P, Ramírez J, Markkula N, Alvarado R. Primary care consultation liaison and the rate of psychiatric hospitalizations: a countrywide study in Chile. Rev Panam Salud Publica 2019; 42:e138. [PMID: 31093166 PMCID: PMC6386200 DOI: 10.26633/rpsp.2018.138] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Accepted: 05/07/2018] [Indexed: 01/25/2023] Open
Abstract
Objectives To assess the quality of consultation liaison across all primary health care centers in Chile, and its potential relationship with the psychiatric hospitalization rate. Methods We carried out a countrywide ecological cross-sectional study on 502 primary health centers in 275 municipalities (87.3% of total primary health centers in Chile) during 2009. We characterized the presence of consultation liaison using four criteria: availability, frequency, continuity of participants, and continuity across care levels. We also created a dichotomous variable called “optimal consultation liaison” for when all four criteria were met. A quasi-Poisson regression model was used to estimate the rate of hospitalization due to different psychiatric disorders, adjusting by population attributes. Results Of the primary health centers, 28.3% of them had had optimal consultation liaison during the preceding year, concentrated in the poorest and richest municipalities. Continuity of care was the criterion that was met least often (38.3%). The presence of optimal consultation liaison at the municipal level was associated with fewer psychiatric discharges, with the following incidence rate ratios and 95% confidence intervals (CIs): schizophrenia, 0.65 (95% CI: 0.49–0.85); other psychoses, 0.68 (95% CI: 0.52–0.89); and personality disorders, 0.66 (95% CI: 0. 49–0.89). Municipalities with optimal consultation liaison showed 2.44 fewer total psychiatric discharges per 10 000 inhabitants, although without reaching statistical significance (-0.85 to 5.70). Conclusions Using a nationally representative sample, we found that consultation liaison in primary care was associated with having fewer psychiatric hospitalizations. More studies are required to understand the role of each component of consultation liaison.
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Affiliation(s)
- Rafael Sepúlveda
- Universidad de Chile, Escuela de Salud Pública, Santiago de Chile, Chile
| | - Pedro Zitko
- King's College London, Health Service and Population Research Department, IoPPN, London, United Kingdom of Great Britain and Northern Ireland
| | - Jorge Ramírez
- Universidad de Chile, Escuela de Salud Pública, Santiago de Chile, Chile
| | | | - Rubén Alvarado
- Universidad de Chile, Escuela de Salud Pública, Santiago de Chile, Chile
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Minoletti A, Sepúlveda R, Gómez M, Toro O, Irarrázabal M, Díaz R, Hernández V, Chacón S. [Analysis of Governance in the Implementation of the Chilean Community Mental Health ModelAnálise da governança na implementação do modelo comunitário de saúde mental no Chile]. Rev Panam Salud Publica 2019; 42:e131. [PMID: 31093159 PMCID: PMC6386069 DOI: 10.26633/rpsp.2018.131] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Accepted: 06/12/2018] [Indexed: 12/03/2022] Open
Abstract
El presente artículo describe y analiza el rol que ha jugado la gobernanza en el desarrollo del modelo comunitario de salud mental en Chile. Se describen y analizan cinco dimensiones de la gobernanza: 1) el desarrollo de una serie de estrategias para favorecer la participación de los usuarios de servicios de salud mental ha logrado resultados insuficientes; 2) la implementación de tres planes nacionales de salud mental, que han mantenido la misma visión estratégica a lo largo de tres décadas, han contribuido a aumentar la accesibilidad a la atención comunitaria de las personas con enfermedades mentales y disminuir el rol de los hospitales psiquiátricos; 3) la inexistencia de una ley de salud mental persiste aún como un desafío, aunque haya sido parcialmente compensada por distintas leyes y decretos; 4) las regulaciones en la asignación de los recursos financieros, la formación del recurso humano y las directrices técnicas han contribuido a mejorar el acceso y la calidad de la atención; y 5) la construcción progresiva de un sistema de información en salud mental ha permitido conocer principalmente las tasas de acceso, las brechas de tratamiento y las inequidades geográficas. La experiencia chilena confirma la importancia de aplicar un conjunto de estrategias y mecanismos de gobernanza, para favorecer el desarrollo y el funcionamiento de los servicios de salud mental. El tipo de estrategias y mecanismos de gobernanza podrán variar en los distintos países según los contextos y las ventanas de oportunidades.
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Affiliation(s)
- Alberto Minoletti
- Unidad de Salud Mental, Instituto de Salud Poblacional (Escuela de Salud Pública Dr. Salvador Allende), Facultad de Medicina, Universidad de Chile, Santiago, Chile
| | - Rafael Sepúlveda
- Unidad de Salud Mental, Instituto de Salud Poblacional (Escuela de Salud Pública Dr. Salvador Allende), Facultad de Medicina, Universidad de Chile, Santiago, Chile
| | - Mauricio Gómez
- Subsecretaría de Salud Pública, Ministerio de Salud, Gobierno de Chile, Santiago, Chile
| | - Olga Toro
- Unidad de Salud Mental, Instituto de Salud Poblacional (Escuela de Salud Pública Dr. Salvador Allende), Facultad de Medicina, Universidad de Chile, Santiago, Chile
| | - Matías Irarrázabal
- Departamento de Psiquiatría Norte, Hospital Clínico de la Universidad de Chile, Santiago, Chile
| | - Rodrigo Díaz
- Subsecretaría de Redes Asistenciales, Ministerio de Salud, Gobierno de Chile, Santiago, Chile
| | - Viviana Hernández
- Subsecretaría de Salud Pública, Ministerio de Salud, Gobierno de Chile, Santiago, Chile
| | - Susana Chacón
- Subsecretaría de Redes Asistenciales, Ministerio de Salud, Gobierno de Chile, Santiago, Chile
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Minoletti A, Soto-Brandt G, Sepúlveda R, Toro O, Irarrázaval M. [Mental health response capacity in primary care in Chile: a contribution to Alma-AtaCapacidade de resposta da atenção primária em saúde mental no Chile: uma contribuição de Alma-Ata]. Rev Panam Salud Publica 2018; 42:e136. [PMID: 31093164 PMCID: PMC6385793 DOI: 10.26633/rpsp.2018.136] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Accepted: 08/09/2018] [Indexed: 11/24/2022] Open
Abstract
This article identifies strategies that have contributed to the development of mental health response capacity in primary care in Chile and analyzes some lessons learned from this process. It highlights the formulation of national mental health plans, the gradual development of an information system, the investment of additional resources, the creation of programs and guidelines, human resources development, the positioning of mental health in integrated health service delivery networks, support for biopsychosocial child development, the family and community care model, and the strengthening of leadership and partnerships between health and human services.Its indicators of response capacity are the increase in resources for mental health in primary care, both financial and staffing (that is, the number of professionals and the training provided to them), and the expansion of mental health treatment in primary care settings, notably the rate of people in treatment for mental illness and the support provided for child development.The article analyzes different factors that have contributed to advances in primary care delivery of mental health services, together with some weaknesses in this process. It concludes by demonstrating the feasibility of progress toward the goals of Alma-Ata to other countries in the Region, gradually implementing substantial changes in mental health response capacity in primary care. To this end, it recommends an improvement in the quality and quantity of research in this area through methodologies that permit comparisons between countries in the Region.
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Affiliation(s)
- Alberto Minoletti
- Unidad de Salud Mental, Instituto de Salud Poblacional (Escuela de Salud Pública Dr. Salvador Allende), Facultad de Medicina, Universidad de Chile, Santiago, Chile.
| | - Gonzalo Soto-Brandt
- Departamento de Modelo Atención, División de Atención Primaria, Subsecretaría de Redes Asistenciales, Ministerio de Salud. Santiago, Chile.
| | - Rafael Sepúlveda
- Unidad de Salud Mental, Instituto de Salud Poblacional (Escuela de Salud Pública Dr. Salvador Allende), Facultad de Medicina, Universidad de Chile, Santiago, Chile.
| | - Olga Toro
- Unidad de Salud Mental, Instituto de Salud Poblacional (Escuela de Salud Pública Dr. Salvador Allende), Facultad de Medicina, Universidad de Chile, Santiago, Chile.
| | - Matías Irarrázaval
- Departamento de Psiquiatría Norte, Facultad de Medicina, Hospital Clínico, Universidad de Chile. Santiago, Chile.
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Zitko P, Ramírez J, Markkula N, Norambuena P, Ortiz AM, Sepúlveda R. Implementing a Community Model of Mental Health Care in Chile: Impact on Psychiatric Emergency Visits. Psychiatr Serv 2017; 68:832-838. [PMID: 28457212 DOI: 10.1176/appi.ps.201600371] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE The community model of mental health care (CMMHC) is recommended as the best way to organize mental health care, but evidence of its successful implementation and effectiveness is scarce, particularly in resource-poor settings. This study aimed to evaluate the impact of CMMHC on the rate of psychiatric emergency visits in Santiago, Chile. METHODS The rate of psychiatric emergency visits from 2006 to 2011 was compared between two health care administrative districts: district 1 (D1), in which CMMHC was being systematically implemented, and D2, where CMMHC implementation was very limited and inconsistent. In addition, rates of psychiatric emergency visits in ten D1 municipalities were compared by the degree to which they had implemented CMMHC. RESULTS Compared with D2, D1 had higher rates of psychiatric emergency visits during the observation period. In D1, the rate of visits per 100,000 inhabitants declined from 541 in 2006 to 414 in 2011. In D2, the rate increased from 104 in 2006 to 130 in 2011. In D1 municipalities, the reduction in the rate of psychiatric emergency visits was greater in those with well-implemented CMMHC compared with those with partially implemented CMMHC. When distance to the emergency room was taken into account, the 2011 rate of emergency visits in the ten D1 municipalities was 21% (p<.01) lower in those with well-implemented CMMHC than in those with partially implemented CMMHC. CONCLUSIONS CMMHC implementation leads to reduction in psychiatric emergency visits, which are burdensome to both users and providers. Results support CMMHC implementation in resource-poor settings.
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Affiliation(s)
- Pedro Zitko
- Dr. Zitko is with the Unidad de Estudios Asistenciales, Hospital Barros Luco Trudeau, Santiago, Chile, and with the Faculty of Medicine, Pontificia Universidad Catolica de Chile, Santiago. Dr. Ramírez and Dr. Sepúlveda are with the School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago. Dr. Sepúlveda is also with Clinical Psychiatry Service, Hospital Barros Luco Trudeau, Santiago, where Ms. Ortiz is affiliated. Dr. Markkula and Mr. Norambuena are with the Department of Mental Health, Ministry of Health, Santiago. Dr. Markkula is also with the Faculty of Medicine, Universidad Diego Portales, Santiago. Mr. Norambuena is also with the Department of Psychology, Universidad de Santiago de Chile, Santiago
| | - Jorge Ramírez
- Dr. Zitko is with the Unidad de Estudios Asistenciales, Hospital Barros Luco Trudeau, Santiago, Chile, and with the Faculty of Medicine, Pontificia Universidad Catolica de Chile, Santiago. Dr. Ramírez and Dr. Sepúlveda are with the School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago. Dr. Sepúlveda is also with Clinical Psychiatry Service, Hospital Barros Luco Trudeau, Santiago, where Ms. Ortiz is affiliated. Dr. Markkula and Mr. Norambuena are with the Department of Mental Health, Ministry of Health, Santiago. Dr. Markkula is also with the Faculty of Medicine, Universidad Diego Portales, Santiago. Mr. Norambuena is also with the Department of Psychology, Universidad de Santiago de Chile, Santiago
| | - Niina Markkula
- Dr. Zitko is with the Unidad de Estudios Asistenciales, Hospital Barros Luco Trudeau, Santiago, Chile, and with the Faculty of Medicine, Pontificia Universidad Catolica de Chile, Santiago. Dr. Ramírez and Dr. Sepúlveda are with the School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago. Dr. Sepúlveda is also with Clinical Psychiatry Service, Hospital Barros Luco Trudeau, Santiago, where Ms. Ortiz is affiliated. Dr. Markkula and Mr. Norambuena are with the Department of Mental Health, Ministry of Health, Santiago. Dr. Markkula is also with the Faculty of Medicine, Universidad Diego Portales, Santiago. Mr. Norambuena is also with the Department of Psychology, Universidad de Santiago de Chile, Santiago
| | - Pablo Norambuena
- Dr. Zitko is with the Unidad de Estudios Asistenciales, Hospital Barros Luco Trudeau, Santiago, Chile, and with the Faculty of Medicine, Pontificia Universidad Catolica de Chile, Santiago. Dr. Ramírez and Dr. Sepúlveda are with the School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago. Dr. Sepúlveda is also with Clinical Psychiatry Service, Hospital Barros Luco Trudeau, Santiago, where Ms. Ortiz is affiliated. Dr. Markkula and Mr. Norambuena are with the Department of Mental Health, Ministry of Health, Santiago. Dr. Markkula is also with the Faculty of Medicine, Universidad Diego Portales, Santiago. Mr. Norambuena is also with the Department of Psychology, Universidad de Santiago de Chile, Santiago
| | - Ana Maria Ortiz
- Dr. Zitko is with the Unidad de Estudios Asistenciales, Hospital Barros Luco Trudeau, Santiago, Chile, and with the Faculty of Medicine, Pontificia Universidad Catolica de Chile, Santiago. Dr. Ramírez and Dr. Sepúlveda are with the School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago. Dr. Sepúlveda is also with Clinical Psychiatry Service, Hospital Barros Luco Trudeau, Santiago, where Ms. Ortiz is affiliated. Dr. Markkula and Mr. Norambuena are with the Department of Mental Health, Ministry of Health, Santiago. Dr. Markkula is also with the Faculty of Medicine, Universidad Diego Portales, Santiago. Mr. Norambuena is also with the Department of Psychology, Universidad de Santiago de Chile, Santiago
| | - Rafael Sepúlveda
- Dr. Zitko is with the Unidad de Estudios Asistenciales, Hospital Barros Luco Trudeau, Santiago, Chile, and with the Faculty of Medicine, Pontificia Universidad Catolica de Chile, Santiago. Dr. Ramírez and Dr. Sepúlveda are with the School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago. Dr. Sepúlveda is also with Clinical Psychiatry Service, Hospital Barros Luco Trudeau, Santiago, where Ms. Ortiz is affiliated. Dr. Markkula and Mr. Norambuena are with the Department of Mental Health, Ministry of Health, Santiago. Dr. Markkula is also with the Faculty of Medicine, Universidad Diego Portales, Santiago. Mr. Norambuena is also with the Department of Psychology, Universidad de Santiago de Chile, Santiago
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Abstract
In 2014, the Pan American Health Organization (PAHO) approved Resolution CP53.R14, which aimed to provide a framework for universal access to health and universal health coverage. It sets the stage for the inclusion of psychiatric practice within the provision of universal healthcare and highlights the fight against stigma. We propose to concentrate our efforts on changing the model of medical management. To that end, we are promoting the inclusion of mental health patients within the daily routine of primary care centres, thus allowing them to interact with other users of health services on a regular basis.
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Alvarado R, Valencia E, Madariaga C, Alieste F, Minoletti A, Sepúlveda R. [Pathway to care of people with first episode of schizophrenia, in Chile]. Rev Fac Cien Med Univ Nac Cordoba 2015; 72:220-226. [PMID: 27107273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
BACKGROUND It has been considered that the duration of first episode of psychosis is a critical period influencing the clini-cal and psychosocial evolution in people with diagnosis of schizophrenia. However, there is little knowledge about this issue in Low and Middle Income Countries. OBJECTIVE To describe the clinical characteristics and contacts with health services of people with first episode of schizophrenia, prior to their diagnoses and initiation of treatment. Sources and methods. The sample included all persons with diagnosis of first episode of schizo-phrenia, in five psychiatric care centers, located in the North, Center and South of Chile. Diagnosis was confirmed with ICD-10 criteria and psychopathology symptoms were explored using PANSS. RESULTS The sample was constituted by 48 patients (79.2% men, average age in 23.4 years). The symptom of depression was the first to appear (me-dian of 15 months, before diagnosis). Positive symptoms started in the previous year before diagnosis (delusions, median of 6 months). Positive symptoms triggered the first contact in 77.1% of the patients. Of these cases, 91.7% had medical care in this period (in Primary Health Care Centers and Mental Health Centers). The me-dian for previous contacts was 3.5, but the correct diagnosis was not done at that time. CONCLUSION Most of the patients had medical contacts for their psychotic symptoms, but their diagnosis were not made within that period, delaying the start of treatment. There is a need to develop strategies to improve diagnosis capabilities in these centers.
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Affiliation(s)
- Ruben Alvarado
- Instituto de Salud Poblacional "Escuela de Salud Pública Dr. Salvador Allende", Facultad de Medicina, Universidad de Chile
| | - Eliecer Valencia
- Instituto de Salud Poblacional "Escuela de Salud Pública Dr. Salvador Allende", Facultad de Medicina, Universidad de Chile
| | - Carlos Madariaga
- Instituto de Salud Poblacional "Escuela de Salud Pública Dr. Salvador Allende", Facultad de Medicina, Universidad de Chile
| | | | - Alberto Minoletti
- Instituto de Salud Poblacional "Escuela de Salud Pública Dr. Salvador Allende", Facultad de Medicina, Universidad de Chile
| | - Rafael Sepúlveda
- Instituto de Salud Poblacional "Escuela de Salud Pública Dr. Salvador Allende", Facultad de Medicina, Universidad de Chile
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Alvarado R, Minoletti A, González FT, Küstner BM, Madariaga C, Sepúlveda R. Development of Community Care for People with Schizophrenia in Chile. International Journal of Mental Health 2014. [DOI: 10.2753/imh0020-7411410104] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Rubén Alvarado
- a School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Alberto Minoletti
- a School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Francisco Torres González
- b CIBERSAM (Network of Biomedical Research on Mental Health Centers), University of Granada, Granada, Spain
| | - Berta Moreno Küstner
- c Faculty of Psychology, University of Malaga, Boulevar Louis Pasteur s/n, Campus de Teatino, Malaga, Spain
| | - Carlos Madariaga
- d Department of Psychiatry and Mental Health, Hospital of Iquique, Iquique, Chile
| | - Rafael Sepúlveda
- a School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile
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Affiliation(s)
- Alberto Minoletti
- a School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile
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Sepúlveda R, Ramírez J, Zitko P, Ortiz AM, Norambuena P, Barrera Á, Vera C, Illanes E. Implementing the Community Mental Health Care Model in a Large Latin-American Urban Area. International Journal of Mental Health 2014. [DOI: 10.2753/imh0020-7411410105] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Rafael Sepúlveda
- a School of Public Health, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Jorge Ramírez
- b Mental Health Department, Ministry of Health, Santiago, Chile
| | - Pedro Zitko
- c Research Unit, Barros Luco General Hospital, Santiago, Chile
| | | | | | | | - Cecilia Vera
- f Outpatient Psychiatry Department, Barros Luco General Hospital, Santiago, Chile
| | - Eduardo Illanes
- g Barros Luco General Hospital Psychiatry Services, Santiago, Chile
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Orellana F, Onetto C, Balbontín P, Videla D, Manriquez L, Plass R, Araya R, Sepúlveda R, Saenz R, Ríos H. Gastric glomus tumor: report of one case and review. Endoscopy 2011; 43 Suppl 2 UCTN:E71-2. [PMID: 21341189 DOI: 10.1055/s-0030-1256041] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- F Orellana
- Department of Surgery, Hospital Militar de Santiago, Santiago, Chile.
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Ramírez J, Sepúlveda R, Zitko P, Ortiz AM. Consulta de urgencia psiquiátrica y modelo comunitario de atención en salud mental. Revista Chilena de Salud Pública 2010. [DOI: 10.5354/0717-3652.2010.8364] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Marcos-Atxutegi C, Gandolfi B, Arangüena T, Sepúlveda R, Arévalo M, Simón F. Antibody and inflammatory responses in laying hens with experimental primary infections of Ascaridia galli. Vet Parasitol 2009; 161:69-75. [DOI: 10.1016/j.vetpar.2008.12.011] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2008] [Revised: 11/25/2008] [Accepted: 12/03/2008] [Indexed: 10/21/2022]
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Sepúlveda R, Vicente-Villardón JL, Galindo MP. The Biplot as a diagnostic tool of local dependence in latent class models. A medical application. Stat Med 2008; 27:1855-69. [DOI: 10.1002/sim.3194] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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17
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Sepúlveda R. Esquizofrenia en la perspectiva de la salud pública. Medwave 2005. [DOI: 10.5867/medwave.2005.01.3404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Abstract
BACKGROUND Medical and surgical teams consult psychiatrists when abnormal behavior or psychopathological traits are observed in their patients. AIM To describe the experience of liaison psychiatry teams in public hospitals. MATERIAL AND METHODS Analysis of 128 consultations, involving 110 patients. Eighty eight patients were subjected to the structured Clinical Interview for DSM-IV-TR Axis I Disorders--Patient Edition, the Mini Mental State score and to a search for personality disorders. RESULTS The most commonly consulted problems were depression in 44 patients, substance abuse in 29 and suicidal behavior in 21. The psychiatric study detected that 8% of patients were asymptomatic, 8% had stress reactions, 16.5% had substance abuse, 14.6% had alcohol abuse, 11% had a major depression, 10% had delirium or dementia, 9% had anxiety disorders, 4% schizophrenia, 18% personality disorders and 19% had suicidal behaviors. CONCLUSIONS Psychiatric consultations in medical and surgical services are common and have a wide variety of severity.
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Affiliation(s)
- Guillermo Hernández
- Departamento de Psiquiatría y Salud Mental Sur, Facultad de Medicina, Universidad de Chile, Santiago.
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Neffen H, Baena-Cagnani CE, Malka S, Solé D, Sepúlveda R, Caraballo L, Caravajal E, Rodríguez Gavaldá R, González Díaz S, Guggiari Chase J, Díez C, Baluga J, Capriles Hulett A. Asthma mortality in Latin America. J Investig Allergol Clin Immunol 1997; 7:249-53. [PMID: 9330190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
There are not enough data concerning asthma mortality in Latin America. The Latin American Society of Allergy and Immunology coordinated this project to provide reliable data for gaining knowledge about our present situation, which is a condition indispensable to changing it. The following countries participated in this study: Argentina, Brazil, Chile, Colombia, Costa Rica, Cuba, Mexico, Paraguay, Peru, Uruguay and Venezuela. A uniform protocol was designed in Santa Fe, Argentina. Asthma mortality rates were analyzed in accordance with two variables: age-adjusted rates (5-34) and total death rates. The total population studied was 107, 122, 529 inhabitants. The highest death rates were found in Uruguay and Mexico (5.63), and the lowest in Paraguay (0.8) and Colombia (1.35). Age-adjusted (5-34) rates were higher in Costa Rica (1.38) and lower in Chile (0.28). Regarding sex, the analysis of the information provided by seven countries showed a predominance of females (51.8%) over males (48.18%). In the southern Latin American countries such as Chile, Uruguay, Paraguay and Argentina, which have marked climatic differences, deaths occurred mainly in the winter. It is important to emphasize that, in most countries, deaths from asthma occurred at home: Chile (60.7%), Argentina (63.4%) and Paraguay (88%). However, in Uruguay, 58.6% occurred during hospitalization. Mortality rates from bronchial asthma are high in most of the Latin American countries studied, even though further studies are needed. Asthma is a serious global health problem. People of all ages in countries throughout the world are affected by this chronic airway disorder that can be severe and sometimes fatal. The health ministries of each country do not believe asthma is a significant issue. Therefore, we should provide them with sound epidemiological studies to convince them to change their attitude toward this disease.
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Affiliation(s)
- H Neffen
- Ricardo Gutiérrez Children's Hospital, Allergy Unit, Santa Fe, Argentina
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Valdivieso V, Severín C, Espinoza R, Orellana P, Otero CG, Huenchullán C, Icarte G, Sepúlveda R. [Study of volume and kinetics of gallbladder emptying in non-pregnant, pregnant, and puerperal women]. Rev Med Chil 1996; 124:198-203. [PMID: 9213888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Gallbladder stasis apparently plays an important role in the patho-genesis of cholelithiasis during pregnancy. On the other hand, gallstones diagnosed immediately after delivery disappear spontaneously during late puerperium in one third of these patients. Gallbladder emptying was assessed by biliary scintigraphy and ultrasonography in normal, nulliparous volunteers. The two methods had an excellent correlation: thence, we used ultrasonography to determine gallbladder volume and contraction in pregnant and puerperal women. Fasting and postprandial residual volumes were significantly larger during pregnancy, while the kinetics f gallbladder emptying was similar in nulliparous and pregnant women. During puerperium, gallbladder volume returned to the values observed in nulliparae; but the kinetics of emptying was significantly faster, suggesting an increased sensitivity of gallbladder muscle to physiologic stimuli.
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Affiliation(s)
- V Valdivieso
- Departamentos de Gastroenterología, Obstetricia y Ginecología y Radiología y Laboratorio, de Medicina Nuclear, Escuela de Medicina, P Universidad católica de Chile Santiago
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Seguel C, Núñez E, Sepúlveda R, Torche S. [Chylous ascites in newborn infants]. Rev Chil Pediatr 1989; 60:220-1. [PMID: 2485513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Chylous ascites was recognized by abdominal ultrasonography in a 37 week gestational age newborn girl presenting with early transient respiratory distress syndrome, hypoglycemia and progressive abdominal distension. Diagnosis was confirmed by abdominal puncture. Treatment was focussed on dietary management which included oral amino acids, vitamins, medium chain triglycerides, maltose-dextrin; commercial rice starch and cane sugar and was followed by complete recovery at age two months.
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Seguel C, Martínez G, Sepúlveda R, Giuliano A. [Massive ascariasis of the bile ducts and posterior relapse]. Rev Chil Pediatr 1989; 60:178-80. [PMID: 2485505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
A 7 year old girl presented with persistent right upper abdominal colicky pain, fever, elevated white blood cells count, high blood sedimentation rate and mild liver enlargement. At surgical exploration 33 live ascarides (ascaris lumbricoides) were taken off from the hepatic duct. Medical treatment with mebendazole was given in full doses after surgery. She remained well for six years except for intermittent episodes of colicky right upper abdominal pain. At age 13 year ascarides were again demonstrated at the common biliary duct by abdominal echography. A second operation was necessary to eliminate parasites from the lower biliary tree, together with medical treatment for the patient and her family. One year later she was free of symptoms.
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Krebs C, Flores G, Bravo I, Cruz MA, Sepúlveda R, Rojas S. [Anorectosigmoid electromanometry in the differential diagnosis of constipation in children]. Rev Chil Pediatr 1988; 59:11-6. [PMID: 3222502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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24
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Sepúlveda R. [Immunobiology of the lower respiratory tree]. Rev Med Chil 1984; 112:951-7. [PMID: 6533735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Krebs C, Sepúlveda R. [Small bowel volvulus caused by Ascaris lumbricoides in an infant]. Z Kinderchir 1983; 38:417-8. [PMID: 6666371 DOI: 10.1055/s-2008-1060022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
The article reports on the rare case of a 1 1/2-year-old child with volvulus of the small intestine in mass infestation with Ascaris lumbricoides. Genesis, clinical signs and differential diagnosis are discussed.
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Sepúlveda R, Cartier L. [Congenital myogenic torticollis]. Rev Chil Pediatr 1983; 54:254-8. [PMID: 6658057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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27
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González P, Sepúlveda R. [Treatment of exacerbations of chronic obstructive bronchial disease with purulent sputum. Double-blind study with ampicillin and in association with sulfamethopyrazine and trimethoprim]. Rev Med Chil 1982; 110:1075-80. [PMID: 6764012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Carrasco E, Larraín A, Galleguillos F, Otero M, Lira E, Sepúlveda R, Rojas L. [Bronchial asthma and gastroesophageal reflux]. Rev Med Chil 1982; 110:527-37. [PMID: 7163688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Cartier LM, Zalaquet R, Sepúlveda R, Vergara C. [Iatrogenic muscular fibrosis: experimental approach]. Rev Chil Pediatr 1981; 52:373-8. [PMID: 7344009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Sepúlveda R. [Bronchial asthma, its etiology and diagnosis]. Rev Med Chil 1981; 109:757-61. [PMID: 7043692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Sepúlveda R. [Bronchial hypersensitivity (author's transl)]. Rev Med Chil 1981; 109:370-2. [PMID: 7323523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Sepúlveda R. [The rational treatment of asthma (author's transl)]. Rev Med Chil 1980; 108:569-70. [PMID: 7466007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Sepúlveda R. [Occupational asthma (author's transl)]. Rev Med Chil 1980; 108:175-9. [PMID: 6264561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Sepúlveda R. [Asthma and the vagus route]. Rev Med Chil 1976; 104:587-90. [PMID: 1021826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Yarzábal LA, Retamal C, Sepúlveda R, Guachalla J, Kiguel C. [Immunoelectrophoresis in the diagnosis of pulmonary hydatidosis in Chile]. Rev Inst Med Trop Sao Paulo 1975; 17:263-8. [PMID: 1198003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
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Aguilera C, Sepúlveda R. [Iatrogenic fibrosis of the quadricep]. Rev Chil Pediatr 1975; 46:357-62. [PMID: 1233557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Santiviago C, Estrada A, Zúñiga E, Sepúlveda R, Alvarez R, Gay O, Zimmermann I, Hiriart M, Orrego H, Farga V. [Treatment of tuberculosis resistant to 1st line drugs with rifampycin and ethambutol, twice a week, with an initial supplement of kanamycin]. Rev Med Chil 1971; 99:928-33. [PMID: 5157620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Sepúlveda R, Soerensen R, Santiviago C, Alvarez R, Gay O, Zúñiga E, Meléndez M, Farga V. [Thrombocytopenia caused by hypersensitivity to rifampicin in intermittent high doses]. Rev Med Chil 1971; 99:934-8. [PMID: 5168230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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