Rendimiento académico en el primer año y su relación con las variables de ingreso en las escuelas de medicina / Academic performance in the first year and it relation with admission variables in medical schools

Chilean universities employ a common admission scoring system for students, based on high school grades, mathematic and verbal academic aptitude tests, and specific biology and social sciences tests. Aiming to know the predictive values of these tests, the standarized scores obtained in the selection tests and academic performance of 1094 first year medical students, admitted in 1989 and 1990 to six universities, were analyzed. These students obtained high admission scores and their academic performance during the first year was low (mean grades ranged from 4.6 ñ 0.6 to 5.28 ñ 0.5 in different universities for a scale from 1 to 7). In all, except one university there was a correlation between admission scores and academic performance. Multiple regression analysis showed that admission scores explained a 13 percent of performance and that the parameters with better predictive value were high school grades, biology test and mathematics academic aptitude test, Verbal academic aptitude test did not have a predictive value

Hipotermia: una indicación no renal para la diálisis peritoneal / Hipothermia: a non renal indication for peritoneal dialysis

Accidental hypothermia, a condition seldomly seen in Chile, is defined as a spontaneous core temperature reduction to less than 35§ C and is associated with great morbidity and mortality. We report a 16 years old female intoxicated with liquefied petroleum gas that was admitted in coma, hypothermic, with severe hemodynamic derangement, lactic acidosis, rhabdomyolysis and iliofemoral phlebothrombosis. Peritoneal dialysis with solutions at 27§ C was used as a quick and safe means to revert hypothermia and avoid its complications

Peritoneo díalisis crónica contínua ambulatoria (C.A.P.D.): descripción de un programa y rol de la enfermera / Continuous ambulatory peritoneal dyalisis program: description of the program and the role of the nurse

Se analizan las principales características del Programa de Diálisis Peritoneal Crónica Contínua Ambulatoria (C.A.P.D.) del Hospital Naval (V) y el rol que juega en su desarrollo la enfermera Universitaria. Se describe la técnica por nosotros empleada, se analizan las ventajas de la C.A.P.D. en relación a la Hemodiálisis, especialmente en pacientes diabéticos, se comentan algunas de sus desventajas y se detallan las características de el programa de enseñanza y entrenamiento para pacientes candidatos a C.A.P.D.

Mucormicosis cutánea en una paciente en peritoneodiálisis crónica / Cutaneous mucormycosis in patient with chronic peritoneal dialysis

Se comunica un caso de mucormicosis cutánea en una paciente diabética juvenil con insuficiencia renal crónica. La paciente desarrolla una lesión necrótica de la piel alrededor del catéter de diálisis peritoneal, falleciendo dos días después del comienzo de los signos clínicos. El diagnóstico se hace mediante biopsia del tejido extirpado de la lesión. Se presume que la infección es una complicación del procedimiento