https://repositorio.uchile.cl/handle/2250/117714 Hospital Clínico de la Universidad de Chile Fri, 08 May 2026 09:48:32 GMT 2026-05-08T09:48:32Z https://repositorio.uchile.cl/handle/2250/200301 Panel de expertos para la elaboración de un modelo de consentimiento informado de obtención y uso de material audiovisual clínico Tejos, Rodrigo; Navia, Alfonso; Searle, Susana; Yáñez Sarli, Gonzalo; Díaz, Gabriela; Fontbona Torres, Montserrat Ivonne; Danilla Enei, Stefan Vladimir; Thomas, Claudio; Lasen de Solminihac, José Ignacio; Marré, Diego; Rodríguez, José Ramón; Guerra, Claudio; Cuadra, Álvaro An informed consent is mandatory to obtain any clinical audiovisual material from patients. Although there are some documents created for this purpose, there are some barriers for their application, such as the context in which they were created, the language and download availability. Aim: To create a proposal for an informed consent form (ICF) for the capture and different uses for audiovisual material from patients. Material and Methods: A bibliographic search was carried out to obtain different ICFs in Spanish and English, which were subjected to a process of translation, counter-translation and fragmentation. Subsequently, a panel of experts was formed by members of the Chilean Society of Plastic Surgery with extensive experience in social networks. Delphi methodology was applied to reach a consensus about the definitive content of the ICF based on the previously selected fragments. Results: ICFs available for download were identified. The panel was made up of seven Plastic Surgeons and two Delphi rounds were carried out through electronic surveys. At the end of the process, an ICF proposal was obtained for therapeutic, academic or scientific purposes and another for dissemination or education in the mass media. Conclusions: The proposed ICFs were liberated for their use among health care professionals in Chile, who could use them, provided that they are approved by the local healthcare ethics committees. Sat, 01 Jan 2022 00:00:00 GMT https://repositorio.uchile.cl/handle/2250/200301 2022-01-01T00:00:00Z https://repositorio.uchile.cl/handle/2250/199546 Colangiocarcinoma y hepatocolangiocarcinoma combinado en pacientes con cirrosis Salinas, Marcelo; Simian Marín, Daniela María; Carreño Toro, Laura Elisa; Cattaneo Buteler, Maximo Jose; Urzua, Álvaro; Sauré Maritano, Alexandre Sebastián; Lembach Jahnsen, Hanns Dieter; Castillo Koch, Jaime Andrés; Díaz, Juan C.; Poniachik Teller, Jaime Melchor Cholangiocarcinoma (CCA) is a primary hepatic tumor, frequently found in patients with liver cirrhosis and biliary tract diseases. Its varieties include isolated CCA or “combined hepatocellular-cholangiocarcinoma” (cHCC-CCA). The latter is uncommon, with poorly defined diagnostic criteria and natural history. Aim: To characterize patients with cirrhosis with a pathological diagnosis of CCA and cHCC-CCA. Material and Methods: Forty-nine liver biopsies with a pathological diagnosis of CCA were reviewed. The clinical records of patients were reviewed to fetch demographic variables, etiology of cirrhosis and clinical presentation. Results: Eight of the 49 patients had cirrhosis (16% of CCA biopsies reviewed). Their median age was 64 (27-71) years and five were females. Four patients had CCA, three patients cHCC-CCA and one had a bifocal tumor. Patients in the CCA group were more commonly symptomatic. Alpha-fetoprotein and CA 19-9 levels were elevated in one of eight and four of six patients, respectively. Within 12 months from diagnosis, five of eight patients died. Conclusions: In most of these cases, the diagnosis of cHCC-CCA and CCA was made in the liver explant study without previous imaging diagnosis. This reinforces the usefulness of the histological study, in specific cases, prior to liver transplantation and emphasizes the importance of systematic explant exploration in these cases. Sat, 01 Jan 2022 00:00:00 GMT https://repositorio.uchile.cl/handle/2250/199546 2022-01-01T00:00:00Z https://repositorio.uchile.cl/handle/2250/199380 Becas para la formación de médicos especialistas académicos del Hospital Clínico de la Universidad de Chile Miranda Venegas, Cristian Sergio; Rojas Castillo, María Graciela The mission of the University of Chile Clinical Hospital is to be the main University Hospital in the country. Along with training of health professionals in clinical practice and research, the Hospital provides comprehensive health solutions to the community. Since its foundation, it played an important role in the training of health professionals and specialists. To fulfill this mission, it is important to have outstanding academics and a system that allows their renewal and replacement. From January 25, 2001, the University of Chile approved the regulations that rule the Residents Program Fellowship, aimed to train the new generations of clinical academics. These regulations allow the financing of training programs in basic or primary specialties (such as internal medicine, surgery, obstetrics and gynecology, among others) or in specialties derived from them (such as cardiology, gastroenterology and reproductive medicine, among others.) The different clinical departments and the Hospital Direction define each year how many places will be offered and in which specialties. The Faculty of Medicine Graduate School carries out the formal selection of the applicants. This article reviews the results of this program between 2013 and 2021, analyzing in detail the traceability of each graduate over the years. Sat, 01 Jan 2022 00:00:00 GMT https://repositorio.uchile.cl/handle/2250/199380 2022-01-01T00:00:00Z https://repositorio.uchile.cl/handle/2250/196889 The challenges of Chile to be the first Latin American country to achieve 2 control: the HIV/AIDS pandemic the year 2030 Ferrer Campos, Pablo Chile faces a concerning HIV epidemic with the highest rate of new cases in Latin America. In 2021, 84,000 people live with HIV in Chile, and the annual new infection rates have been rising, despite substantial investments in therapy. This worrisome situation stems partly from insufficient investment in prevention strategies. In the last decade, new HIV cases surged by 133% among young people aged. This misdirected policy has exposed to people to the HIV, necessitating lifelong antiretroviral treatment. To combat the epidemic effectively, a global effort is needed to achieve early diagnosis, universal treatment, viral suppression, patient retention in care. Meeting these objectives is crucial to reach the 95/95/95 target by 2030, the goal to end HIV as a global public health threat. This study critically examines factors contributing to Chile's struggle to meet targets, ultimately aiming to end the HIV epidemic by 2030. Sun, 01 Jan 2023 00:00:00 GMT https://repositorio.uchile.cl/handle/2250/196889 2023-01-01T00:00:00Z