To feel fear in a specific situation is a normal human experience, however, when this fear or ave... more To feel fear in a specific situation is a normal human experience, however, when this fear or aversion becomes excessive and disrupts the day to day life of an individual, it is said the person suffers from a type of anxiety disorder called phobia. One common type of treatment for phobias is exposure therapy (professionals expose the patient gradually to the feared object or situation). The objective of this paper is to implement a Virtual Reality system that simulates a real highway environment which allows to treat patients affected by highway phobias in a safe place. In cooperation with psychologists and psychiatrists, an action protocol was conducted to create and recreate the variables of the virtual environment to which the patient will be subjected to. Once this was completed, a Virtual Reality application was made that simulates a realistic highway which includes exits, overpasses, underpasses, and tunnels, among others. This hardware/software system will include Oculus Rift DK2 VR glasses in order to create an immersive environment that the patient can consider real and who will be able to interact with it. The performance of the vehicle was programmed through physical responses similar to reality as well as techniques of artificial intelligence in the vehicles that will interact with the one controlled by the patient. Also, this system includes a steering wheel, pedals, and a gearshift (manual or automatic). We think that this system will contribute to treating highway phobias, allowing the psychiatrist or psychologist to carry out therapy in an appropriate manner and through the support of technology the professional will have the ability to simulate the anxiogenic environment in a realistic manner so as to achieve effective treatment. In a future work, we must quantify the possible benefits of this type of VR system in phobia patients.
A short summary of the main characteristics of Consultation-Liaison Psychiatry and Psychosomatic ... more A short summary of the main characteristics of Consultation-Liaison Psychiatry and Psychosomatic Medicine is presented; their similarities and differences are also shown and some of the advantages and difficulties of applying them in Chile are briefly discussed. The aim of this article is to discuss the congruence of the psychosomatic medicine term in Chile.
ha recibido un apoyo sistemático y se invierten grandes esfuerzos para educar al público y a los ... more ha recibido un apoyo sistemático y se invierten grandes esfuerzos para educar al público y a los profesionales de salud primaria acerca del valor del diagnóstico precoz y los beneficios de una intervención oportuna. Hay un considerable impulso tras los esfuerzos conceptuales efectuados en los trastornos psicóticos, y ahora que estos han alcanzado la etapa de "prueba de concepto", esta podría comenzar a extenderse por todo el espectro de trastornos mentales graves. Sin embargo, existe ambivalencia y resistencia a esta reforma basada en la evidencia, un asunto que merece la realización de un análisis a fondo. Palabras clave: Ciencia del comportamiento, desórdenes mentales, diagnóstico precoz, intervención precoz. Early intervention in Psychiatry has much delayed to appear as a key strategy in reducing morbidity, mortality, and the social consequences of mental illness. In other fields of Medicine, this option has received a systematic support and great efforts are invested to educate people and primary care proffesionals about the value of early diagnosis and the benefits of a timely intervention. There is a significant impetus behind the conceptual efforts on psychotic disorders, and now that they have reached the stage of "proof of concept", this could start to spread across the entire spectrum of serious mental disorders. However, there is ambivalence and resistance to this reform based on the evidence, an issue that deserves a thorough analysis.
Una modalidad de intervención sistémica en el contexto salud: talleres multifamiliares en enfermedad crónica
De familias y …, 2009
Información del artículo Una modalidad de intervención sistémica en el contexto salud: talleres m... more Información del artículo Una modalidad de intervención sistémica en el contexto salud: talleres multifamiliares en enfermedad crónica.
A short summary of the main characteristics of Consultation-Liaison Psychiatry and Psychosomatic ... more A short summary of the main characteristics of Consultation-Liaison Psychiatry and Psychosomatic Medicine is presented; their similarities and differences are also shown and some of the advantages and difficulties of applying them in Chile are briefly discussed. The aim of this article is to discuss the congruence of the psychosomatic medicine term in Chile.
Uso de criterios y guías clínicas en la creación de una unidad de trastornos del ánimo
Revista Médica Clínica Las Condes, 2020
Resumen Los trastornos del animo (uni o bipolares) constituyen un significativo problema de salud... more Resumen Los trastornos del animo (uni o bipolares) constituyen un significativo problema de salud publica, tanto por su alta prevalencia como por el elevado indice de discapacidad que generan. El presente articulo aborda el problema de la resistencia a tratamiento como tambien las estrategias y guias clinicas para el manejo de los cuadros de mayor complejidad. Se analizan los aportes de la terapia farmacologica, de la psicoterapia y de las terapias somaticas no farmacologicas, intentando un enfoque integrativo. El equipo multidisciplinario de la Unidad de Trastornos del Animo del Departamento de Psiquiatria de Clinica Las Condes busca aplicar un modelo integrativo con una mirada amplia, con el objetivo de encontrar el mejor manejo para cada paciente, orientado no solo a la remision sintomatica sino tambien a la recuperacion funcional (autonomia, calidad de vinculos, etc.), para incidir de este modo en la calidad de vida global de los pacientes.
Este artículo propone fomentar el uso de Guías Clínicas como una herramienta auxiliar en el trata... more Este artículo propone fomentar el uso de Guías Clínicas como una herramienta auxiliar en el tratamiento de la depresión; estas Guías, generadas tanto en Norteamérica como Europa, han alcanzado un alto consenso. Aunque en nuestro medio se han generado guías similares, su utilización se aplica a un contexto algo más restringido (programa GES de Depresión), por lo que parece necesario apoyarse también en otros formatos. Se utiliza como modelo las Guías Clínicas para el Manejo del Trastorno Depresivo Mayor, editadas por una agencia canadiense (CANMAT), por su fl exibilidad y facilidad de utilización.
Perfil clínico y sociodemográfico de pacientes egresados con diagnóstico de esquizofrenia desde el Servicio de Urgencia del Hospital Psiquiátrico; Clinical and …
Rev. psiquiatr.(Santiago …, 1989
Resumo: En una ciudad como Santiago, que cuenta con pocas camas psiquiátricas, el apropiado uso d... more Resumo: En una ciudad como Santiago, que cuenta con pocas camas psiquiátricas, el apropiado uso de las mismas debe ser una permanente preocupación del equipo de salud mental. En el Hóspital Psiquiátrico el mayor uso de camas es consecuencia de la ...
Acute pancreatitis (AP) is a systemic immunoinfl ammatory response to auto-digestion of the pancr... more Acute pancreatitis (AP) is a systemic immunoinfl ammatory response to auto-digestion of the pancreas and peri-pancreatic organs. It is a frequent gastrointestinal disease with an important morbimortality, reaching 30% in severe cases. Different studies and reviews by international groups have developed multiple classifi cation systems to assess the severity and address the correct management along time, identifying the better molecular markers, clinical outcome determinants and reaching conservative management as the angular piece in AP. In this review we present a compilation of the latest studies and international consensus about AP physiology, etiology, risk factors, diagnosis, severity assessment, imaging and treatment.
To feel fear in a specific situation is a normal human experience, however, when this fear or ave... more To feel fear in a specific situation is a normal human experience, however, when this fear or aversion becomes excessive and disrupts the day to day life of an individual, it is said the person suffers from a type of anxiety disorder called phobia. One common type of treatment for phobias is exposure therapy (professionals expose the patient gradually to the feared object or situation). The objective of this paper is to implement a Virtual Reality system that simulates a real highway environment which allows to treat patients affected by highway phobias in a safe place. In cooperation with psychologists and psychiatrists, an action protocol was conducted to create and recreate the variables of the virtual environment to which the patient will be subjected to. Once this was completed, a Virtual Reality application was made that simulates a realistic highway which includes exits, overpasses, underpasses, and tunnels, among others. This hardware/software system will include Oculus Rift DK2 VR glasses in order to create an immersive environment that the patient can consider real and who will be able to interact with it. The performance of the vehicle was programmed through physical responses similar to reality as well as techniques of artificial intelligence in the vehicles that will interact with the one controlled by the patient. Also, this system includes a steering wheel, pedals, and a gearshift (manual or automatic). We think that this system will contribute to treating highway phobias, allowing the psychiatrist or psychologist to carry out therapy in an appropriate manner and through the support of technology the professional will have the ability to simulate the anxiogenic environment in a realistic manner so as to achieve effective treatment. In a future work, we must quantify the possible benefits of this type of VR system in phobia patients.
A short summary of the main characteristics of Consultation-Liaison Psychiatry and Psychosomatic ... more A short summary of the main characteristics of Consultation-Liaison Psychiatry and Psychosomatic Medicine is presented; their similarities and differences are also shown and some of the advantages and difficulties of applying them in Chile are briefly discussed. The aim of this article is to discuss the congruence of the psychosomatic medicine term in Chile.
ha recibido un apoyo sistemático y se invierten grandes esfuerzos para educar al público y a los ... more ha recibido un apoyo sistemático y se invierten grandes esfuerzos para educar al público y a los profesionales de salud primaria acerca del valor del diagnóstico precoz y los beneficios de una intervención oportuna. Hay un considerable impulso tras los esfuerzos conceptuales efectuados en los trastornos psicóticos, y ahora que estos han alcanzado la etapa de "prueba de concepto", esta podría comenzar a extenderse por todo el espectro de trastornos mentales graves. Sin embargo, existe ambivalencia y resistencia a esta reforma basada en la evidencia, un asunto que merece la realización de un análisis a fondo. Palabras clave: Ciencia del comportamiento, desórdenes mentales, diagnóstico precoz, intervención precoz. Early intervention in Psychiatry has much delayed to appear as a key strategy in reducing morbidity, mortality, and the social consequences of mental illness. In other fields of Medicine, this option has received a systematic support and great efforts are invested to educate people and primary care proffesionals about the value of early diagnosis and the benefits of a timely intervention. There is a significant impetus behind the conceptual efforts on psychotic disorders, and now that they have reached the stage of "proof of concept", this could start to spread across the entire spectrum of serious mental disorders. However, there is ambivalence and resistance to this reform based on the evidence, an issue that deserves a thorough analysis.
Una modalidad de intervención sistémica en el contexto salud: talleres multifamiliares en enfermedad crónica
De familias y …, 2009
Información del artículo Una modalidad de intervención sistémica en el contexto salud: talleres m... more Información del artículo Una modalidad de intervención sistémica en el contexto salud: talleres multifamiliares en enfermedad crónica.
A short summary of the main characteristics of Consultation-Liaison Psychiatry and Psychosomatic ... more A short summary of the main characteristics of Consultation-Liaison Psychiatry and Psychosomatic Medicine is presented; their similarities and differences are also shown and some of the advantages and difficulties of applying them in Chile are briefly discussed. The aim of this article is to discuss the congruence of the psychosomatic medicine term in Chile.
Uso de criterios y guías clínicas en la creación de una unidad de trastornos del ánimo
Revista Médica Clínica Las Condes, 2020
Resumen Los trastornos del animo (uni o bipolares) constituyen un significativo problema de salud... more Resumen Los trastornos del animo (uni o bipolares) constituyen un significativo problema de salud publica, tanto por su alta prevalencia como por el elevado indice de discapacidad que generan. El presente articulo aborda el problema de la resistencia a tratamiento como tambien las estrategias y guias clinicas para el manejo de los cuadros de mayor complejidad. Se analizan los aportes de la terapia farmacologica, de la psicoterapia y de las terapias somaticas no farmacologicas, intentando un enfoque integrativo. El equipo multidisciplinario de la Unidad de Trastornos del Animo del Departamento de Psiquiatria de Clinica Las Condes busca aplicar un modelo integrativo con una mirada amplia, con el objetivo de encontrar el mejor manejo para cada paciente, orientado no solo a la remision sintomatica sino tambien a la recuperacion funcional (autonomia, calidad de vinculos, etc.), para incidir de este modo en la calidad de vida global de los pacientes.
Este artículo propone fomentar el uso de Guías Clínicas como una herramienta auxiliar en el trata... more Este artículo propone fomentar el uso de Guías Clínicas como una herramienta auxiliar en el tratamiento de la depresión; estas Guías, generadas tanto en Norteamérica como Europa, han alcanzado un alto consenso. Aunque en nuestro medio se han generado guías similares, su utilización se aplica a un contexto algo más restringido (programa GES de Depresión), por lo que parece necesario apoyarse también en otros formatos. Se utiliza como modelo las Guías Clínicas para el Manejo del Trastorno Depresivo Mayor, editadas por una agencia canadiense (CANMAT), por su fl exibilidad y facilidad de utilización.
Perfil clínico y sociodemográfico de pacientes egresados con diagnóstico de esquizofrenia desde el Servicio de Urgencia del Hospital Psiquiátrico; Clinical and …
Rev. psiquiatr.(Santiago …, 1989
Resumo: En una ciudad como Santiago, que cuenta con pocas camas psiquiátricas, el apropiado uso d... more Resumo: En una ciudad como Santiago, que cuenta con pocas camas psiquiátricas, el apropiado uso de las mismas debe ser una permanente preocupación del equipo de salud mental. En el Hóspital Psiquiátrico el mayor uso de camas es consecuencia de la ...
Acute pancreatitis (AP) is a systemic immunoinfl ammatory response to auto-digestion of the pancr... more Acute pancreatitis (AP) is a systemic immunoinfl ammatory response to auto-digestion of the pancreas and peri-pancreatic organs. It is a frequent gastrointestinal disease with an important morbimortality, reaching 30% in severe cases. Different studies and reviews by international groups have developed multiple classifi cation systems to assess the severity and address the correct management along time, identifying the better molecular markers, clinical outcome determinants and reaching conservative management as the angular piece in AP. In this review we present a compilation of the latest studies and international consensus about AP physiology, etiology, risk factors, diagnosis, severity assessment, imaging and treatment.
Uploads
Papers by Rodrigo Erazo