RESUMEN Objetivo: Caracterizar la percepción de carga mental de trabajo en personal administrativo de una municipalidad de Chile. Metodología: Investigación de abordaje cuantitativo, con un diseño descriptivo, de corte transversal. Se utilizó un cuestionario que consta de dos partes: a) antecedentes biosociodemográficos y b) escala subjetiva de carga mental de trabajo (ESCAM), censándose a un total de 47 personas funcionarias administrativas de una municipalidad de Chile. Para el análisis de datos, se usó el programa ''Statistical Package of Social Sciences'' (SPSS) versión 25.0. Posteriormente, se procedió al cálculo estadístico descriptivo con cálculo de media, desviación estándar y rango. Se respetaron los principios éticos de Ezequiel Emmanuel y se contó con la autorización del comité ético científico. Resultados: Las personas trabajadoras presentan nivel de carga mental global medio alto (𝒙̅: 3,38); los factores con mayor exposición a carga mental son características de la tarea (𝒙̅: 4,09), demanda cognitiva y complejidad de la tarea (𝒙̅: 3,89), el factor ritmo de trabajo es el que muestra resultados más bajos (𝒙̅: 2,47). Conclusión: Las características del trabajo realizado por el personal administrativo implica un esfuerzo mental asociado al cumplimiento de la tarea, durante la cual están expuestos a interrupciones y distracciones. Esta característica genera en ellos una percepción de agotamiento y dificultad para relajarse después de terminada la jornada, lo que podría producir efectos negativos en su salud física y mental.

RESUMO Objetivo: Caracterizar a percepção da carga mental de trabalho em funcionários administrativos de uma prefeitura do Chile. Metodologia: Pesquisa de abordagem quantitativa, com desenho descritivo e de corte transversal. Quarenta e sete funcionários administrativos de uma prefeitura do Chile responderam a um questionário composto por duas partes: a) antecedentes sociodemográficos e b) escala subjetiva de carga mental de trabalho (ESCAM). Os dados foram analisados com o programa ''Statistical Package of Social Sciences'' (SPSS) versão 25.0, foi considerada a estatística descritiva com cálculos de média, desvio padrão e amplitude. O estudo foi aprovado pelo Comitê de Ética em Pesquisa com seres humanos e foram seguidos os princípios éticos de Ezequiel Emmanuel. Resultados: As pessoas que trabalham apresentam nível de carga mental global médio-alto (𝒙̅: 3,38); os fatores com maior exposição à carga mental são características da tarefa (𝒙̅: 4,09) e demanda cognitiva e complexidade da tarefa (𝒙̅: 3,89). O fator ritmo de trabalho é o que apresenta os menores resultados (𝒙̅: 2,47). Conclusão: As características do trabalho realizado pelos funcionários administrativos os obriga a um esforço mental associado ao cumprimento da tarefa, em que estão expostos a interrupções e distrações. Esta característica gera nos trabalhadores uma percepção de cansaço e dificuldade em relaxar após a jornada de trabalho, o que poderia produzir efeitos negativos em sua saúde física e mental.

ABSTRACT Aim: To characterize the perception of mental workload in administrative employees of a municipality in Chile. Methods: This was a quantitative study with a descriptive and cross-sectional design. A two-part questionnaire (bio sociodemographic background and subjective scale of mental workload (SMWS)) was used to survey a total of 47 administrative employees of a municipality in Chile. The 25.0 version of the Statistical Package of Social Sciences (SPSS) was used for the data analysis; this was followed by descriptive statistical calculation of mean, standard deviation, and range. The ethical principles of Ezequiel Emmanuel were respected, and the authorization of the scientific ethical committee was obtained. Results: Those who worked presented a high average global mental workload level (𝒙̅: 3.38). The factors with the highest mental workload exposure were task characteristics (𝒙̅: 4.09) and cognitive demand and task complexity (𝒙̅: 3.89) whereas the work rhythm factor showed the lowest results (𝒙̅: 2.47). Conclusion: The characteristics of the work performed by the administrative personnel force them to perform a mental effort associated with the completion of the task exposed to interruptions and distractions. These characteristics tires them and causes them difficulties to relax after the end of the day; this could cause negative effects on their physical and mental health.

ABSTRACT Introduction: Acute ischemic gangrene of the anus is an infrequent entity, with little published literature, whose reported mortality figures are 20-40% of cases. It should be considered in elderlies with atherosclerotic disease who present lower gastrointestinal symptoms and hypotensive shock. It can be caused by acute vascular occlusion, severe vascular disease, or a low-flow state, although in some cases it presents without pre-existing vascular disease. Objective: To present the existing literature on diagnostic and therapeutic management of ischemia of the anal canal upon the base of a clinical case diagnosed and treated as an urgency at Marina Baixa hospital. Clinical case: The case is presented of a 76-year-old patient with spontaneous ischemia of the anal canal and associated cardiovascular morbidity. It debuts as a septic condition without evidence of a triggering cause. Conclusions: Endoscopic and radiological tests should be performed urgently. Surgical assessment is always justified in these patients, due to the high mortality rate described in the conservative management of the condition. In severe cases, preoperative resuscitation and urgent surgery to resect the gangrenous segment is necessary. However, managment of acute ischemic proctitis is controversial and depends, in part, on the patient's baseline status and clinical findings, while it is important to examine other possible etiologies of ischemic proctitis and thus determine which patients need early surgical intervention compared to a more conservative attitude.

RESUMEN Introducción: La isquemia anal aguda con gangrena es una entidad infrecuente, con escasa literatura publicada al respecto, cuyas cifras de mortalidad descritas se sitúan en un 20 % - 40 % de los casos. Debe considerarse en ancianos con enfermedad aterosclerótica que presenten síntomas gastrointestinales inferiores y shock hipotensivo. Puede ser causada por oclusión vascular aguda, enfermedad vascular grave o un estado de bajo flujo, aunque en algunos casos se presenta sin enfermedad vascular preexistente. Objetivo: Presentar la literatura existente acerca del manejo diagnóstico y terapéutico de la isquemia de canal anal en base a un caso clínico diagnosticado y tratado de urgencia en el hospital “Marina Baixa”. Caso clínico: Se presenta un caso de isquemia espontánea de canal anal en paciente de 76 años de edad con morbilidad cardiovascular asociada. Debuta como cuadro séptico sin evidencia de causa desencadenante. Conclusiones: Las pruebas endoscópicas y radiológicas deben realizarse con urgencia y la valoración quirúrgica está siempre justificada en estos pacientes debido a la alta tasa de mortalidad descrita en el manejo conservador del cuadro. En casos graves, la reanimación preoperatoria y cirugía urgente para resecar el segmento gangrenoso es necesaria. Sin embargo, el tratamiento de la proctitis isquémica aguda es controvertido y depende, en parte, del estado basal del paciente y los hallazgos clínicos, siendo importante examinar otras posibles etiologías de proctitis isquémica y así determinar qué pacientes necesitan intervención quirúrgica temprana en comparación con una actitud más conservadora.

Abstract: Objective: To describe the involvement diagnostic imaging exams in the framework of Regime of Explicit Health Guarantees in Chile and analyze the role of radiologists in this field. Materials and methods: Every pathology included in the Explicit Healthcare Guarantees Program encompasses an expert consensus clinical guideline (CG) and a specific services list (SL). Both of them were analyzed regarding the amount and modality of imaging exams recommended, the presence of radiologists within the expert panels and the concordance between guidelines recommendations and service lists. Results: 60 CG (67%) and 55 SL (69%) include imaging tests within their guaranteed services. Seven CG (8%) recommend medical imaging tests not covered in their respective services list and 5 SL (6%) reference imaging tests not included in the clinical guidelines. The involvement of a radiologist on the expert panel was associated with the absence of imaging test discrepancies between CG and SL (p=0.007). Discussion: Diagnostic imaging plays an important role within the Explicit Healthcare Guarantees Program and is associated with rising healthcare costs. There are cases of discordance between clinical guidelines and specific services lists that account for significant economic and social costs, which may be reduced by including radiologists on expert panels, optimizing resource use and lowering patients’ exposure to ionizing radiation.

Resumen: Objetivo: Describir la participación de los exámenes de imagen en el Régimen de Garantías Explícitas en Salud en Chile y analizar el papel de los radiólogos en este campo. Materiales y métodos: todas las patologías incluidas en el Programa de garantías explícitas en salud, cuentan con una guía de práctica clínica (GC) y un listado de prestaciones específicas (LP). Ambos fueron analizados respecto a la cantidad y la modalidad de los exámenes de imagen recomendados, la presencia de radiólogos dentro de los paneles de expertos y la concordancia entre las recomendaciones de las guías y los Listados de Prestaciones. Resultados: 60 GC (67%) y 55 LP (69%) incluyen pruebas de imagen dentro de sus prestaciones garantizadas. 7 GC (8%) recomiendan pruebas de imágenes no cubiertas en su listado de prestaciones respectivos y 5 pruebas de imágenes del LP (6%) no están incluídas en las guías clínicas. La participación de un radiólogo en el panel de expertos se asoció con la ausencia de discrepancias en las pruebas de imagen entre GC y LP (p = 0,007). Discusión: el diagnóstico por imágenes juega un papel importante dentro del Programa de garantías explícitas y se asocia al aumento de los costos de atención médica. Algunos casos de discordancia entre las guías clínicas y los Listados de Prestaciones representan costos económicos y sociales significativos que podrían reducirse al incluir radiólogos en los paneles de expertos, así como optimizar el uso de recursos y reducir la exposición de los pacientes a la radiación ionizante.

Abstract: The study problem poses that the Bilingual Intercultural Education (EIB) policy is conceived from a functionalist perspective that ofers a diferent education to Mapuche children and young people only to improve academic achievements. Obviously, the demands of education with social and cultural relevance to build knowledge from its own epistemic framework and thus advance in the formation of subjects capable of conceiving the world from diferent perspectives. The theoretical approach is critical interculturality. The main results indicate that the EIB is subordinated to the neoliberal objectives of the State's educational policy, in order to maintain social inequalities.

Resumen: El problema de estudio plantea que la política de Educación Intercultural Bilingüe (EIB) se concibe desde una perspectiva funcionalista que ofrece una educación ´distinta´ a niños y jóvenes mapuches ´sólo para mejorar logros académicos´. Obviando, las demandas de una educación con pertinencia social y cultural para construir conocimientos desde su propio marco epistémico y así avanzar en la formación de sujetos capaces de concebir el mundo desde distintas perspectivas. El enfoque teórico es la interculturalidad crítica. Los principales resultados indican que la EIB está subordinada a los objetivos neoliberales de la política educativa del Estado, para mantener las desigualdades sociales.

Abstract: Chile's increasing migration phenomenon, added to the ethnic and cultural diversity of the territory, challenges school leaders to rethink educational stages that fortify the processes of inclusion and social justice. In this context, the aim of this article is to describe the representations of senior teachers about the inclusion of migrant students in schools in La Araucanía region, Chile. The research uses an assorted method and has a descriptive coverage. The participants are 79 directors of schools and high-schools subsidized by the State. The results evidence that school leaders assume school inclusion from a technical approach and develop practices mainly focused on accomplish with the regulations of the Inclusion Law, above the implementation of practices aimed to assist the professional development of teachers and student´s learning. The conclusions highlight the need to move towards more inclusive and critical leaderships, capable of influencing practices based on the recognition and assessment of student´s differences as an opportunity to assist the teaching-learning process and promote professional teacher development.

Resumen: El creciente fenómeno migratorio que vive Chile, sumado a la diversidad étnica y cultural propia del territorio, desafía a los líderes escolares a repensar escenarios educativos que favorezcan los procesos de inclusión y justicia socia del estudiantado. En este contexto, el objetivo del presente artículo es describir las representaciones de docentes directivos acerca de la inclusión de estudiantes migrantes en centros educativos de la región de La Araucanía, Chile. La investigación utiliza un método mixto y posee un alcance descriptivo. Los participantes son 79 directores y directoras de escuelas y liceos subvencionados por el Estado. Los resultados evidencian que los líderes escolares asumen la inclusión escolar desde un enfoque técnico y desarrollan prácticas focalizadas principalmente en dar cumplimiento a la normativa de la Ley de Inclusión, por sobre la implementación de prácticas orientadas a favorecer el desarrollo profesional docente y el aprendizaje del estudiantado. Las conclusiones destacan la necesidad de transitar hacia liderazgos más inclusivos y críticos, capaces influenciar prácticas sustentadas en el reconocimiento y valoración de las diferencias del estudiantado como oportunidad para favorecer el proceso de enseñanza-aprendizajes desde un enfoque inclusivo e intercultural.

Abstract: Teacher education is a crucial aspect in improving education. However, the discussion in this field has focused on global issues, such as economical or structural aspects, leaving in the background the complex process of learning to teach as part of the teacher professional development. Therefore, it is important to analyse the mechanisms behind professional learning. This research is focused on the analysis of the interactions among preservice teachers involved in a game designed to promote reflection and sociocognitive conflict. This is a multiple case design, with a sample of 15 preservice teachers that were in the first year in a private university from Santiago, Chile. The interactions are analysed qualitatively, distinguishing among disputational, cumulative and exploratory interactions. Results indicate a predominance of exploratory talk and some differences among the groups were observed. Findings are discussed in terms of the implications for teacher education.

Resumen: La formación de profesores es clave para mejorar la calidad de la educación, sin embargo, se han ignorado aspectos fundamentales del aprendizaje profesional, como las creencias y conocimientos previos que se ponen en juego en el proceso de aprender a enseñar. Por lo anterior es relevante profundizar en los mecanismos que explican el aprendizaje profesional. Esta investigación busca caracterizar las interacciones que se observan entre estudiantes de pedagogía que participan en un juego diseñado para promover la reflexión y el conflicto sociocognitivo. Se utiliza un diseño de casos múltiples. La muestra está compuesta por 15 estudiantes de pedagogía de primer año de una universidad privada de Santiago de Chile. Las interacciones se analizan de forma cualitativa, distinguiendo entre interacciones disputacionales, acumulativas y exploratorias. Los resultados apuntan a un predominio de estas últimas, observándose diferencias entre los tres grupos analizados. Se discuten los resultados en términos de las implicancias para la formación de profesores.

One hundred and five juveniles and adults of Euphausia mucronata were incubated in order to estimate their daily growth rates (DGR) using the standard instantaneous growth rate method. From 77 krill that survived after 2 days of incubation under laboratory conditions, 70 individuals molted (35.1% males, 64.9% females). E. mucronata mean intermolt period was 5.2 days (range = 4-9 d) with mean DGR of 0.01 mm d-1 for males and -0.04 mm d-1 for females. Overall mean DGR was -0.02 mm d-1. DGRs were positive (31%), zero (12%) and negative (57%). DGR<0 evidenced body shrinking process suggesting that environmental conditions in austral autumn 2010 were unfavorable for the krill population. However, because females had DGR<0 values more frequently than males it is probable that females also used part of their energy on gonad development rather than body growth.

Se presenta un estudio psicométrico por procedimientos confirmatorios de la Escala de habilidades sociales de Gismero. Se revisan antecedentes generales sobre instrumentos habitualmente utilizados para evaluar habilidades sociales, y se presentan las características generales del instrumento estudiado, revisando las propiedades psicométricas de medida del mismo. La muestra estuvo compuesta por 1206 estudiantes universitarios de distintas carreras de la Universidad Católica de Temuco, Chile. Se realizó un análisis factorial confirmatorio con la matriz de correlaciones policóricas, y se analizó la estructura propuesta por Gismero. De la misma forma, se realizan procedimientos de evaluación de fiabilidad como consistencia interna (alfa ordinal) y análisis de validez discriminante utilizando los factores del auto-concepto forma 5. Los resultados indican una buena fiabilidad del instrumento, un ajuste adecuado del modelo a los datos y una adecuada validez discriminante. Por lo cual, se considera que la Escala de habilidades sociales es un instrumento recomendable para la evaluación de las habilidades sociales en estudiantes universitarios chilenos. Se propone una leve modificación en la estructura del modelo en el ámbito de los factores de segundo orden.

This paper presents a psychometric study performing a confirmatory factor analysis of Gismero's Social Skills Scale. A background review is conducted on evaluation tools generally used for social skills, and the general characteristics of the scale are presented for the tool studied. A review is also conducted on psychometric properties of this tool. The sample consisted of 1206 college students at the Universidad Católica de Temuco, Chile. Confirmatory factor analysis was conducted using a polychoric correlation matrix, and the structure proposed by Gismero was analyzed. Reliability assessment procedures, such as internal consistency (Ordinal Alpha) and discriminant validity analysis, were also conducted using AF5 factors. The results show good internal reliability of the tool, suitability of the model to the data, and good discriminant validity. In conclusion, the Gismero's Social Skills Scale is considered as a suitable tool for assessing social skills in Chilean university students. A slight modification of the model structure in the second order factor level is proposed.

Introduction: Nosocomial infections generate high morbidity and mortality in children undergoing cardiac surgery. Objective: To determine risk factors for nosocomial infections in children after congenital heart surgery. Methods: A retrospective case-control study, in patients younger than 15 years undergoing surgery for congenital heart disease from January 2007 to December 2011 admitted to the Pediatric Critical Patient Unit (UPC-P) in a university hospital. For cases, the information was analyzed from the first episode of infection. Results: 39 patients who develop infections and 39 controls who did not develop infection were enrolled. The median age of cases was 2 months. We identified a number of factors associated with the occurrence of infections, highlighting in univariate analysis: age, weight, univentricular heart physiology, complexity of the surgical procedure according to RACHS-1 and cardiopulmonary bypass (CPB) time ≥ 200 minutes. Multivariate analysis identified CPB time ≥ 200 minutes as the major risk factor, with an OR of 11.57 (CI: 1.04 to 128.5). Conclusion: CPB time ≥ 200 minutes was the mayor risk factor associated with the development of nosocomial infections.

Introducción: Las infecciones asociadas a la atención en salud (IAAS) generan elevada morbilidad y mortalidad en niños sometidos a cirugía cardíaca. Objetivo: Determinar factores de riesgo que inciden en la ocurrencia de IAAS en niños operados de cardiopatías congénitas. Métodos: Estudio retrospectivo de casos y controles, en pacientes menores de 15 años sometidos a cirugía por cardiopatías congénitas desde enero 2007 a diciembre 2011 admitidos en la Unidad de Paciente Crítico Pediátrico (UPC-P) de un hospital universitario. Para los casos, se analizó la información del primer episodio de infección. Resultados: Se enrolaron 39 pacientes con IAAS y 39 controles operados que no desarrollaron infección. La mediana de edad de los casos fue 2 meses. Se identificó una serie de factores asociados a la ocurrencia de IAAS, destacando en el análisis univariado: edad, peso, fisiología cardíaca tipo univentricular, complejidad del procedimiento quirúrgico según RACHS-1 y tiempo de circulación extracorpórea (CEC) ≥ 200 min. El análisis multivariado identificó al tiempo de CEC ≥ 200 min como el principal factor de riesgo, con un OR de 11,57 (IC: 1,04-128,5). Conclusión: El tiempo de CEC ≥ 200 min fue el factor de riesgo más asociado al desarrollo de IAAS en niños operados de cardiopatías congénitas.

Background: Determination of Alanine aminotransferase serum levels ([ALT]s) is a sensitive ana reliable test for liver diseases. Aim: To report the prevalence of abnormal [ALT]s in Chilean population and to identify associated variables. Methods: We analyzed data from a random sub-sample of 2,794 adults surveyed during the second Chilean National Health Survey. Abnormal [ALT]s were defined by using three different cut-off values (COV), two fixed COV (COV1: > 30 IU/L in men and > 19 IU/L in women and COV2 pre-defined by the performing laboratory) and a COV adjusted by age, weight and sex (COV3 > 31 IU/L for women and > 44 IU/L and men > 42 IU/L and > 66 IU/L with a BMI > 23). Logistic regression analysis was performed to determine risk factors for elevated [ALT]s Results: Mean [ALT]s values were 30.14 I U/L in men and 22.03 IU/L in women. The observed prevalence of abnormal [ALT]s defined by different COV were 38%, 11.5%, and 8.1% for COV1, COV2 and COV3 respectively. Variables independently associated to abnormal [ALT]s in a multivariate analysis were the following: serum gamma-glutamyl-transpeptidase (OR: 1.055 [95% CI 1.033-1.078]) and body mass index (OR:1.13 [95% CI 1.09-1.17]). Variables inversely associated with abnormal [ALT]s (COV1) were mole gender (OR-.0.976 [95% CI 0.96-0.99) and HDL-cholesterol (OR:0979 [95% CI 0.96-0.99]). Conclusions: Independently of the COV used, Chilean population exhibits a high prevalence of abnormal [ALT]s which may reflect a significant burden of liver disease. Non-alcoholic fatty liver disease could be a major contributor to elevated [ALT]s considering the association of abnormal [ALT]s and metabolic variables.

Background: Depression is a risk factorfor developing secondary post-traumatic stress disorder. The earthquake on February 27th, 2010, destroyed the Hospital of Curicó. Despite the prevailing chaos, patients in treatment for severe depression actively maintained their treatment from the first post-earthquake workingday Aim: To determine prevalence of acute stress (AS) and post-traumatic stress disorder (PTSD) after the earthquake amongwomen in treatment for severe depression. Material and Methods: Seventy five women aged 20 to 73 years in treatment for depression for at least six months before the oceurrence of the earthquake, who continued in follow up after the event, were studied. According to the Tenth International Classification ofDiseases, thefrequency ofAS was assessed duringthe consultation oceurring one month after the event and thefrequency ofPTSD was assessed during the consultation oceurring six months after the event. Results: Fifty nine percent of women hadAS symptoms at thefirst month and 53.3% had PTSD, six months later. AS was signifi cantly associated with a low educational level. PTSD was significantly associated with prior oceurrence of AS and a history of childhood trauma history. Conclusions: A high frequeney ofPTSD was observed in thisgroup of depressive patients, which was significantly associated with a history ofprevious AS and childhood trauma.

Objective: To reveal the impact on the global clinical status and post-traumatic symptoms evolution in women in treatment for severe depression in the Hospital of Curicó, who confronted the F-27 earthquake. Methodology: 75 women in treatment for severe depression were evaluated from the first working day after the catastrophe. According to the ICD-10, acute stress (AS) and post-traumatic stress disorder (PTSD) were clinically determined. The routinary use of the Clinical Global Impression scale (CGI) allowed the monitoring of the clinical status before and after the earthquake. The eight-item treatment-outcome post-traumatic stress disorder scale (TOP-8) was applied twice, at the first and sixth months. Results: AS: 58.7 %, PTSD: 53.3%. Significant deterioration in CGI was observed one month post-event (χ² = 3.88; p < 0.05) and an ostensible improvement six months later (χ² = 4.65; p < 0.04). The post-traumatic symptoms did not improve significantly. More severe CGI immediately after the earthquake was significantly associated to AS (χ² = 13.794; p < 0.008) and to the subsequent development of PTSD (χ² = 16.437; p < 0.002). More severe CGI after six months was correlated significantly with previous AS (χ² = 15.849; p < 0.003), with PTSD (χ² = 17.780; p < 0.001) and with records of childhood trauma (χ² = 18.431; p<0.01). Conclusions: After a significant clinical deterioration observed immediately post disaster, at six month the CGI improved the CGI, while post-traumatic symptoms did not. There was no increase in suicidal behavior. Records of childhood trauma were associated with significant aggravation of the CGI six months after the earthquake.

Objetivo: Conocer la evolución clínica global y de síntomas postraumáticos en mujeres enfrentadas al terremoto del 27-F que se encontraban en tratamiento por depresión severa en el Hospital de Curicó. Metodología: 75 mujeres en tratamiento por depresión severa fueron evaluadas a contar del primer día hábil post-catástrofe. Conforme a la CIE-10, se determinó clínicamente estrés agudo (EA) durante el primer mes y postraumático (TEPT) a los seis meses. El uso rutinario de la escala de impresión clínica global (CGI) permitió monitorear el estado clínico desde antes del terremoto. La escala de 8 ítems para la evaluación del trastorno de estrés post-traumático (TOP-8) fue aplicada al primer y sexto mes post-desastre. Resultados: Las prevalencias encontradas fueron: EA 58,7% y TEPT 53,3%. Se observó deterioro significativo en CGI al primer mes post- evento (χ² = 3,88; p = 0,05) y una ostensible mejoría a los seis meses (χ² = 4,65; p = 0,04). No mejoraron significativamente los síntomas postraumáticos. Estados más graves inmediatamente después del terremoto se asociaron significativamente a EA (χ² = 13,794; p = 0,008) y a desarrollo posterior de TEPT (χ² = 16,437; p = 0,002). Estados más graves a los seis meses se correlacionaron significativamente con EA previo (χ² = 15,849; p = 0,003), TEPT χ² = 17,780; p = 0,001) y antecedentes de trauma infantil (χ² = 18,431;p = 0,01). Conclusiones: Luego del agravamiento clínico inicial post-terremoto, a los seis meses no mejoraron significativamente los síntomas postraumáticos de las pacientes, pero mejoró la CGI y no se observó un aumento de conductas suicidas. El antecedente de trauma infantil se asoció a un deterioro significativo de la CGI a los seis meses post-terremoto.