Revista medica de Chile最新文献_第10页

[Integrative Medicine in Chile: Towards a more global vision of people's health]. [智利的综合医学：以更加全球化的视野看待人民健康]。

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000801071

Alvaro Tala, Cecilia Plaza

{"title":"[Integrative Medicine in Chile: Towards a more global vision of people's health].","authors":"Alvaro Tala, Cecilia Plaza","doi":"10.4067/s0034-98872023000801071","DOIUrl":"https://doi.org/10.4067/s0034-98872023000801071","url":null,"abstract":"The World Health Organization has defined health as a state of complete physical, mental and social well-being, not just the absence of disease. Integrative medicine considers the articulation of different medical practices and systems such as mind-body therapies, manual therapies, energy medicine, whole systems and healthy lifestyles, allowing focusing on the cause of diseases and giving concrete tools to focus on the person rather than just the disease. In Chile, the Ministry of Health proposed incorporating alternative and complementary medicines through Decree 42, regulating them as auxiliary to traditional care, the conditions of practice for the exercise of acupuncture, homeopathy, and naturopathy. There are multiple barriers to implementing integrative medicine units, such as the perception that they are expensive and ineffective and, frequently, the resistance of health teams. For its advancement, it is essential to gradually incorporate this discipline in health careers curricula, agree on taxonomies and outcomes, and maintain sight that the core of health care is at the primary level. It is also necessary to generate evidence on the use of integrative medicine, especially at the local level, incorporating its practice more routinely and reporting on its potential adverse effects.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141877188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Risk factors and predictors of drug resistance in tuberculosis: A comprehensive analysis of cases in Chile (2014-2018)]. [结核病耐药性的风险因素和预测因素：智利病例综合分析（2014-2018年）]。

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000800999

Sergio Orostica V, Carlos Sandana S

{"title":"[Risk factors and predictors of drug resistance in tuberculosis: A comprehensive analysis of cases in Chile (2014-2018)].","authors":"Sergio Orostica V, Carlos Sandana S","doi":"10.4067/s0034-98872023000800999","DOIUrl":"https://doi.org/10.4067/s0034-98872023000800999","url":null,"abstract":"Objective: Determine the risk factors associated with drug resistance and unsuccessful treatment of tuberculosis in Chile between 2014 and 2018.Methodology: Analytical observational cross-sectional study including patients diagnosed with Tuberculosis (TB) who entered treatment during 2014-2018, contained in the national TB records. Demographic, clinical variables, and risk groups associated with drug resistance and unsuccessful treatment in TB patients were determined using logistic regression.Results: Between 2014 and 2018, 13,1761 TB patients were reported in Chile, of whom 3.4% (n = 445) were drug-resistant. From this, 43.1% are rifampicin-resistant TB (RR-TB), multidrug-resistant (MDR-TB), and extensively drug-resistant (XDR-TB). The risk factors that generated the highest probability of drug resistance were relapse (OR: 4.27; CI95% 2.94; 6.20), foreigner (OR: 3.97; CI95% 2.86; 5.52), pulmonary TB (OR: 2.92; CI95% 1.71; 4.99) and HIV (OR: 1.97; CI: 95% 1.33; 2.90). Regarding the probability of unsuccessful treatment against TB, the highest probability were street situation (OR: 3.33; CI: 95% 2.45; 4.52), drug addiction (OR: 1.91; CI 95% 1.52; 2.41), foreigner (OR: 1.51; CI 95% 1.25; 1.83), drug resistance (OR: 2.81; CI 95% 1.87; 4.20), HIV (OR: 3.24; CI: 95% 2.61; 4.02), not belonging to an indigenous people (OR: 1.43; CI 95% 1.00; 2.06) alcoholism (OR: 1.25; CI 95% 1.01; 1.54), pulmonary TB (OR: 1.43; CI 95% 1.20; 1.70) and male sex (OR: 1.44; CI 95% 1.25; 1.65).Conclusions: The risk factors identified as relapse and coinfection with HIV as predictors of drug resistance highlight the complexity of disease management. Likewise, the presence of street situations, drug addiction, and alcoholism highlights the need for specific approaches to address tuberculosis in different population groups, suggesting the need for personalized strategies.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141877210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Why does childhood obesity continue to rise in Chile?] [智利儿童肥胖率为何持续上升？］

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000801103

Fernando Vio

引用次数: 0

[User Profiles for the Integrated Family and Community Health Care Model in the Alto Hospicio, a commune of a northern region of Chile]. [智利北部地区 Alto Hospicio 镇家庭和社区综合医疗保健模式的用户概况]。

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000800963

Carlos Acevedo-Rodríguez, Marcelo Gaete-Fernández, Cristián Gómez-Correa, Sonia Cerda-Díaz

{"title":"[User Profiles for the Integrated Family and Community Health Care Model in the Alto Hospicio, a commune of a northern region of Chile].","authors":"Carlos Acevedo-Rodríguez, Marcelo Gaete-Fernández, Cristián Gómez-Correa, Sonia Cerda-Díaz","doi":"10.4067/s0034-98872023000800963","DOIUrl":"https://doi.org/10.4067/s0034-98872023000800963","url":null,"abstract":"Background: The study presents comprehensive profiles of Primary Health Care Centers of the Alto Hospicio Commune users.Objective: To characterize users registered in the Health Centers of Alto Hospicio Commune from a comprehensive perspective, including satisfaction indicators and knowledge about the Comprehensive Family and Community Health Care Model (MAIS).Methods: A questionnaire of 8 dimensions and 73 items was designed and applied in 4 Primary Health Care Centers in the commune. Four simple random samplings were applied. In total, 1,124 users were surveyed. The confidence and significance levels were between 95%-93% and 5%-7%, respectively.Results: The user profile highlights the diversity in each Health Care Center and reveals general problems such as the lack of information regarding the family care model and services provided by the Health Care Centers and the difficulty of facing mental health situations in the context of the COVID-19 pandemic.Conclusions: Those Health Centers that provide more information about MAIS show better indicators regarding knowledge of health services and user satisfaction. The changes in public health policies and the implementation of the Comprehensive Family and Community Health Care Model require clarifying user profiles according to the characteristics of each health center, its population, and the territory, as well as sharing best practices between health centers.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141877213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Behavioral economics and nudges in the promotion and prevention of public health. Systematic review]. [促进和预防公共卫生的行为经济学和指导。系统回顾]。

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000801043

M Angélica Saldías Fernández, Carolina Luengo Martínez, Denisse Parra-Giordano

引用次数: 0

[Atrioventricular block in granulomatosis with polyangiitis (Wegener's granulomatosis). Case report and review of literature]. [多血管炎肉芽肿病（韦格纳肉芽肿病）房室传导阻滞。病例报告和文献综述]。

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000801088

Luís Changuan R, René Asenjo G, Eduardo Sanhueza G, Raimundo Morris C, Mario Ortíz O

引用次数: 0

[A successful multidisciplinary approach to a recurrent ischiorectal fossa sarcoma]. [成功治疗复发性肛门直肠窝肉瘤的多学科方法]。

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000801093

Andrés Iglesias B, Daniel Moreno M, Érika Chacón D, José Ramón Rodríguez A, José Tomás Larach K

{"title":"[A successful multidisciplinary approach to a recurrent ischiorectal fossa sarcoma].","authors":"Andrés Iglesias B, Daniel Moreno M, Érika Chacón D, José Ramón Rodríguez A, José Tomás Larach K","doi":"10.4067/s0034-98872023000801093","DOIUrl":"https://doi.org/10.4067/s0034-98872023000801093","url":null,"abstract":"Ischiorectal fossa tumors are rare lesions, mostly described in case reports or case series. These lesions represent a diagnostic and therapeutic challenge. Hence, an appropriate preoperative study and multidisciplinary discussion are essential to achieve good oncologic and functional results. We report a case of a 73-year-old male operated on five years before in another health center due to the diagnosis of a left gluteal tumor. The lesion was excised, and biopsies confirmed a high-grade epithelioid sarcoma with a close margin, requiring a subsequent wider excision of the surgical margins. The patient received adjuvant radiotherapy. After four years of follow-up, the patient developed mild pain with skin retraction around the former incision. A local recurrence was diagnosed by imaging. In a multidisciplinary team meeting, a decision to resect the lesion with preservation of the anus and the pelvic floor was taken. The patient underwent a laparoscopic defunctioning loop ileostomy and a resection of the recurrent tumor in the ischiorectal fossa with preservation of the anal sphincter. The defect was covered utilizing a superior gluteal artery perforator flap and a partial gluteus maximus muscle rotation. The tumor was completely excised with negative margins. The patient was discharged without complications after 25 days due to flap management. After one year of follow-up, the patient is recurrence-free, and the ileostomy was closed.","PeriodicalId":101370,"journal":{"name":"Revista medica de Chile","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141877179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Acute appendicitis due to migration of a biliary prosthesis]. [胆道假体移位导致的急性阑尾炎]。

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000801099

Daniel Moreno M, Herman Viveros G, Claudio Muñoz Z, Miguel Villasmil R

引用次数: 0

[Evaluation of kidney function beyond the laboratory: role and current state of kidney imaging]. [实验室之外的肾功能评估：肾脏成像的作用和现状]。

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000801038

Juan Pablo Huidobro E, Mario Santamarina, Jorge Vega, Carlos Riquelme, Roberto Jalil

引用次数: 0

[Takotsubo Syndrome: 2022 Update]. [Takotsubo 综合征：2022 年更新]。

Revista medica de Chile Pub Date : 2023-08-01 DOI: 10.4067/s0034-98872023000801053

Rienzi Díaz-Navarro, Tamara Sáez

引用次数: 0