Revista Medica Clinica Las Condes最新文献

{"title":"Leiomioma anal: reporte de un caso","authors":"Alejandro Zárate MD ,&nbsp;María Trinidad Triat MD","doi":"10.1016/j.rmclc.2025.02.001","DOIUrl":"10.1016/j.rmclc.2025.02.001","url":null,"abstract":"<div><h3>Objective</h3><div>To present the clinical characteristics, diagnostic study and treatment of a patient with a perianal mass, ultimately diagnosed as a leiomyoma.</div></div><div><h3>Clinical case</h3><div>43-year-old female patient, who consulted because of discomfort and a non-bleeding perianal mass found 3 months prior that had been treated as inflamed hemorrhoids. Upon examination by a specialist, a nodule measuring 3<!--> <!-->×<!--> <!-->3<!--> <!-->×<!--> <!-->3<!--> <!-->cm, with semi-solid consistency and no inflammatory signs, stands out in the right lateral perianal area. The MRI shows a solid tumor adjacent to the external anal sphincter. The colonoscopy did not reveal intraluminal lesions. Surgical procedure: right lateral perianal incision, surrounding and completely resecting the tumor. The patient was discharged the next day.</div></div><div><h3>Results</h3><div>Pathological report: Well-defined tumor composed by fused cells with oval-elongated nuclei, blunt edges and small amount of eosinophilic cytoplasm, arranged as disorganized fascicles intertwined in a fibrous stroma. Histochemical study: desmin: positive, DOG1: negative, S100: negative; confirming the diagnosis of this leiomyoma. After a 2-year follow-up, no clinical or radiological recurrence is observed.</div></div><div><h3>Conclusion</h3><div>This case displays the need to consider differential diagnoses in patients with a perianal mass that do not respond to classic treatment.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"36 1","pages":"Pages 47-50"},"PeriodicalIF":0.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143452775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reunidos en torno al paciente, un espacio de encuentro y colaboración atemporal","authors":"","doi":"10.1016/j.rmclc.2025.02.004","DOIUrl":"10.1016/j.rmclc.2025.02.004","url":null,"abstract":"","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"36 1","pages":"Page 6"},"PeriodicalIF":0.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dermatitis psoriasiforme por inhibidores de los puntos de control Inmunitarios","authors":"José González-Fernández MD ,&nbsp;Sergio García-González MD ,&nbsp;Mariano Ara-Martín MD, PhD ,&nbsp;Francesc Felipo Berlanga MD ,&nbsp;Victoria Lezcano-Biosca MD","doi":"10.1016/j.rmclc.2025.02.003","DOIUrl":"10.1016/j.rmclc.2025.02.003","url":null,"abstract":"","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"36 1","pages":"Pages 51-54"},"PeriodicalIF":0.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluación de la eficacia del consejo nutricional y suplemento dietético en el control de la neuropatía periférica inducida por quimioterapia","authors":"Laura Fernández Madrigal MD,&nbsp;Matilde Bolaños Naranjo MD,&nbsp;Juan Bayo Calero MD","doi":"10.1016/j.rmclc.2025.01.007","DOIUrl":"10.1016/j.rmclc.2025.01.007","url":null,"abstract":"<div><div>Chemotherapy-induced peripheral neuropathy (CIPN) is a heterogeneous group of neuropathies caused by oncological treatments and is the most common neurological complication related to chemotherapy. Currently, there are few treatment alternatives. The objective of our study is the assessment and control of CIPN, through nutritional advice associated with a dietary supplement (DS) based on non-enzymatic antioxidants (Neuronuva®).</div><div>A quasi-experimental study with a six month follow-up was carried out in 31 patients. Measurements that included a questionnaire and physical examination were performed at baseline, at 3 and 6 months, in patients with acute or chronic CIPN grade 2 or higher on the NCI-CTCAE scale. NPIQ was caused by oxaliplatin in 54.8%, by paclitaxel in 19.4%, by cisplatin, carboplatin or nabpaclitaxel in 6.5% each and by docetaxel or eribulin in 3.2% respectively. At three months after the start of nutritional advice and SD, 24 patients showed improvement in NPIQ with an objective response rate of 77.4% (95% CI 0.61-0.93), 5 patients (16.1%) showed no changes, and 2 patients discontinued SD. After administration of SD, NPIQ showed improvement at three months (p<!--> <!-->=<!--> <!-->0.001) and at six months (p<!--> <!-->=<!--> <!-->0.002). Although there is no effective therapy thats completely controls CIPN, the data obtained in our study are favourable, showing a clear improvement in CIPN in more than 2/3 of patients. We propose carrying out larger multicentre confirmatory studies. In addition, the use of this DS, together with nutritional measures, could be considered as prophylaxis in chemotherapies that are more neurotoxic.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"36 1","pages":"Pages 55-61"},"PeriodicalIF":0.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fe de errata de “Manejo de la epoc en la era moderna” [REV. MED. CLIN. CONDES - 2024; 35(3-4) 209-220]","authors":"Jorge Dreyse","doi":"10.1016/j.rmclc.2025.02.002","DOIUrl":"10.1016/j.rmclc.2025.02.002","url":null,"abstract":"","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"36 1","pages":"Pages 62-63"},"PeriodicalIF":0.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enseñar activamente","authors":"","doi":"10.1016/j.rmclc.2024.10.008","DOIUrl":"10.1016/j.rmclc.2024.10.008","url":null,"abstract":"","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Page 548"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Restauración volumétrica autóloga en pacientes con hemiatrofia adiposa facial","authors":"Alicia María Tamayo-Carbón MD ,&nbsp;Gloribeth Carrasco MD ,&nbsp;Melvis Anaya-Blanco MD ,&nbsp;Zainela Labordes-López MD ,&nbsp;Miguel del Toro-Pazos MD ,&nbsp;Diana Katherine Cuastumal-Figueroa MD","doi":"10.1016/j.rmclc.2024.08.005","DOIUrl":"10.1016/j.rmclc.2024.08.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Facial lipoatrophy lacks standard clinical criteria for its diagnosis and treatment; however, patients with hemifacial atrophy increase, affecting the mental health of patients who suffer from it. Lipografting has been rescued as an effective and safe treatment option.</div></div><div><h3>Objective</h3><div>To show the results of autologous volumetric restoration in patients with facial adipose hemiatrophy.</div></div><div><h3>Method</h3><div>Multicenter, descriptive, longitudinal and prospective study carried out on 29 patients treated at the Hermanos Ameijeiras Hospital, Cuba and the EIMEC clinic, Spain in the period from July 2018 to July 2023. Both sexes were included, between 19 and 75 years old, with facial asymmetry due to unilateral decrease in subcutaneous cellular tissue.</div></div><div><h3>Results</h3><div>The average age was 47.9 years. Women predominated with 79.3%. The most common etiologies were idiopathic, autoimmune and orbital trauma, each accounting for 17.2%. According to the degree of severity, grade II was the highest, with 65.5%, and grade III represented 34.5% of the total. Regarding the amount of grafted adipose tissue, 62.1% of the cases were 31 to 60<!--> <!-->ml, and 27.6% more than 60<!--> <!-->ml. According to the number of graft applications, 72.4% required one and 27.6% two applications. 93.1% had no complications and 6.9% reported 50% reabsorption of the graft. Patient satisfaction reached 100% and the results were classified as good in 86.21%; when there was improvement, without complications as well as patient satisfaction.</div></div><div><h3>Conclusion</h3><div>Autologous lipotransfer assisted with adipose tissue stem cells is a safe treatment option that offers good results in correcting asymmetry caused by hemifacial lipoatrophy.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 535-542"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bienestar laboral y condiciones ocupacionales en docentes de carreras de Ciencias de la Salud durante la crisis sanitaria por COVID-19","authors":"Lorena Vigueras-Riquelme MSc,&nbsp;Paula Parra-Ponce MSc,&nbsp;Cristhian Pérez-Villalobos PhD","doi":"10.1016/j.rmclc.2024.10.005","DOIUrl":"10.1016/j.rmclc.2024.10.005","url":null,"abstract":"<div><h3>Background</h3><div>Student well-being during the COVID-19 pandemic, and its relationship to personal and academic factors, has been extensively studied. However, there are few studies regarding this phenomenon in teachers.</div></div><div><h3>Objective</h3><div>To evaluate the relationship between occupational conditions and teachers’ wellbeing at work, in terms of their engagement and burnout, in health career teachers during the COVID-19 health crisis in Chile.</div></div><div><h3>Methods</h3><div>Quantitative study, with an observational and cross-sectional design and relational scope, with a non-probabilistic sampling strategy and by convenience, a sample of 234 health science teachers was obtained, who answered the UWES-17 Work Engagement Scale, the Maslach Burnout Inventory HSS version, a Scale of resources available for teaching and a sociodemographic questionnaire and working conditions, after reading and accepting an informed consent.</div></div><div><h3>Results</h3><div>Teachers reported high work engagement in its dimensions of vigor, absorption and dedication, moderate emotional exhaustion and less depersonalization and lack of personal fulfillment. Burnout and engagement showed inverse correlations with each other in almost all their factors (p<!--> <!-->&lt;<!--> <!-->0.05), except in the case of absorption. In addition, both variables showed a relationship with gender, age of the teachers and access to quiet places to work (p<!--> <!-->&lt;<!--> <!-->0.05).</div></div><div><h3>Conclusions</h3><div>The sociodemographic characteristics of teachers showed to be more associated with their reported well-being than their academic conditions. In terms of available resources, quiet spaces for work were more important than access to technology.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 503-511"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desarrollo de una declaración de uso de inteligencia artificial con una perspectiva de integridad académica en educacióN MéDica y Ciencias De la Salud","authors":"Daniela Avello-Sáez ,&nbsp;Nayadet Lucero-González ,&nbsp;Ignacio Villagrán","doi":"10.1016/j.rmclc.2024.06.003","DOIUrl":"10.1016/j.rmclc.2024.06.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Artificial intelligence (AI), through tools like ChatGPT, is transforming higher education with more and more students and teachers incorporating AI into daily practice. Along these lines, new challenges emerge in the educational field, where the need for a balance between efficiency and originality, and a deep analysis with a focus on academic integrity is required.</div></div><div><h3>Aims</h3><div>This article discusses the relationship between AI and academic integrity in higher education and describes the process of developing an academic integrity statement adapted to the use of AI. Methodology: Using a methodology that includes analysis of relevant AI tools and expert evaluations, a framework for the ethical and responsible adoption of AI is proposed.</div></div><div><h3>Results</h3><div>The results show an effective integration of the statement in academic works, promoting transparency and honesty.</div></div><div><h3>Discussion and Conclusions</h3><div>The discussion highlights the variability in adoption of the statement across academic levels, suggesting the need for a more personalized approach. In conclusion, the role of the declaration in promoting ethical practices and preparing for future challenges at the intersection of technology and education should be emphasized.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 412-420"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autorregulación del aprendizaje en estudiantes chilenos de nivel técnico superior de Odontología: diferencias entre género y semestre de estudio","authors":"Pia Dortty Huguette Chieyssal Martineau MA ,&nbsp;Abdul Hernández Cortina MA, MSc, PhD","doi":"10.1016/j.rmclc.2024.09.004","DOIUrl":"10.1016/j.rmclc.2024.09.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Self-regulated learning is associated with educational and demographic variables. However, few studies have associated gender with study profiles of self-regulated learning (SRL) in a population of students attending a technical education institute. To address the gaps in previous self-regulated learning profile research, the current study describes the levels of self-regulated learning in students attending odontology courses at a technical education institute. We also analyze the possible relationship between gender and SRL, and we identify the self-regulated learning differences between 2nd and 4th semester students.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 84 students enrolled in a professional technical institution in Santiago, Chile. The self-regulated learninǵs questionnaire was used for data collection. Statistical analysis of self-regulated learning included central tendency (mean), step-to-step variability (standard deviation), and distribution (skewness and kurtosis). The Mann-Whitney U test and the Student's t-test were calculated to compare groups.</div></div><div><h3>Results</h3><div>Out of 259 contacted students, 84 students (mean age 23.8<!--> <!-->±<!--> <!-->7.4 years, 91.7% female) participated. The self-regulated learning average was high and more positive among males (293.6 SD<!--> <!-->=<!--> <!-->64.8) than females (292.4 SD<!--> <!-->=<!--> <!-->45.0). There were no significant differences in self-regulated learning between students's genders (U<!--> <!-->=<!--> <!-->704). There were not any significant differences in this variable by semester either (t<!--> <!-->=<!--> <!-->9993, 95% CI<!--> <!-->=<!--> <!-->−20.5-20.3).</div></div><div><h3>Conclusions</h3><div>The results expand our understanding of self-regulated learning for students enrolled in a Technical Education Institute. In the future, the relationship between the students’ self-regulated learning and gender should be studied further.</div><div>.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 429-437"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}