Collection: Revista Chilena de Medicina Familiar

En pacientes con artrosis de rodilla, el tratamiento durante 6 meses combinando condroitín sulfato y glucosamina no mejora el dolor en comparación a placebo y AINES. Sin embargo, su uso podría ser útil en disminuir el dolor en el subgrupo de pacientes con dolor moderado a severo. Además, el uso de condroitín sulfato  disminuye la incidencia de eventos de derrame intraarticular en todos los pacientes.

El término integridad profesional o profesionalismo, como suele traducirse al esañol la palabra professionalism, es el termino que designa un movimiento de carácter ético, originado en ámbitos académicos de los EE.UU. en los años ochenta, por el que se definen los rasgos esenciales del buen hacer de la profesión médica. Abarca aspectos aspectos como la reflexión sobre los valores de la profesión, la actuación profesional (praxis) correcta y las implicaciones curriculares en pre y post grado.

Photoaging is considered as a group of clinical manifestations due to chronic exposure to solar ultraviolet irradiation (UV). Although it ‘spathophysiology is not totally clean reactive oxygen species are known to be generated by UV radiation causing dermic damage, as well as an augmentation in transcription of metallioproteinases (MMPs) due to radiation UV: MMPs produce damage in extracellular matrix and accumulates tissue damage; all that conducing to photoaging Multiple treatments have bemproposed to stop damagingeects  UV Amongthem, reducing skin exposure to UV radiation remains as the most importan,  followed by the use of antioxidants and treatments which moderate gene expression of MMPs. However, we are only able to diminish photoagingdamage since a specific tmatment to photoaging has not yet been found.

En pacientes diabéticos sin eventos cardiovasculares previos el uso de tratamiento hipolipemiante con estatinas reduce el riesgo relativo de eventos cardiovasculares en un 21%.

Nowadays, oral child’s health is one of our country’s priorities. Promotion of an adequate oral hygiene should be frequently discussed with patients and parents, both as primary and secondary prevention. On the other hand, even so dental caries are highly prevalent, we doctors have very little information in the subject. Consequently, we don’t get involved in the field very often. The present article is intended to review  general aspects of etiopathology of caries and what are the recommendations we shouId follow as primary care physicians to prevent them in pediatric population. The appropriate timing for stating toothbrushing or when to prescribe toothpaste are some of the aspects discussed, making an emphasis in critical appraisal of the literature.

Cough is a respiratory reflex, or defensive mechanism, that allows to eliminate thepresentmaterial in the bronchial tree to maintain its permeability. It is chronic when itperszsts by more than 8 weeks. It has a prevalence of23% in healthy people and nonsmokers. 13% of older peoplehave chronic cough, and it is described as the mostfrequent ambulatory cansultatiorz,predominantly in women. The reason to consult is the fear to steer an oncogenk disease, also the secondary upheavals to thepersistent cough,like bad sleeping, synco and urinary incontinence in women. Thepnzsent review shows the dOrential diagnosis ofthronic cough and their management accarrlingto the consensus ofthe evidence and to the possibilities at primazy care

This paper is the first of two articles, discussing Urinary Incontinence, to be published in this journal. First, we will discuss briefly some aspects related to basic physiology and physiopathology of storage and voiding, ending with a review of the main evaluation Strategies available to patients suffering from incontinence. In the second article (to be publish in the next issue of this journal), we will summarize the main aspects related to treatment options, either physical, pharmacological or surgical. Articles were written to fulfil the needs of updated medical information of family practioners.

El uso de corticoides en el manejo agudo de la parálisis facial periférica no muestra mayor efectividad que placebo en la recuperación de la función motora facial a los 6 meses.

Paciente de sexo masculino, R.I.N, 39 años de edad, fumador de media cajetilla de cigarrillos al día, otros antecedentes mayores de riesgo cardiovascular y mórbidos de importancia. Inicio cuadro de disconfort retroesternal mal definido, de 2 horas de duración, no relacionado a esfuerzo, no irradiado, asociado a disnea, mareo y fatigabilidad.