Collection: Revista Chilena de Medicina Familiar

El tratamiento antibiótico por tres días en mujeres no embarazadas, con cistitis y sin otras patologías, comparado con el tratamiento por cinco o más días, es igual de efectivo en obtener remisión de los síntomas, pero menos efectivo en obtener cura bateriológica.

This article is the continuation of an article published in the previous edition of this journal on the patho-physiology and diagnosis of urinary incontinence. In this second article we describe an up-date of the basic elements of treatment of urinary incontinence for family doctors are not urologist.

The recurrent aphthous stomatitis (RAs) is the most frequent injury of the oral mucosa; the exact etiology is unknown and the treatment if unspecific. Thus it forces to use symptomatic treatments that reduce the symtoms and, in some case, to induce longer period of remission, but without relying the problem. Among the multiple treatment: that have been use, the corticoids continue being the fundamental pillar for the handling of the episodes: of injuries, but it is not clear if the improvement obeys to the drug or natural evolution of the disease. In the present article we will review the main unchaining factors, the differential diagnosis, clinical presentation and treatments.

A continuación se reporta un caso clínico de un adulto de sexo masculino de 20 años que se presenta con marcada inapetencia, apatía, despropositividad vital, retraimiento social y un aparente quiebre vital descrito por sus progenitores. Dentro del examen físico destaca un estado nutricional enflaquecido y examen neurológico dentro de límites normales, todo lo cual lleva a sospechar la presencia de un cuadro psiquiátrico y como primera posibilidad a descartar un primer brote de esquizofrenia simple. A través del médico de familia se realizó la coordinación con el nivel secundario de atención y se mantuvo la continuidad en la atención. Finalmente dentro del estudio para descartar patología orgánica se encontró un cortisol  plasmático muy disminuido con lo cual cambio drásticamente el enfrentamiento de nuestro paciente, pues ahora estábamos frente a una patología médica y tratable, una insuficiencia suprarrenal. Palabras claves: insuficiencia suprarrenal, síntomas psiquiátricos, diagnóstico diferencial.

We present a family research carried out by Medicine’s students from Chile’s University,  during the Family Medicine signature. The students were supervised by a family doctor in charge to the studied family. This investigation was realized because the problems expressed by the family’s  mother, related with family’s relationship and the objective was obtain enough information to plan a favourable intervention to modify the inappropriate behaviour detected Key words: family research, protector factors,

El amamantamiento es más efectivo que tener en brazos o la administración de agua estéril y al menos igual de efectivo que la administración  de glucosa 30% más pacificador (chupete) en disminuir el dolor producido por una punción venosa rutinaria en recién nacidos de término sanos.

MINOR SURGERY: A 6 MONTH EXPERIENCE DESCRIPTION IN PRIMARY CAREFamily Health Centers (FHC) are establishments of primary care, responsible of give solutions to the needs of health of persons and family. In this context, Minor Surgery assumes procedures on superficial tissues, in order to improve the accessibility and resolution rate. The aim of this study is to describe the experience in Minor Surgery in FHC Cristo Vive. Minor surgeries realized between January and July of 2008 were analyzed. A total of 101 procedures were realized, in 97patients of 43 years average and 58 % were woman. The minimal standby time between diagnosis-procedure was fulfilled in 57 % of the patients. The most frequent diagnosis was Ingrown Nail. The rate of complication was 0,9/100pacientes. In Conclusion, Minor Surgery is an important tool in primary care, with a low rate of complications, which every doctor should be familiarized.
 

Aims: to adapt and validar an instrument that mother – son evaluates attachment for his application in the diada to 6 months in communes of the sector South – orientates of Santiago. Method: the process of validation consisted in: 1) The selection of the instrument across an extensive bibliographical review, there being selected the “Scale of Massie-Campbell’s Attachment”; 2) The adjustment of the instrument to the language and culture places; 3) HU validation as for Appearance Constructo and Content across a committee reviser of experts; 4) It field tries the instrument; 5) Evaluation of reliability across the Inter-observant analysis of conformity for Wilcoxon Signed-Rank’s method Test for Difference in Medians. Results: there was achieved the final version of the Scale of adapted, modified Massie-Campbell and validada in appearance, constructo and content. Reliability  evaluated across the Inter-observant analysis of conformity for Wilcoxon Signed-Rank’s methodTestfor Difference in Medians. Conformity was confirmed in five of seven observed conducts. Concomitantemente developed a Manual and Mini manual* his use. Conclusion: the adjustment and validation of appearance was realized, constructo and content of an instrument for the measurement of attachment in Chilean’s infants, fulfilling with all the necessary stages described in the literature for the validation of an instrument of typical these. In view of the important of the topic; this scale will allow the detection and precocious intervention of upset bosses of attachment, which according to the evidence has demonstrated to be the most e ective method among the interventions in attachment.