Introducción: Las Enfermedades de Transmisión Sexual (ETS) comprenden una amplia gama de patologías de diversa presentación. Su importancia radica no sólo en la sintomatología de quien la padece, sino también en las importantes secuelas asociadas que pueden afectar a hombres, mujeres y niños. Además, implica involucrarse en la intimidad no sólo de una persona, sino también de su o sus parejas, por lo que es un tema que el médico de familia debe conocer y manejarse adecuadamente a un diagnóstico correcto y tratamiento eficaz.
Objetivos: El presente artículo intentará dar un enfoque de aproximación clínica sindromática de las ETS más prevalentes que pueden llevar a consultar a un médico familiar. Por otro lado, pretende que cada lector cuestione su resolutividad con respecto a este tema, motivando así el interés por ampliar la información que aquí se entregará. Por último, se darán a conocer métodos diagnósticos y alternativas terapéuticas en boga para cada una de las patologías que se presentarán.
Sexualidad en adultos mayores de la comuna de Retiro, VII región del Maule
exuality in the elderly continues to be a topic of little scienti c approach in primary health care. In the older adult there are changes in their sexuality and a group of factors that can in uence on the satisfactory sex have been determined. ere have been several studies on sexuality in the general population, focusing mainly on young population and little on the elderly.
OBJECTIVES: To know some of the characteristics of the sexuality of the elderly population in the commune of Retiro. Identify if there was interest in receiving information or education regarding sexuality.
MATERIAL AND METHODS: We surveyed 97 older adults who attended the health center of Retiro and voluntarily lled out the survey. We applied questions from the study “Sexual Habits of Latin American – GDA 2010” and from “National Study of Sexual Behavior – Chile 2000” and the results were obtained.
RESULTS: 97 elderly people were interviewed, of whom 54 were males and 43 were females. e average age of the sample was 71 years. 64% of the respondents were married. e frequency of sexual intercourse in sexually active older adults (n = 32) was on average once every 3 months. 33% of respondents reported having had some degree of sexual dysfunction. Most sexually active AMs were satis ed with their sexuality. 94% of the sexually active AM expressed the desire to receive information and / or education regarding sexuality.
CONCLUSION: It is necessary to contribute with more research on sexuality in the elderly in order to identify in uential factors in this area. A high percentage of older adults who have sexual activity reported interest in receiving information and / or education about it, which is why respond to this need by developing strategies.
Obesidad infantil: “Y luego de detectarla ¿qué…?”
Introducción: En las últimas décadas la problemática nutricional infantil ha cambiado, cobrando importancia la malnutrición por exceso, específicamente la obesidad en el niño que ha visto aumentada su prevalencia. En clínica se cuenta con diferentes patrones de medición de obesidad, los cuales nos permiten diagnosticar e iniciar un plan de manejo lo más estructurado posible en el que debe incluirse a toda la familia.
Objetivo: Mostrar la problemática de la obesidad infantil desde una perspectiva de prevención e intervención desde la atención primaria.
Comentario: El cambio epidemiológico nos muestra cómo la obesidad se ha incrementado de forma tal, que conbra mayor importancia el enfocar este problema no sólo desde una perspectiva biomédica, sino también considerando al individuo como parte de un sistema familiar y aunar esfuerzos en diseñar todas las acciones para prevenir y tratar este problema pero, sobre todo, mover estilos de vida más saludables desde la temprana infancia.
Phimosis treatment with topical corticoids in children older than 36 months and under 36 months with surgical treatment indication, in primary care
Introduction: Phimosis is a physiological condition with spontaneous resolution over 90% within the first three years of life. If not resolved or complications are added, probability of disease progression is high. Corticosteroid therapy is suggested as first line, by its cost effectiveness, high resolution rate and no adverse effects. Objective: To describe the results of topical corticosteroids treatment in children with more than 36 months or younger with a medical indication for treatment, in primary care. Methods: longitudinal, prospective, concurrent study analyzed 31 patients during 3 years, diagnosed with high degree phimosis greater than 36 months, and younger with complications. Response to betamethasone 0.05% treatment was assessed. Resolution, relapses and adverse effects up to 16 weeks and 2 years after treatment were recorded. Results: Short term total resolution reached 83.3%, and 16.7% was sent to surgery. In two-year follow-up, total resolution reached 73.3%, and 26.7% was sent to surgery. In relation to the treatment groups, in children with high degree phimosis and age 80.8% were resolved in a short term and 69.2% in two-year follow-up. The group of recurrent infections showed 100% resolution, without relapses. Conclusion: Topical betamethasone 0.05% is effective, safe and accessibility treatment in primary care for persistent phimosis in children older than 3 years and in younger children with need for circumcision. Keywords: phimosis,
TEC: Uso del ciprofloxacino oral durante 5 días disminuye la duración del cuadro diarreico
Es necesario tratar a 4 pacientes con ciporofloxacino (500 mgs cada 12 horas durante 5 días), para disminuir en cuatro días la duración del cuadro diarreico en un paciente.
Significados de la experiencia de enfermedad en mujeres con diagnóstico de depresión y abandono tratamiento
Major depression is a pathology of high prevalence in Chile and the world, with repercussion in the quality of life of people. The proper treatment of this pathology has proven to be effective and is considered a health priority. An obstacle in the achievement of this purpose is the abandonment of treatment, which makes it difficult to implement the different interventions. The importance of the perspective of the patient is raised in order to improve the treatment programs. The objective of this study is to rescue the experience of women between 24 and 65 years of age, diagnosed with depression, belonging to the San Alberto Hurtado Family Health Center, Puente Alto, who abandoned treatment. Through a phenomenological study with in-depth interviews, four comprehensive categories were revealed: depression experience, desire for improvement, abandonment-related circumstances, and actions to improve. Among the findings of the study, it should be noted that the representation that patients have of depression is different from the biomedical representation and that the treatment is secondary to other responsibilities (“it is a luxury)
TEC: Uso de aspirina en prevención primaria del infarto agudo al miocardio
El uso de aspirina para prevención primaria de un evento coronario no es útil en todos los pacientes.
Impacto de la sociedad de medicina familiar a través de sus congresos anuales
The Society Scientific of Family and General Medicine of Chile has as mission to promote the growth scientific and professional of the Family physician and contribute to the development of the family medicine and family health of our country. One of the activities that contributed to this have been the Conferences which have been organized annually for 18 years without interruption. Throughout the history of them, one can observe the ups and downs that had the Society and the family medicine in our country. The aim of this article is to show this history.