Collection: Revista Chilena de Medicina Familiar

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.

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,

Introduction: Approximately 14,000 people died in Chile because of smoking related diseases in 2002. Tobacco companies affirm that smokers know about the smoking health risks. However, medical evidence concludes the opposite. Objectives: To study the level of knowledge and the personal risk perception of smoking related diseases in a group of current smokers in Santiago. Methods: A voluntary survey was administered by trained interviewers to 251 current smokers consulting in two Family Medicine centers in Santiago, between April and June 2006. Results: 27% of respondents answered incorrectly questions about smoking health effects. 43% of respondents do not perceived a greater personal risk of cancer or acute myocardial infarction respect to other people of the same age. Conclusions: An important percentage of current smokers do not know the effects of smoking on heath and only a half of them perceive a greater personal health risk. lt is necessary to apply public health strategies in order to improve the knowledge and the personal risk perception of smoking health effects. Medical advice should be also improved.

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.

Equity is one of the objectives of the current health reform. For promoting equity in primary health care, the financing mechanism must adjust for the socioeconomic status of the beneficiaries. The objective of this work was to revise the current formula and propose an alternative and most accurate indicator. The current indicator of poverty (municipality ‘s financial power) shows low correlation with the information from the National Survey of Socioeconomic Status (CASEN) for 2003 (R2 = 0.38). In contrast, the Public Health Fund (FONASA) definition of poverty (Group A) shows a significant improvement (R2 = 0.59).

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.

Chile is one of the countries with more consumption of cigarettes in America and the prices are cheaper compared with the food necessary. The new Law of Tobacco in Chile was very important in public health, however, the law has its defects. According to the cost effective interventions suggested by the World Bank, an analysis has been done to compared the Chilean law with the actual law in the countries of Brazil, Spain and Italy. The principal
differences found, were in the smoking prohibition in public places and in work places. Another difference found between the law in those countries was the access to centres of help for smokers who wish to quit. Though, the publicity and citizen conscience are essentials, to modify the conduct and to prevail the idea that not smoking is normal.

Se acerca un nuevo Congreso de Medicina Familiar y con él una nueva convocatoria a presentar trabajos de Investigación y Experiencia.

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.