Revista médica de Chile
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Revista médica de Chile · Sep 2023
Review[Advances in Nasopharyngeal Carcinoma Treatment: Induction Chemotherapy and Concomitant Radio-Chemotherapy].
Squamous cell carcinoma of the nasopharynx is responsible for 0.7% of all malignant tumors worldwide, with the highest incidence in the population of southern China and Southeast Asia. The standard treatment for locally advanced disease consists of a combination of radiotherapy and chemotherapy in different schedules. Among them, induction chemotherapy followed by concomitant radio-chemotherapy has shown in recent years to be a standard therapeutic option with high rates of locoregional control and overall survival. This paper aims to review the current evidence related to treatment with induction chemotherapy and subsequent radio-chemotherapy in nasopharyngeal cancer, its effectiveness, and the technical aspects of its applicability.
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Revista médica de Chile · Sep 2023
Review Meta Analysis[Association between Metabolic Syndrome and Risk of Hearing Loss: a Systematic Review and Meta-analysis].
Various studies have linked lifestyle and metabolic diseases to hearing loss. Research on metabolic syndrome has reported a higher prevalence of hearing loss in individuals with it than those without it. ⋯ The findings suggest that both metabolic syndrome and some diseases, such as obesity, diabetes, and hypertension, could be associated with the risk of hearing loss, and control of these diseases could reduce this risk.
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Revista médica de Chile · Sep 2023
Review Meta Analysis[Association between Metabolic Syndrome and Risk of Hearing Loss: a Systematic Review and Meta-analysis].
Various studies have linked lifestyle and metabolic diseases to hearing loss. Research on metabolic syndrome has reported a higher prevalence of hearing loss in individuals with it than those without it. ⋯ The findings suggest that both metabolic syndrome and some diseases, such as obesity, diabetes, and hypertension, could be associated with the risk of hearing loss, and control of these diseases could reduce this risk.
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Revista médica de Chile · Sep 2023
Review Case Reports[Hepatic Inflammatory Pseudotumor Mimicking Cholangiocarcinoma: A Rare Case and Literature Review].
We report the case of a 49-year-old man who attended the emergency department for a two-month history of compromised general condition, weight loss, abdominal pain, fever, and elevated inflammatory parameters. An imaging study demonstrates a bulky liver tumor associated with dilation of the bile duct and retroperitoneal adenopathies (hepatic hilum, intermediate, and right lumbar groups). ⋯ After the resection, expectant management was decided, with the patient evolving favorably, asymptomatic, and without signs of recurrence. We present a case and a brief literature review of an hepatic inflammatory pseudotumor, a rare entity with a benign behavior.
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Revista médica de Chile · Sep 2023
Medical empathy in the physician-patient relationship: A review from a cultural perspective.
Medical empathy is a fundamental pillar in the social construction of the physician-patient relationship. In this light, patients' beliefs and perceptions of medical empathy, and physicians' empathic attitudes towards their patients are guided by their socio-cultural understandings and expectations, which naturally vary from culture to culture. Such considerations are particularly relevant to the field of social psychology and to public healthcare systems where a growing number of foreign physicians characterise their highly diverse socio-demographic makeup. However, there is no clear research agenda concerning the way in which medical empathy should be investigated from a cultural point of view in years to come. ⋯ We suggest that future studies adopt an intercultural perspective of medical empathy as a psychocultural construct rather than as merely a sociocultural one.