Revista médica de Chile
-
Revista médica de Chile · Jul 2024
[Tuberculosis Profile in Chile: Effect of Migration, Overcrowding and Income on Tuberculosis and Its Spatial Distribution].
To analyze tuberculosis (TB) incidence, demographic profiles, and associated risk factors in migrant and national populations, in order to understand the impact of migration, overcrowding, and socioeconomic factors on TB prevalence and care-seeking behaviors. ⋯ TB remains a significant public health challenge influenced by migration, overcrowding, and socio-economic disparities. Tailored interventions focusing on high-risk groups and specific geographic areas are essential for effective control strategies. Future research should explore the impact of the COVID-19 pandemic on TB dynamics and associated socio-health factors.
-
Revista médica de Chile · Jul 2024
Review Case Reports[Acute Myocardial Infarction as a Presentation of Takayasu Arteritis in a Patient with Ulcerative Colitis: Case Report and Review of the Topic].
A 36-year-old woman with ulcerative colitis presented with progressive chest pain and neurovegetative symptoms. The electrocardiogram showed ST segment elevation in the inferior wall. The patient had a previous history of fatigue and night sweats. ⋯ Aortitis was suspected, which led to additional studies, among which a slight elevation of inflammatory activity indices stood out, and a computed tomography angiography showed periaortic fibrotic thickening and significant stenosis in multiple arteries, suggesting Takayasu vasculitis. She was treated with prednisone and methotrexate and underwent delayed myocardial revascularization surgery with good results. This case highlights the complexity of Takayasu arteritis, its possible association with ulcerative colitis, and the importance of early diagnosis for adequate management.
-
Revista médica de Chile · Jul 2024
[The Levels of Progesterone Receptors are Decreased in the Invasive Areas of the Recto-Vaginal Nodules of Endometriosis].
Endometriosis is a chronic disease characterized by the growth of the endometrium outside the uterine cavity. In response to estradiol, this tissue begins to proliferate and grow, forming lesions and nodules, which can invade the tissues, causing pelvic pain and infertility. The most widely used pharmacological treatment is progesterone, which manages to reduce symptoms, but approximately one-third of patients develop resistance to treatment. ⋯ The glands have different molecular and morphological characteristics depending on the area of the lesion. Invasive areas are more proliferative and express fewer progesterone receptors. However, further studies are required to determine if these differences translate into the ability to respond to progesterone treatment.
-
Revista médica de Chile · Jul 2024
Education of Patients with Asthma Leading to the Self-management of their Condition? The primary Health Care Providers' Approach.
Asthma is a chronic non-communicable disease considered a serious health problem worldwide. The Chronic Care Model promotes the self-management of patients' chronic conditions. This process requires an active engagement of health professionals to provide education for patients to manage their disease better. ⋯ The health care education process for asthma patients focuses on delivering information about the disease and medical treatment. Some issues of the Chronic Care Model, which promotes self-management, are still not addressed.