Revista médica de Chile
-
Revista médica de Chile · Feb 2007
[Detection and typification of human papilloma virus in pre cancerous cervical lesions].
The association of different genotypes of human papilloma virus (HPV) with cervical cancer is well known. However, there is little information about their association with pre-cancerous lesions. ⋯ There is a high rate of infection with HPV with a high oncogenic risk among these women.
-
Revista médica de Chile · Dec 2006
[Intensified insulin therapy plus antineuritic medication is more effective than antineuritics alone in painful diabetic neuropathy].
The basis of the treatment of painful diabetic neuropathy is the use of drugs that block the transmission of pain (antineuritics) and a good metabolic control of underlying disease. ⋯ The addition of intensified insulin therapy to the symptomatic treatment of painful neuropathy in type-2 diabetics, significantly enhanced the reduction of pain. The lowering of glycosilated hemoglobin was a significant predictor of success in pain reduction.
-
Revista médica de Chile · Dec 2006
Case Reports[Panic attacks in a patient treated with isotretinoin for acne. Report of one case].
The use of isotretinoin as a treatment for acne is related to psychiatric syndromes such as psychosis and depression. On the other hand, several drugs have been identified as causing panic attacks. A relationship between dermatologic and psychiatric disease has also been established. We report a 20 year-old male who started to suffer panic attacks after using isotretinoin for acne.
-
Many patients with irritable bowel syndrome (IBS) have lowered sensory thresholds to rectal distention when compared to control subjects, a phenomenon called visceral hypersensitivity. ⋯ Our results do not support the usefulness of the electronic rectal barostat as a diagnostic method to diagnose IBS.
-
Revista médica de Chile · Nov 2006
[Split night polysomnography to titrate continuous positive airway pressure therapy in adult patients with obstructive sleep apnea].
Nasal continuous positive airway pressure therapy (CPAP) in the treatment of choice for adult obstructive sleep apnea (OSA). The diagnosis is established with polysomnography, but this study is expensive and must be repeated in those patients that require CPAP, to titrate the pressure of the therapy. Split polysomnography during one night to establish the diagnosis and titrate the pressure has been proposed to reduce costs. ⋯ An adequate CPAP pressure can be prescribed to 80% of patients subjected to a split-night polysomnography. The basal registry period should not be longer than three hours, to allow an adequate titration lapse.