Revista médica de Chile
-
Gallbladder Cancer (GBC) prevalence varies among countries, associated with different geographical and genetic factors. The Mapuche ethnicity (Ethnia mostly located between the VIII and X Chilean regions) stands out in Chile due to its high GBC prevalence. ⋯ There was a low GBC prevalence rate in Northern Chile and among the Aymara population.
-
Revista médica de Chile · Sep 2022
[Impact of the COVID-19 pandemic on the mental health of residents of three specialty medical programs].
COVID-19 pandemic disturbed mental health of healthcare personnel. Residents of the specialization programs could be at risk, since they were reassigned in their functions. ⋯ A proportion of respondent residents had severe psychological symptoms and lower resilience scores during the COVID-19 pandemic.
-
Revista médica de Chile · Sep 2022
Review[Intravenous sodium bicarbonate. When, how and why to use it?].
Severe metabolic acidosis is defined by a pH < 7.2 with HCO3- < 8 mE- q/L in plasma. Its best treatment is to correct the underlying cause. However, acidemia produces multiple complications such as resistance to the action of catecholamines, pulmonary vasoconstriction, impaired cardiovascular function, hyperkalemia, immunological dysregulation, respiratory muscle fatigue, neurological impairment, cellular dysfunction, and finally, it contributes to multisystemic failure. ⋯ However, the calculations are only for reference. More important is to start intravenous NaHCO3 when needed, administer it judiciously, manage its side effects, and continue it to a safe goal. In this review we address all the necessary elements to consider in the administration of intravenous NaHCO3, highlighting why it is the best buffer for the management of severe metabolic acidosis.
-
Revista médica de Chile · Sep 2022
[Risk perception, preventive efficacy and social factors as predictors for COVID-19 preventive behavior in chileans].
Social isolation and hand washing are effective measures to prevent COVID-19 transmission Aim: To evaluate the predictive role of risk perception and preventive efficacy perception, along with sociodemographic and health factors, for adherence to hand washing and isolation behavior of Chilean adults. ⋯ Preventive behaviors are associated with several psychosocial factors, allowing to distinguish groups at higher risk, which should be the focus of COVID-19 preventive interventions.
-
Revista médica de Chile · Sep 2022
[Association of cardiorespiratory fitness with adiposity markers].
Cardiorespiratory fitness (CRF) is inversely associated with metabolic diseases and adiposity markers. ⋯ A higher estimated CRF was associated with lower adiposity levels and a lower risk of being obese in both men and women. Public health policies aiming to increase physical activity are needed to increase the CRF of the Chilean population.