Revista médica de Chile
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Revista médica de Chile · Jun 2023
[ABSI obesity index and its association with type 2 diabetes mellitus in Chilean adults: a cross-sectional study of the ENS 2016-2017].
A Body Shape Index (ABSI) is a new obesity index based on body volume; this has been associated with chronic non-communicable diseases and mortality, independent of the values of the body mass index (BMI); however, its association with type 2 diabetes mellitus (T2DM) in the Chilean adult population is unknown. ⋯ ABSI was linearly associated with a higher probability of suffering from T2DM and higher levels of glycemia and HbA1c in Chilean adults. In this context, ABSI could be a complementary index, independent of BMI, to assess the risk of metabolic disorders associated with obesity.
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Revista médica de Chile · Jun 2023
Case Reports[Percutaneous Resolution for Tricuspid Stenosis: Positive Outcomes Despite High Surgical Risk].
We report a 31-year-old woman who was previously subjected to aortic, mitral, and tricuspid valve replacement in three different surgical episodes. She was admitted to our cardiology section with acute right heart failure symptoms. She was studied by echocardiography, right/left heart catheterization, cardiac CT scan and cardiac magnetic resonance. ⋯ We decided on a percutaneous tricuspid "valve in valve replacement". The procedure was done successfully by venous femoral approach, with a balloon expandable prosthesis. Tricuspid stenosis was corrected and the patient evolved with remission of heart failure symptoms.
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Revista médica de Chile · Jun 2023
[Budget impact analysis of the implementation of a bone tissue bank in a Chilean health service].
This research aimed to analyze the costs of bone grafting through a bone tissue bank in a Chilean regional health service. Methods: First, we developed a preliminary epidemiological study to obtain the necessary data for the analysis, specifically on bone graft procedures in a local health service (Servicio Salud Concepción). Next, we performed a budget impact analysis. ⋯ Based on these results, bone tissue banks could save USD$145,000 hospital costs annually. Studying a representative health service from Chile, this analysis revealed a dependency on imported bone substitutes and autografts. These requirements can be supplied sustainably by a bone tissue bank based on donations of femoral heads under the current legislation of the Chilean health authority.
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Revista médica de Chile · Jun 2023
[Functional tests in older adults: a cross-sectional study comparing subjects with and without history of falls].
Functional tests are a fundamental axis in assessing the risk of falls in older adults. However, many of them lack associative value with the actual functional status of the older adults, medical history, and comorbidities. ⋯ The three functional tests applied show associative values in falling older adults. The grip strength presented associative value with the functional tests.
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Revista médica de Chile · Jun 2023
Historical Article[Beginning of the teaching of Physiology in Chile].
This work intends to present the beginning and early development of physiological studies in Chile. Physiology, as a scientific discipline, began to be taught from the moment the School of Medicine was founded in 1833, closely associated with anatomy and hygiene. The three disciplines were taught by the same professor. ⋯ Vicente Padín del Valle. In a second period (1868-1901), the teaching of physiology was severely weakened, as it was taught by various clinicians who did not know this discipline in depth. After this initial period (1833-1900), which we could call the theoretical stage, the so-called experimental physiology was born, which, through classes with experimental demonstrations and then practical work, tried to bring the student closer to the reality of the physiological phenomenon.