Revista médica de Chile
-
Revista médica de Chile · May 2022
Case ReportsUnexpected effect of testosterone in hypergonadotropic hypogonadism and nodular Leydig cell hiperplasia. Report of one case.
We report a 27 -year-old male referred because of hypergonadotropic hypogonadism with low testosterone and azoospermia. At 23 years of age, he underwent an excision of a hypoechoic 0.7 cm nodule of the left testicle. The pathological diagnosis was a Leydig cell tumor. ⋯ With testosterone therapy, LH decreased, and the nodules disappeared. Thereafter, upon interrupting therapy, LH increased, and the nodules reappeared in two occasions. Resuming testosterone treatment, the nodules disappeared again, suggesting a Leydig cell hyperplasia dependent on chronic LH stimulation.
-
Revista médica de Chile · May 2022
[Hospital palliative medicine. Revision of a care model implemented at a university hospital].
Palliative Medicine (PM) is a specialty whose objective is to prevent and alleviate suffering associated with advanced diseases. Hospital palliative medicine has benefits in symptom control, quality of life and cost containment. Hospital PM support teams that serve as referral specialists are in charge of a PM care model. ⋯ The hospital PM team proposes a care model that allows the evaluation and a therapeutic approach for patients suffering from advanced diseases, using a multidimensional perspective including their families.
-
Revista médica de Chile · May 2022
[Compliance with the measures of restrict the residential use of firewood in Valdivia, Chile].
Atmospheric pollution is a problem that causes great concern and health risks for the population and the earth, as it affects developed countries and third world countries. Locally, there are no studies that prove the fulfillment level of the restriction about the usage of residential firewood, considering that since 2014 there is a procedure called "The Environmental Decontamination Plan" in Valdivia (PDAV). ⋯ In more than half of the households, the restriction on the use of woodstove is not complied. The lack of knowledge of the population about the PDAV directly influences its compliance, which requires strategies to promote adherence to this program.
-
Revista médica de Chile · May 2022
[Association between early onset of psychoactive drug use and health risk behaviors in chilean adolescents].
Adolescents are more prone to develop health risk behaviors. Among these, early consumption of psychoactive drugs is relevant. ⋯ Early onset of alcohol and illicit drug consumption and smoking is associated with health risk behaviors in Chilean adolescents.