Revista médica de Chile
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Revista médica de Chile · Feb 2022
Fasting levels of appetite regulating hormones predict caloric intake at breakfast in a group of Chilean adolescents.
Appetite regulation is integral to food intake and is modulated by complex interactions between internal and external stimuli. Hormonal mechanisms which stimulate or inhibit intake have been characterized, but the physiologic effects of serum levels of such hormones in short-term appetite regulation have received little attention. ⋯ Fasting leptin, ghrelin and orexin-A were positively associated with energy intake during breakfast provided soon after the blood draw. Insulin was negatively associated with energy intake. Modifiable factors influencing levels of appetite regulating hormones could be a potential target for influencing food intake.
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Revista médica de Chile · Feb 2022
[Prognostic factors in patients with upper urinary tract urothelial carcinoma undergoing nephro-ureterectomy].
Upper urinary tract urothelial carcinoma (UTUC) represents 5-10% of urothelial carcinomas. It is managed with nephroureterectomy (NUR); however, kidney-sparing techniques are growingly used. ⋯ Smoking patients, those with invasive tumors (T2-T4) and greater than 2 cm have higher mortality. Therefore, they should not be candidates for conservative management.
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Revista médica de Chile · Feb 2022
[Medical education and well-being: orientations towards the implementation of a positive teaching].
The transition to and through college can affect the mental health of college students. The situation in medical students is particularly worrisome, considering that they have high rates of psychopathology. These mental health problems can be associated with worse academic and professional outcomes and worse patient care. ⋯ It must be considered that not every initiative linked to well-being is necessarily positive and that discomfort to a certain extent can be exploited educatively as well. The well-being of medical students is a complex, dynamic and multidimensional issue. These principles are orientations for different actors of the educational process, to define how they will approach this problem in their contexts.
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Mobile applications (Apps) may become effective aids in health care. Health Apps could reduce barriers such as access and costs and could be used to monitor symptoms, behaviors and even treatments. There is more evidence of their usefulness in nutrition, cardiovascular and mental health. ⋯ General recommendations for healthcare App development and use have been established. In this process, it would be beneficial to include actors involved in care. Given the progress of healthcare Apps worldwide and nationally, it is important that health professionals develop digital skills to maximize the potential benefit of these technologies.
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Revista médica de Chile · Jan 2022
Review[Update on the management of intracranial hypertension syndrome].
Elevated intracranial pressure (ICP) is a devastating complication, with great impact on neurological status and high morbidity and mortality. Intracranial hypertension (ICH) has multiple etiologies. ⋯ Therefore, it must be managed as a neurological emergency. The objective of this review is to present in a friendly way the diagnostic approach and the management of ICH, focused on general practitioners.