Evaluación de conocimientos y competencias en Medicina Basada en Evidencia en internado de Medicina Familiar / Evaluation of knowledge and skills in medicine based on evidence in spanish family medicine Internship

INTRODUCTION: Evidence-Based Medicine (EBM) is a discipline when used judiciously and considering the preferences of patients, means benefits in clinical contexts and in health care management. It provides tools for a correct analysis of the scientific literature, which would improve decision-making by clinicians. It is a competition that has been trained at the Faculty of Medicine of the UCM. However, there are no formal measurements of the impact of these courses on the development of EBM competencies. OBJECTIVE: this study aims to carry out a brief analysis of knowledge and skills in EBM of family medicine students. MATERIAL AND METHOD: we applied an instrument - ACE Tool as a descriptive approximation of the management level in EBM in medicine students, who have previously had formal training. This instrument evaluates the different stages of EBM. RESULTS: the statistical analysis has reported a level of performance that qualifies students with results below what is desirable, classifying them as a "novice" level of performance. There are no statistically significant differences according to gender.

Impacto del SARS-CoV2 en el control de pacientes diabéticos del CESFAM Las Américas, Talca / Impact of SARS-CoV2 on the control of diabetic patients CESFAM Las Américas, Talca

INTRODUCTION: Type 2 diabetes mellitus is a metabolic disorder that affects all aspects of the life and family of the person who suffers from it. The SARS-COV-2 infection pandemic has generated an immense problem at the health system level, causing a significant overload and a complexity of the services to attend to the infection. The foregoing has led many people to lose their chronic controls and cannot take care of themselves properly. OBJECTIVES: To measure the impact of the SARS-COV2 pandemic on the control of diabetic patients at CESFAM Las Américas, Talca city. METHODS: Observational, descriptive/analytical study of the Cardiovascular Health Program at CESFAM Las Américas in the city of Talca, of type 2 diabetic patients, enrolled under control, evaluated between December 2019 and September 2021. Information cutoffs will be 12 months and 15 months RESULTS: In a comparative analysis, we found significant differences with an increase in the indicators BMI, Glycemia, HAb1c and Triglycerides during the time of the Pandemic. However, clinically modest.

Enfrentamiento terapéutico del paciente adulto hipertenso en Atención Primaria de Salud: una propuesta a considerar / Therapeutic coping of hypertensive adult patients in Primary Health Care: a proposal to consider

Arterial Hypertension (HT) is one of the most widely spread chronic diseases in the world, with a suspicion in the Chilean population of 27.6%, according to the results of the 2017 National Health Survey. Reponsible for high morbidity and mortality, being, in Chile, the main risk factor related to years of life lost due to disability and premature death (DALYs). This fact has motivaded a constant publication of clinical practices guidelines and recomendations from many scientific societies in whole wide world. Hypertension represents a significant proportion of medical consultations for the primary care doctors. In fact, may be a huge challenge to get acceptable percentages of compensation in blood pressure, and mainly, to reduce morbidity and mortality in their patients. Because of this, we propose a set of questions and answers to guide the management of hypertension un primary care, based on the recommendation of the main guidelines of clinical practice.

Neutropenia febril asociada a LES: reporte de un caso clínico / Systemic lupus erythematosus-associated febrile neutropenia: a case report

Introducción: Fiebre de Origen Desconocido (FOD) es una entidad clínica poco prevalente y amplio es el repertorio patologías conocidas como causales. Caso clínico. Se describe el caso de una mujer de 43 años, hipertensión arterial y "sífilis" tratada en 1994. Dos meses con Síndrome Febril Prolongado, baja de peso, poliartritis y compromiso del estado general progresivo, vómitos y diarrea. Destacaba en el examen físico temperatura axilar de 39°C, candidiasis oral, evidentemente enflaquecida y sensibilidad difusa del abdomen sin signos de alarma. Estudio revelo neutropenia febril y parámetros inmunológicos alterados, compatibles con Lupus Eritematoso Sistémico. Discusión.