ABSTRACT
Introducción: Las múltiples causas de Rabdomiolisis se pueden separar en 5 categorías según el mecanismo de daño del miocito: Hipóxicas, físicas, químicas, biológicas e idiopáticas. Como primera causa se describe el consumo de drogas ilícitas/alcohol, seguido por medicamentos, trauma, inmovilidad y ejercicio extenuante. Las causas químicas representan hasta el 80% de los casos de rabdomiolisis. En esta categoría se encuentran los medicamentos, alcohol y drogas donde destaca la cocaína. Se presenta el caso de un paciente masculino que cursa con insuficiencia renal aguda secundario a una rabdomiolisis por consumo de cocaína.
Introduction: The multiple causes of rhabdomyolysis can be separated into 5 categories according to the myocyte damage mechanism: hypoxic, physical, chemical and biological. However, a cause will not always be identified. The consumption of illicit drugs / alcohol has been identified as the first cause, followed by medication, trauma, immobility and extenuating exercise. The chemical causes represent up to 80% of cases of rhabdomyolysis. This category includes medications, alcohol and drugs, where cocaine stands out. Cocaine is a strong stimulant used mainly as a recreational drug that has considerably increased its consumption in the country so it should be considered. Next, we present the case of a male patient with acute renal failure secondary to rhabdomyolysis due to cocaine use. The physiopathology, diagnostic process and current management will be discussed according to the latest guidelines.
ABSTRACT
The purpose of this study was to evaluate a set of teaching materials on food, nutrition and agriculture, adapted at the Institute of Nutrition and Food Technology (INTA), University of Chile, within the scope of a project with AID and the School of Agronomy of the Chilean Catholic University (U. C.) aimed at incorporating the teaching of human nutrition into the curriculum of Latin American agronomists. A one semester course (54 hours) was given to 22 students of the 7th semester of Agronomy and two Ecuatorian agronomists (with AID scholarships). A set of knowledge evaluation instruments was applied at the beginning and at the end of the course. A total of 83.3% of the students passed the final examination (with more than 75% of correct answers). The difference between the initial and final performance was highly significant (p less than 0.001). According to the students' and teachers' opinions, the general textbook and the teachers book contributed effectively to meet the learning objectives whereas the students handbook needed some modifications. In conclusion, the program is an important contribution to the education of agronomists in a new conception of their role in regard to improvement of the nutritional status and quality of life of the rural population. With a few minor modifications, a final version to be used in the countries of the Region, shall soon become available.
Subject(s)
Agriculture , Nutritional Sciences/education , Teaching Materials , Achievement , Chile , Educational Measurement , Evaluation Studies as TopicABSTRACT
El autor, luego de una breve introduccion historica que muestra a la medicina en especial la neurologica como predecesora de la psiquiatria, intenta relacionar en forma teorico-practica la ansiedad y la depresion dentro del marco bioquimico-endocrinologico. Presenta los signos y sintomas de la hipocalcemia e hipercalcemia demostrando con casuistica de su practica clinica su similitud con la ansiedad y la depresion respectivamente. Finalmente realiza un analisis teorico sobre las investigaciones pubicadas sobre el AMP ciclico e infiere sobre su ingerencia hormonal y los datos clinicos que se concatenan con la enfermedad maniaco-depresiva
Subject(s)
Adult , Middle Aged , Humans , Male , Female , Anxiety , Bipolar Disorder , Calcium , Cyclic AMP , DepressionABSTRACT
El autor, luego de una breve introduccion historica que muestra a la medicina en especial la neurologica como predecesora de la psiquiatria, intenta relacionar en forma teorico-practica la ansiedad y la depresion dentro del marco bioquimico-endocrinologico. Presenta los signos y sintomas de la hipocalcemia e hipercalcemia demostrando con casuistica de su practica clinica su similitud con la ansiedad y la depresion respectivamente. Finalmente realiza un analisis teorico sobre las investigaciones pubicadas sobre el AMP ciclico e infiere sobre su ingerencia hormonal y los datos clinicos que se concatenan con la enfermedad maniaco-depresiva