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Objetivo: Analizar la percepción de la imagen corporal y su impacto en la función sexual orgásmica en mujeres estudiantes de la educación superior de Chillán, 2021. Métodos: Estudio cuantitativo, analítico, de corte transversal. Se evaluaron cuatro variables: datos demográficos, imagen corporal, orgasmo y función sexual. Se utilizó un Google Formulario a mujeres estudiantes entre 18 y 44 años de edad, de la educación superior en la ciudad de Chillán. Posterior a ello, los datos obtenidos se recopilaron y tabularon en el programa estadísticos SPSS 23. Resultados: Las dimensiones del índice de función sexual femenino alteradas con mayor frecuencia fueron: satisfacción (80,6 %), excitación (73,8 %) y orgasmo (51,5 %). El 99,0 % de las encuestadas presentaron disfunción sexual. Con respecto a la relación entre la dimensión de excitación y la pobre imagen corporal producida por el propio cuerpo (p = 0,019 r = -0,223) presentó correlación estadísticamente significativa, no así entre los puntajes totales de ambos instrumentos (p = 0,34; r = 0,09). Finalmente, las correlaciones entre la dimensión de dolor al momento de tener relaciones sexuales y la autodesvalorización por la apariencia física correlacionaron positivamente (p = 0,049; r = 0,196). Conclusión: Se observó alterado el orgasmo por la percepción de cómo se sienten con su propio cuerpo las encuestadas, lo que crearía una imagen corporal negativa llevando a una insatisfacción corporal(AU)

Objective: Analyze the perception of body image and its impact on orgasmic sexual function in female higher education students in Chillán, 2021. Methods: Quantitative, analytical, cross-sectional study. Four variables were evaluated: demographic data, body image, orgasm and sexual function. A Google Form was used for female students between 18 and 44 years of age, from higher education in the city of Chillán. Subsequently, the data obtained were compiled and tabulated in the statistical program SPSS 23. Results: The most frequently altered dimensions of the female sexual function index were: satisfaction (80.6%), arousal (73.8%), and orgasm (51.5%). 99.0% of the respondents had sexual dysfunction. Regarding the relationship between the arousal dimension and the poor body image produced by one's own body (p = 0.019; r = -0.223), there was a statistically significant correlation, but not between the total scores of both instruments (p = 0.34; r = 0.09). Finally, the correlations between the dimension of pain at the time of sexual intercourse and self-depreciation due to physical appearance were positively correlated (p = 0.049; r = 0.196). Conclusion: The orgasm was observed to be altered by the perception of how the respondents felt about their own body, which would create a negative body image leading to body dissatisfaction(AU)

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Endothelium is the inner layer of vessels that separates circulating blood from the rest of the body tissues. Since its discovery, it has been involved in various functions, both systemic and organ specific. Currently, endothelial damage and failure in its functions is considered a key element in pathophysiology of various clinical scenarios, among which we may find COVID-19.Hence, it has been a target in development of strategies that seek to maintain, enhance or repair its function. The purpose of the following review is to describe what an endothelial function is about, its relation with current medical practice, and its implications in the SARS- CoV-2 pandemic. (AU)

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The excessive pathological scars are subdivided into hypertrophic, keloid and contracted. They have a complex pathophysiology, not entirely known that only exists in humans. Although the frequency of presentation is not high, excessive pathological scars can affect several areas of human functioning, in the first level of functions and body structures and in the second level of activities of daily life and participation. The evaluation of patients must be complete, including the scar, and any other affected body system, together with psychological, functional and socioeconomic factors. In the treatment of excessive scars there are multiple options that must be combined for a better result. The non-surgical treatments of the most used scars are the pressotherapy, silicone plates, intralesional injections and laser. There are other rehabilitation treatments that although without solid evidence could have a role in patients. The referral to the rehabilitation service is recommended for patients with excessive pathological scars located in areas of folds or special areas and / or, which are accompanied by pain, alterations in the function of the body segment or limitations in activities of daily life, for comprehensive assessment and multidisciplinary management. (AU)

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Spinal cord injury (SCI) is a pathology that generates great personal, family, economic and social impact. There are two main etiologies that are traumatic (T-SCI) and non-traumatic (NTSCI). These patients receive their rehabilitation in specialized hospital services in the acute and sub-acute phase. A retrospective, descriptive, observational study was designed, reviewing the clinical records of patients diagnosed with SCI at discharge, hospitalized in the Physical Medicine and Rehabilitation Service of the Clinical Hospital of the University of Chile. The general profile of admission of patients with SCI was a young men with NT- SCI, with higher education, paid work and incomplete injury (ASIA B, C, D). An improvement was observed for all patients for the severity of the injury, neurological level, motor level, sensory level and functionality. This is the first study conducted nationwide that provides epidemiological data and functional evolution of patients with SCI and are comparable to those found in the international literature. (AU)

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La amputación parcial traumática del pabellón auricular con preservación del pedículo inferior corresponde a una patología infrecuente. Su reconstrucción incluye el uso de diversas técnicas quirúrgicas. Presentamos dos casos de reimplante inmediato, sin uso de microcirugía, con resultados favorables y sin necesidad de reintervenciones, junto a una revisión de la literatura. La revisión bibliográfica realizada apoya el uso de esta técnica, basándose en la preservación del puente cutáneo bajo el tragus que incluye una rama de la arteria temporal superficial y que sería responsable de la irrigación del reimplante.

Partial auricle amputation with preservation of the inferior pedicle is an unusual pathology. The reconstruction in these cases includes many surgical techniques. We present two cases of immediate replantation, without the use of microsurgery, with favorable outcomes and without need of new interventions. The revision of the literature supports this technique based in the preservation of the cutaneus bridge under the tragus that includes a branch of the superficial temporal artery that is responsible of the perfusion of the reimplant.

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Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy in the general population. In pregnant women the prevalence increases to 31-62 percent probably by edema secondary to the hormonal changes of pregnancy. The definitive treatment is surgical decompression, but in pregnant reserves only in exceptional cases where other treatments have failed. This population receives mainly conservative therapy consisting of splints, physical therapy and infiltration. Objective: To review the management of CTS in pregnant about a case. Methods: The clinical case of a pregnant patient with CTS managed conservatively was revised, based on this existing literature was reviewed. Results: 32 years old woman, studying 18 weeks pregnancy, consultation by paresthesia and loss of strength of both hands since1.5 months, more than right. Physical examination was consistent with bilateral CTS. Use of night splint is indicated. The electrodiagnostic evaluation reporting neuropathic sensitive-motor commitment severe intensity, subacute bilateral median nerve, with moderate denervation. Patient with symptoms persist, it is decided to perform infiltration of carpal tunnel steroid with good clinical and electrophysiological response. Conclusions: This case exemplifies the conservative treatment of CTS in pregnancy delivered good results. The literature supports the use of splints and steroid injections in this population...

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INTRODUCTION:Cholesterol-lowering therapy has been related with several pleiotropic effects including anti-inflammatory action in vascular endothelium; however, their influence on monocyte adhesion molecules is poorly described.AIMS:To investigate the effect of inhibitors of synthesis (statins) and absorption (ezetimibe) of cholesterol on expression of adhesion molecules L-selectin, PSGL-1, VLA-4, LFA-1, and Mac-1 in mononuclear cells in vivo and in vitro using THP-1 cells.METHODS:The influence of simvastatin (10 mg/day), ezetimibe (10 mg/day), and their combination (10 mg each/day) on mRNA expression of adhesion molecules was analyzed in peripheral blood mononuclear cells (PBMC) from hypercholesterolemics. The effects of atorvastatin, simvastatin, and ezetimibe on mRNA and protein expression of adhesion molecules were also evaluated in THP-1 cells.RESULTS:Simvastatin/ezetimibe combination, but not the monotherapies, reduced the mRNA expression of the PSGL-1, LFA-1, and Mac-1 genes in PBMC from hypercholesterolemics. Total and LDL cholesterol in serum correlated with PSGL-1 mRNA expression, whereas HDL cholesterol negatively correlated with mRNA levels of L-selectin and VLA-4 genes (P < 0.05). Plasma hsCRP was also correlated with mRNA levels of VLA-4, LFA-1, and Mac-1 (P < 0.05). Atorvastatin and simvastatin at 10 μM reduced mRNA and protein expression of L-selectin, PSGL-1, and VLA-4 in THP-1 cells (P < 0.05).CONCLUSION:Cholesterol-lowering therapy modulates gene expression of adhesion molecules in PBMC from hypercholesterolemics and THP-1 cells. Simvastatin/ezetimibe combination gives more benefits by reducing to a larger extent the expression of adhesion molecules in mononuclear cells.

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Patients with prolonged ICU stay may have a critical illness polyneuropathy (CIP) which corresponds to an acute sensory-motor axonal neuropathy that occurs in severely ill patients between 60 to 100 percent of cases. While most patients have good recovery, reports suggest that between 30 and 40 percent of patients with critical illness polyneuropathy have long-term sequelae, which generate motor limitations that could impact its functionality. The functional outcome of neurological pathology depends on clinical factors, familiy-social factors and access to rehabilitation. Knowing the functional prognosis of the disease is key to organizing the rehabilitation plans. The current literature only reports of neurological recovery as a factor associated with better function in patients with critical illness polyneuropathy. This article reviews clinical and pathogenic aspects of the CIP, neurological and functional changes described in the literature and presents 6 cases of patients admitted to rehabilitation last year.

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Introduction: Aging involves the loss of functional reserve with alteration of multiple systems. This influences the deterioration of various aspects of health and quality of life. To improve these aspects there are different types of interventions in which physical activity has a prominent role. Objective: To evaluate the effectiveness of one type of physical activity in improving the quality of life of an elderly population of the community. Subjects and methods: We recruited 71 subjects aged 60 years attending a club of elderly. Were randomized into 2 groups (intervention and control) by a blinded observer. The intervention was aerobic physical activity for 30 minutes and calisthenics exercises for heating and cooling, for 10 weeks and 3 times a week. We evaluated 8 dimensions of quality of life at the beginning and end of the intervention by the SF-36. Results: Both groups had similar values at baseline. The intervention group improved clinically (5 to 25 points) and statistically significant (p <0.05) in the 8 dimensions of quality of life. The control group showed a modest improvement in 3 items exploring psychosocial aspects of quality of life. Conclusion: The physical activity in the community is a therapeutic alternative economic, easy to implement, safe to apply and produces a great impact on improving the quality of life of the population over 60 years.

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Hafnium oxide (HfO(2)) films were deposited by the ultrasonic spray pyrolysis process. The films were synthesized from hafnium chloride as raw material in deionized water as solvent and were deposited on corning glass substrates at temperatures from 300 to 600 degrees C. For substrate temperatures lower than 400 degrees C the deposited films were amorphous, while for substrate temperatures higher than 450 degrees C, the monoclinic phase of HfO(2) appeared. Scanning electron microscopy showed that the film's surface resulted rough with semi-spherical promontories. The films showed a chemical composition close to HfO(2), with an Hf/O ratio of about 0.5. UV radiation was used in order to achieve the thermoluminescent characterization of the films; the 240 nm wavelength induced the best response. In addition, preliminary photoluminescence spectra, as a function of the deposition temperatures, are shown.

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