Francisco Barrera Q

Participación de la madre y la familia en la atención del niño hospitalizado: Análisis histórico y visión de futuro

Introduccion: Se ha insistido que el mejor pediatra de un nino es su propia madre, sin embargo, es excluida cuando su hijo se hospitaliza. Desde 1925, inicialmente en Europa y luego en otros continentes, se han hecho esfuerzos para que la madre pueda acompanar a su hijo hospitalizado. Se ha observado efectos beneficiosos en la calidad de la atencion medica, mantencion del rol afectivo y estado nutricional, disminucion de la infeccion nosocomial, mejoria de la reaccion de duelo y menor costo por hospitalizacion y, aunque se han presentado dificultades, estas son menores y solucionables, relacionadas con trastornos de la dinamica familiar, angustia y ansiedad materna, alteraciones de convivencia y comunicacion. Objetivo: Revisar el desarrollo de la participacion familiar en la hospitalizacion infantil en el mundo, con enfasis en el ambito nacional y nuestro servicio en particular e identificar aquellos aspectos que constituyen fortalezas y los que se proyectan como obstaculo a esta modalidad de atencion. Experiencia Clinica: Desde 1989 en el Servicio de Pediatria del Complejo Hospitalario San Borja Arriaran de Santiago de Chile, se ha llevado a cabo un cambio en la modalidad de atencion, desde incorporar a la madre acompanando a su hijo hasta la integracion de su actividad en el equipo de salud, participando en los cuidados de su hijo hospitalizado, con claros beneficios para el nino, su familia y el Complejo Hospitalario. Hoy dia se reconoce que la integracion de la madre y la familia en la atencion medica del nino hospitalizado y ambulatorio, se traduce en claros y concretos beneficios, optimizando la calidad de vida del nino y su familia e introduciendo un menor costo en la atencion medica. Conclusiones: Para que esta ventajosa modalidad de atencion funcione adecuadamente, se requiere de intervencion en la madre trabajadora cuyo ingreso economico es un aporte significativo al grupo familiar, apoyo psicologico a la familia en hospitalizaciones prolongadas, modificaciones estructurales en futuros establecimientos y adecuacion del modelo de atencion del Equipo de salud tal que favorezca la integracion de la madre en forma mas permanente

Haití, la nueva comunidad inmigrante en Chile

Migration is a growing phenomenon in Latin America influenced by several factors such as economic stability, employment, social welfare, education and health system. Currently Chile has a positive migration flow rate. Particularly, a significant number of Haitian immigrants has been observed du ring the last years, especially after earthquake of 2010. These immigrants present a different cultural background expressed in relevant aspects of living including parenting and healthcare. Knowing the Haitian culture and its health situation is relevant for a better understanding of their health needs. Haitian people come to Chile looking for a cordial reception and willing to find a place with better perspectives of wellbeing in every sense. Immigration represents a major challenge for Chilean health system that must be embraced. Integration efforts in jobs, health, education system and community living should be enhanced to ensure a prosper settlement in our country. A new immigration law is crucial to solving major problems derived from current law created in 1975.Migration is a growing phenomenon in Latin America influenced by several factors such as economic stability, employment, social welfare, education and health system. Currently Chile has a positive migration flow rate. Particularly, a significant number of Haitian immigrants has been observed during the last years, especially after earthquake of 2010. These immigrants present a different cultural background expressed in relevant aspects of living including parenting and healthcare. Knowing the Haitian culture and its health situation is relevant for a better understanding of their health needs. Haitian people come to Chile looking for a cordial reception and willing to find a place with better perspectives of wellbeing in every sense. Immigration represents a major challenge for Chilean health system that must be embraced. Integration efforts in jobs, health, education system and community living should be enhanced to ensure a prosper settlement in our country. A new immigration law is crucial to solving major problems derived from current law created in 1975.

Intoxicación familiar por mercurio elemental: caso clínico

Family poisoned by elemental mercury: a case report Introduction: Mercury is a heavy metal widely dispersed in nature, occurring in three chemical forms. Ex- posure to mercury at work sites and even at home may be clinically significant. Objective: To update the knowledge about the risks of this toxic element. Case report: the case of a teenager and his family poisoned by elemental mercury is reported. The diagnostic process was difficult, mainly due to an initial presumption of probable infectious etiology, unavailability of key anamnestic data and unusual clinical behavior, with signs and symptoms of multisystem compromise (neurological, hepatic, renal and dermatological compromise). Discussion: The study was based on literature review of various clinical presentations regarding this poisoning and its management, emphasizing the need for dimercaptosuccinic acid chelator. As a major public health pro- blem, the importance of education and implementation of public policies to have a mercury-free environment is discussed.

Hemosiderosis pulmonar idiopática (H.P.I.)

Five patients with IPH were seen in a Pediatric Respiratory Unit in a period of ten years.Their clinical features, laboratory findings, and treatment are shown. Although IPH is seldom seen, threemain features may orient to the right diagnosis: Anemia, respiratory signs and tipical radiology.Diagnostic methods are discussed.