Abstract: This article analyzes poor Chilean women who received the Virtue Awards, for which philanthropist Manuel Arriarán provided in his will to celebrate those who distinguished themselves through their continuous charitable acts. The study, based on the nominations of the winners and the sessions of the entity responsible for managing this initiative, the Santiago Charity Board, examines its historical origins, characteristics, and implementation in the country. On the one hand, it will show that these women represented the set of values Arriarán wished to celebrate. On the other, analysis of their testimonials shows that their poverty had dissimilar origins despite the fact that they met the same requirements for qualifying for these awards. Accordingly, the research suggests that future studies should continue to explore the Chilean Virtue Awards, which had various elements, practices, and symbols.

Resumen: Este artículo analiza a las chilenas pobres que se hicieron acreedoras de Premios a la Virtud, galardones que el filántropo Manuel Arriarán estipuló en su testamento para recompensar, con dinero, a aquellas personas destacadas por sus constantes expresiones caritativas. El estudio, construido con algunas postulaciones de ganadoras y con las sesiones de la entidad administradora de esta iniciativa, la Junta de Beneficencia de Santiago, aborda sus orígenes históricos, características e implementación en el país. Se mostrará que estas mujeres representaban el conjunto de valores que Arriarán quiso celebrar, y también, al analizar sus testimonios, se verá que su pobreza tuvo orígenes disímiles a pesar de compartir requisitos para aspirar a estos galardones. Con ello, la investigación apunta a que futuros estudios sigan ahondando en las prácticas y símbolos existentes en torno a los Premios a la Virtud de Chile.

Abstract Objective: The aims of this study were twofold. First, to provide evidence of the validity and reliability of the Adolescent Lifestyle Profile-Revised 2 (ALP-R2) among adolescents in Chile; and second, to examine the relationship between the health-promoting behaviors measured by this scale and several demographic variables. Methods: Cross-sectional survey. Students attending grades 9 through 12 from schools representing low-, middle-, and high-income families were included. All schools were in the city of San Felipe, Chile. Students completed the ALP-R2, a fourty-four-item scale aiming to assess health-promoting behaviors. To evaluate validity and reliability, confirmatory factor analysis and omega coefficient calculation were conducted, respectively. Results: The sample size was 572 students (82.5% of the eligible population). More males (56.6%) than females (43.4%) participated in the study, and the mean age was 16.4 (SD, 1.3) years. The ALP-R2 had adequate adjustment indicators in the confirmatory factor analysis, which means that the data supports the original theoretical model (seven subscales). The highest internal consistency was obtained for the total scale (Ω = 0.87); and (among the subscales), physical activity (Ω = 0.85) and spiritual health (Ω = 0.78) had the highest reliability. Conclusions: The ALP-R2 appears to be a valid and reliable instrument to assess health-promoting behaviors among adolescents attending secondary schools.

Abstract This article analyzes the debates around the creation of a National Charity Lottery in Chile, from the first project presented in 1912 until its completion in 1934. It examines the context and development of such venture, emphasizing the clash of opinions between its supporters and detractors, who saw how pernicious it was to incentivize the game, despite its aims. It will be shown that the Lottery was seen as the solution to the financial problems of the Beneficence, as it would generate resources that would allow its autonomy from donations and fiscal resources, which had been considered as insufficient, and, at the same time, it would prevent it from being administered by the State. However, the controversies it generated, the political opposition, and the changes in its final approval led to its beginning to function in a new scenario, with objectives other than those initially thought.

Resumen Este artículo analiza los debates en torno a la Lotería Nacional de Beneficencia en Chile, desde el primer proyecto, en 1912, hasta su concreción, en 1934. Se estudian el contexto y el desarrollo de la Lotería, enfatizando el choque de opiniones entre sus detractores, quienes vieron lo pernicioso que era incentivar el juego, a pesar de sus fines, y sus partidarios, que concibieron la Lotería como la solución a los problemas financieros de la Beneficencia, al generar recursos que permitirían darle autonomía de las donaciones y de los ingresos fiscales, vías consideradas insuficientes, así como al evitar que fuese administrada por el Estado. A pesar de esto, las controversias, la oposición política y los cambios en su aprobación final hicieron que la Lotería comenzase a funcionar en un nuevo escenario, con objetivos distintos a los originales.

Background: Family behavior models may influence health promoting conducts among adolescents. Aim: To determine the association between health promoting behaviors among parents and healthy behaviors of early adolescents. Material and Methods: Analysis of the baseline assessment of a longitudinal study of early adolescents in the city of San Felipe, Region of Valparaiso, Chile. Parents and their teenage children, attending 5th to 7th grade, from ten municipal schools, participated in this study. Self-reported questionnaires were used to assess healthy lifestyles, answered separately by parents and their children. Univariable and multivariable ordinal logistic regression analyses with complete data were carried out, using the students’ health promoting behaviors as dependent variables and the same behaviors among parents as the main predictors, controlling for other personal and family variables. Results: We contacted 1,035 parents and 682 consented to participate along with 560 students. The mean age of adolescents was 11.5 ± 1.2 years (49% females) The mean age of parents was 39.8 ± 8.8 years and 90% were women. The parental behaviors associated with teenage health promoting behaviors were eating vegetables (odds ratio (OR) = 1.22, p < 0.05), having breakfast (OR = 1.27, p < 0.05), do stretching exercises every day (OR = 1.19, p < 0.05) and take some time for relaxation (OR = 1.24, p < 0.05). Conclusions: These results show an association between healthy behaviors among parents and these behaviors among their adolescent offspring.

Background: Smoking and alcohol use are risky behaviors that can start early in life. Aim: To determine the lifetime prevalence of tobacco and alcohol use in adolescents aged 10 to 14 years and related factors. Subjects and Methods: A survey about smoking and alcohol use was answered by 1,392 teenagers aged 10 to 14 years (46% women) from seven schools in a small city near Santiago. Personal, family, and school factors were evaluated through self-report scales. Smoking and alcohol use, as dichotomous dependent variables, were defined as having consumed any of these substances throughout life. Prevalence was calculated as percentages with 95% confidence intervals. Association analyses were conducted using multivariable logistic regression models. Results: Six and eleven percent of participants reported having smoked and used alcohol in their life, respectively. Smoking was associated with age, having behavioral problems, mothers’ smoking, perceiving that parents had drug problems, and not living with both parents. Alcohol use was mainly associated with age, having behavioral problems, perceiving that other students consumed drugs, alcohol use by both parents, and perceiving a lack of family support. Conclusions: Tobacco and alcohol use is highly prevalent in adolescents aged 10-14 years. There were common risk factors for smoking and alcohol use such as age and having behavioral problems, while other factors were more specific such as mothers’ smoking, or parental alcohol use.

Background: There has been a significant number of adolescents admitted to National Youth Service of Chile (SENAME) detention centers in recent years, specifically since the promulgation of a law reform on juveniles’ penal responsibility for people aged 14 to 18 years (2006). Aim: To determine the prevalence of psychiatric disorders in adolescent male offenders aged between 14 and 17 years. Material and Methods: The Mini International Neuropsychiatric Interview for Kids and Adolescents (MINI-KID) was applied to 489 adolescents admitted to detention centers, to determine the presence of psychiatric disorders. (Hypo) maniac episodes, eating disorders, pervasive developmental disorders, tic disorders, and psychotic disorders were excluded. Furthermore, for purposes of analysis, 23 cases that used a substance of abuse or had signs of consumption the day of the interview were excluded. Results: Eighty six percent of respondents had at least one psychiatric disorder. The most common were substance use disorders (76%). Among these, marijuana dependence disorder had the higher frequency (51%). Disruptive behavior disorders had also a high prevalence (38%), followed by anxiety disorders (27%), attention deficit and hyperactivity disorder (26%), and affective disorders (21%). Conclusions: There is a high prevalence of psychiatric morbidity among teenage offenders which could undermine rehabilitation.

Background: Immunomodulatory drugs (IMD), Interferon β1a, β1 b and glatiramer acetate are available in the Chilean public health system since June 2008 for patients with relapsing-remitting multiple sclerosis (RR-MS). Diagnostic confirmation and programmed follow up of these patients is carried out at a public national reference center. Aim: To describe the epidemiological and clinical features of 314 patients evaluated in this center between 2008 and 2012. Patients and Methods: Review of clinical records, to obtain information about demographic background, medical history, expanded disability status scale of Kurtzke (EDSS), multiple sclerosis functional composite (MSfic), intensity fatigue scale of Krupp, Rao’s Brief Repeatable Battery of Neuropsychological Tests (BNR-R) and anxious-depressive manifestations using Hamilton and Beck questionnaires. Results: The ages of patients ranged from 12 to 63 years and 67% were women. The initial symptoms were sensory disturbances in 20%, motor alterations in 18% and optical neuritis in 16%. In 9% of patients, the disease began with several manifestations. The EDSS was 4 or less in 73% of patients and cognitive impairment was observed in 34%. Treatment failure during the first and second years, occurred in 23 and 26% of patients, respectively. Male gender, age under 40 and brainstem malfunction at the onset of disease, were predictive of treatment failure during the second year. Conclusions: The features of these patients are very similar to those reported abroad.

Background: Health-promoting behaviors are important to prevent diseases and prolong life in the population. People develop these behaviors throughout life. However, better benefits for health are obtained with an early development. Aim: To determine the prevalence of health-promoting behaviors among early adolescents and its associated factors. Material and Methods: Cross-sectional survey performed in 1,465 students of high, medium and low socio-economic status, attending fifth to eighth grades of schools located in a small Chilean city. Participants answered a questionnaire that gathered information about frequency of health-promoting behaviors such as health responsibility and nutrition, physical exercise and stress management, life appreciation, social support and different personal, school and familial factors. Results: A higher frequency of health-promoting behaviors was associated with better academic achievement, better school commitment, and higher perception of school membership. It also was associated with a better perception of health status and a higher conformity with physical appearance. Conclusions: Health promoting behaviors in these children are related to a better academic achievement and a higher integration with school environment.

Providing information to patients and relatives (IPAR) is a clinical, ethical and legal need. IPAR is inherent to the medical team work as diagnostic and therapeutic procedures are. In some cases, it is a key step for patient's recovery. From an ethical point of view, the patient is not only the subject of the medical work but also its main owner and who must, previously informed, decide about options which would directly affect him. After the promulgation of a special law in Chile, this prerogative became a legal right. This paper proposes an empirically developed model or protocol that should be used to inform hospitalized patients and their relatives about their disease, in a pertinent way. Considering that IPAR is a skill that should be learned and practiced, the written protocol is provided to neurology residents as supporting material. Although IPAR protocols are completely justified, they have not been evaluated in terms of efficiency of communication, user satisfaction, patient and relatives reassurance and clinical impact. Therefore, they require a prospective validation.

Background: The detection of cognitive changes (CC) and psychiatric disorders in relapsing remitting multiple sclerosis (MS-RR) contributes to patient clinical monitoring. Aim: To assess the frequency and characteristics of CC and psychiatric disorders in Chilean patients with MS-RR, before starting immunomodulatory treatment. Patients and Methods: Retrospective review of data that was obtained following a standard assessment protocol. It consisted in the application of the Expanded Disability Status Scale of Kurtzke (EDSS), Multiple Sclerosis Functional Composite (MSFC), fatigue intensity scale of Krupp, brief repeatable battery of neuropsychological Rao (BRN-R) and Hamilton's depression and anxiety questionnaires. Results: We evaluated 129 patients aged between 12 and 60 years of age (69% women). Ninetyfour percent of patients had eight or more years of schooling. The average EDSS score was 2.83. CC were detected in 62% of participants, in at least one subtest of the BRN-R. The main changes were verbal memory and speed in the processing information. The frequency of cognitive impairment (CI), defined as at least two BRN-R subtests altered, was 36%. The figures decreased to 17% when significant major depression or associated fatigue were excluded. Depressive symptoms were observed in 58% and anxiety in 76.7%. Conclusions: The results are consistent with those described in the literature. The type of instruments used in the investigation of CC and the definition of CI in MS should be standardized.

Background: The presence of emotional problems may trigger drug abuse. Aim: To determine the association between illicit drug use and severity of depression symptoms among students of public secondary schools in Santiago, Chile. Material and Methods: A probabilistic sample of2,597 adolescents aged between 12 and 18 years (45% women), attending first year in public high-schools in Santiago, answered self-report questionnaires about consumption, during the last 30 days ,of alcohol, tobacco and marihuana, and the Beck Depression Inventory - II. Logistic regression models were used to study the association between drug use and severity of depression symptoms, adjusting by sex. Results: Tobacco and marihuana use was reported by 38 and 13% of students, respectively. Frequency of consumption was significantly higher among women. Mild, moderate or severe depressive symptoms were found among 16%, 14% and 9% of students, respectively. Depressive symptoms were more common among women. There was a significant association between drug use and severity of depression among participants of both genders. Conclusions: The association between depressive symptoms and drug use should be considered on the design of treatment guidelines for these health problems in Chile.