Revista médica de Chile
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Revista médica de Chile · Sep 2016
[Validation of the Borg scale in participants with type 2 diabetes mellitus].
Borg Rating of Perceived Exertion Scale (RPE) is a psychophysiological measurements that translates physical stimuli to a psychological construct, which is perceived exertion. Its use is simple and it represents the effort perception. Each number of the scale is associated with a heart rate or percentage of maximal oxygen consumption (VO2max), which estimates the intensity of exercise. ⋯ RPE Scale is valid in patients with type 2 diabetes as an estimate of the intensity of physical activity.
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Bariatric surgery is considered the most effective treatment for severe obesity and its benefits include improvement in medical comorbidities. However, a higher rate of suicides after this type of surgery has been reported. ⋯ Therefore, it is necessary to thoroughly evaluate these patients before surgery searching for suicide risk factors, deriving them to a mental health professional if necessary and follow their mental health after surgery. Considering that the literature on the topic is inconsistent, further research is needed.
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Since the publication of the Institute of Medicines report To Err is Human: Building a Safer Health System awareness of the importance of medical errors has increased. These are a major cause of morbidity and mortality and recent studies suggest that they can be the third leading cause of death in the United States. ⋯ Our goal is to provide an update on the major concepts related to medical errors, a review of Chilean legislation on the subject, and a bioethical analysis on the principles involved, along with a management proposal. We propose mandatory reporting of errors to the health institution where they occur, to serve as a measure of personal and team learning, and to disclose the error to patients, depending on their own preferences.