Revista médica de Chile
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Revista médica de Chile · Aug 2019
[The effect of an educational intervention on the metabolic control of diabetic patients].
Diabetic patients have a poor adherence to lifestyle changes and a low compliance with medications. ⋯ A educational intervention in patients with insulin requiring diabetes mellitus improved the metabolic control of their disease.
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Revista médica de Chile · Aug 2019
[Immunocompetent adults hospitalized for a community-acquired pneumonia: Serum C-reactive protein as a prognostic marker].
C-reactive protein (CRP) is used to monitor patients' response during treatment of infectious diseases. Morbidity and mortality associated with community-acquired pneumonia (CAP) is high, particularly in hospitalized patients. Better risk prediction during hospitalization could improve management and ultimately reduce mortality rates. ⋯ CRP responses at third day of hospital admission was a valuable predictor of adverse events in hospitalized CAP adult patients.
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The Chilean Law regulating the voluntary interruption of pregnancy, contemplates the possibility that health personnel may refrain from doing the procedure if they have stated that they are conscientious objectors (CO). There are numerous articles on the subject. However, the impact on medical training centers when a student or resident abstain from performing certain clinical procedures invoking CO, has seldom been analyzed. ⋯ Second, an adequate ethical sensitivity is promoted. Third, it contributes to the necessary heterogeneity and diversity of students, promoting a desirable pluralism. However, certain interests and values, such as the well-being of patients, must be considered over and above accepting the CO requests.
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Recent data suggest an increase in tuberculosis (TB) incidence in Chile. ⋯ TB trends and overall program performance indicators have deteriorated in recent years in Chile and several factors appear to be involved. Multiple strategies will be required to rectify this situation.