Revista médica de Chile
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Revista médica de Chile · Nov 2020
[The impact on metabolic and reproductive diseases of low-carbohydrate and ketogenic diets].
With low carbohydrate diets glucose becomes unavailable as a source of energy for our body, leading to the production of ketones from fatty acids in the liver. The increase in plasma ketones is known as nutritional ketosis. The available evidence from basic and clinical studies indicates that both low carbohydrate and high fat low carbohydrate diets are effective for weight loss and are better than non-intervention. ⋯ They may also benefit patients with polycystic ovary syndrome. They must be prescribed by trained professionals to balance the risks and benefits for each individual patient. Future research is required to improve the knowledge about individual responses to dietary interventions, their safety, tolerance, efficacy and long-term effects.
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Revista médica de Chile · Nov 2020
[Ethical tribulations of COVID-19: the sinister ominous, existential responsibility and Medice, Cura Te Ipsum].
The COVID-19 pandemic revealed the vulnerability of the human being in their existential and medical fields. A feeling of uncertainty of an overwhelming and ominous nature indicates that dying is inherent for the human condition, a feeling that is daily hidden behind the mask of a casual, unexpected, random event. ⋯ The medical ethical principles based on rights and duties need to be perfected by the ethics of virtues in accordance with the current challenges, requiring a transformation of the moral self of the doctor. A moral failure of duty is inevitable for medicine, it will never reach its final realization.
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Revista médica de Chile · Nov 2020
[Reliability and construct validity of SF-12 to measure health related quality of life in Chilean subjects].
Health-Related Quality of Life (HRQoL) is understood as a multidimensional variable, mostly measured using the SF-12 questionnaire. However, this measurement doesn't always replicate the factorial structure theoretically expected, hindering potential conclusions. ⋯ The practical importance of these results highlight the need to measure HRQoL using more extensive scales.