Revista médica de Chile
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The highest organ donation rate in Chile was 10 donors per million population in 2017, which is low compared with other countries. Local experts attribute the low rate to population's lack of education and generosity, distrust in procurement/allocation system, inadequate legislation and insufficient encouraging campaigns, although without much empirical support: None of the countries from the OECD is also an organ donation leader. Latin Americans who migrate to Spain improve their donation rates, suggesting that the possible explanation is trust in the system where personalities do not have fast access to organs and common people do not have a sense of inaccessibility. ⋯ The management of procurement coordinators should be improved, and their operational limitations should be visualized. Tools should be provided to the national agency in charge of organ procurement to have more political influence and credibility. Information technologies could ease warns, control and standardize, in real time, the procurement process.
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Revista médica de Chile · Feb 2020
[Coronary artery disease in pre and postmenopausal women. The influence of type 2 diabetes mellitus].
Postmenopausal women have higher severity of coronary heart disease (CHD) than premenopausal women and type 2 diabetes mellitus (T2DM) is an independent risk factor. ⋯ The severity of CHD is higher in postmenopausal women and T2DM is associated with the disease.
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Conscientious Objection arises as a response to a regulation that is judged as immoral. Faced with a law that is considered unfair, the citizen can respond accepting it against his will, exercising conscientious objection on a personal level or, collectively reaching civil disobedience or revolutionary violence. This is an old discussion known since ancient Greece. ⋯ We highlight that ethics should not differ in public and private spheres and the principles should be the same, but exercised in different fields. It is concluded that conscientious objection is acquiring legitimacy and that it is necessary to reflect on the underlying reasons that lead to invoke it. It should be considered a civilized resource against determinations of power that are considered to be an attempt against personal values and moral integrity.