Revista médica de Chile
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Revista médica de Chile · Aug 2020
[Cost-effectiveness of a diabetes detection program in childbearing women to prevent malformations].
In Chile, in the next 20 years there will be an average number of 537,100 women of childbearing age with type 2 diabetes (T2DM). Half of these women, not knowing their diagnosis of diabetes will become pregnant with elevated glycosylated hemoglobin levels, increasing to 25% the risk of having offspring with congenital malformations. ⋯ In the context of an increasing prevalence of diabetes in women of childbearing age, our results suggest that the early detection of diabetes in Chilean women between 15 and 49 years of age, should be cost-effective to avoid an increase in congenital malformations for the next 20 years.
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Nonmotor symptoms of Parkinson disease significantly hamper the quality of life of patients and have prognostic significance. ⋯ Nonmotor symptoms must be actively sought and managed in patients with Parkinson disease.
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Revista médica de Chile · Aug 2020
[A revision about health care management in public services and municipalities in Chile].
An appropriate conceptualization process, consisting of an in-depth reflection about the role of organisms responsible for primary health care, which in Chile are the municipalities, should be carried out. Such exercise should enable the development of an analytical method aiming to understand management problems and bottlenecks in a determinate territory or region. Thus, changes to improve resource use effectiveness, with an impact in population health, could be proposed.