Revista médica de Chile
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Revista médica de Chile · Feb 2021
[Paradoxical reactions associated with midazolam conscious sedation].
Benzodiazepines are used for perioperative conscious sedation. However, its use may be associated with paradoxical reactions. The known risk factors for these reactions are age, alcohol and drug abuse and psychiatric disorders. ⋯ The incidence of paradoxical reactions to midazolam was 8,3% and all were mild. Their risk factors are the use of psychoactive medications and the use of higher doses of midazolam.
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Revista médica de Chile · Feb 2021
[Relationship between occupational commitment and teaching practices among healthcare teachers].
A central aspect of professional identity is occupational commitment, which has a significant relationship with motivation and positive mental states in healthcare environments. However, it is not clear how occupational commitment is related to teaching practices in universities. ⋯ OCQ showed an adequate internal consistency, and it was directly related with teaching practices. Committed teachers had better teaching practices. This confirms the importance of teachers' values and perceptions on their professional performance.
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Revista médica de Chile · Feb 2021
[Strategies to advance recovery (STAR) protocol implemented colorectal cancer patients during the COVID-19 pandemic].
SARS-CoV-2 hampered the resolution of multiple diseases, including cancer. ⋯ The STAR protocol reduces the length of hospital stay. In a pandemic context such as COVID-19 it becomes a useful resource and can be implemented in cancer patients, as herein reported.
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Revista médica de Chile · Feb 2021
[Experts' views on the communication of risks and benefits of mammography to detect breast cancer].
Breast cancer (BC) has a high mortality rate in developing countries due to a scarcity of early detection. Risk communication is critical to support women who face the decision to undertake BC screening. Thus, they can balance their perceived and real risk, and make informed choices. ⋯ These findings emphasize the need to include risk communication strategies in the patient-provider relationship and encourage and respect women's autonomy when facing the BC screening decision.
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Revista médica de Chile · Feb 2021
[A new equation to estimate daily natriuresis from parameters in plasma and spot urine sample in the Chilean population].
Excessive sodium intake is associated with increased cardiovascular morbidity and mortality. Daily sodium intake is usually inferred from sodium excretion in a 24-hour urine collection, which is cumbersome and prone to errors. Different formulas have attempted to estimate 24-hour urinary sodium from a spot urine sample. Unfortunately, their concordances are insufficient and have not been tested in our population. ⋯ We developed a formula to accurately predict daily natriuresis in the Chilean population.