Revista médica de Chile
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Revista médica de Chile · Jun 2021
[Analgesia, sedation, neuromuscular blockade and delirium management practices in Chilean intensive care units].
The appropriate use of analgesia, sedation, neuromuscular blockade and the diagnosis and prevention of delirium (ASBD) are associated with better outcomes in critically ill patients at Intensive Care Unit (ICUs). ⋯ There is a heterogeneous adherence to the ASBD recommended practices. The main gaps are in the assessment of pain, monitoring of neuromuscular blockade and diagnosis of delirium through validated instruments.
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Revista médica de Chile · Jun 2021
[Design of a real and perceived academic workload measurement instrument for health care undergraduate students].
A high academic workload may have adverse consequences among university students. ⋯ The proposed instrument constitutes a contribution for the measurement of real and perceived academic workload for students.
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Revista médica de Chile · Jun 2021
[Competence profiles for technicians in higher-level nursing, declared by different teaching institutions].
The career of Technician in Higher-Level Nursing (TENS in Spanish) is the technical career that has the higher number of students in Chile. There are important disparities among the higher education institutions that teach it. ⋯ There is a procedural bias in graduate profiles, which tends to under declare cognitive and ethics competencies, fundamental for decision-making processes.
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Revista médica de Chile · Jun 2021
[Reflection on the equity of the disability qualification system in Chile].
The Disability Qualification System in Chile and its regulations have inequities as they are applied in a general way and do not consider the peculiar characteristics of vulnerable populations. These people, who are mostly unprotected, have less access to health care levels and receive a lower quality of services. The authors, using a clinical case, we analyze the three main obstacles to obtain a disability pensión. A change in applicants' evaluation, considering a broader range of information on the process, a greater symmetry in the evaluated parameters, including biopsychosocial aspects and a better interrelation between Health Services and the Evaluation System would narrow the existing gap between vulnerable and non-vulnerable populations.
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Revista médica de Chile · Jun 2021
[Contribution of the management of critical air pollution episodes to the reduction of respiratory diseases].
In southern Chile cities, the emission of air pollutants, especially the use of firewood for heating is restricted during critical air pollution periods. ⋯ The management of critical pollution episodes with restrictions to pollutant emissions is a useful measure to improve population health in cities that have implemented environmental decontamination plans.