Revista médica de Chile
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Revista médica de Chile · Apr 2022
Review[Dialogue between bioethics and evidence- based medicine, a narrative ethics perspective].
Evidence-Based Medicine (EBM) is the methodological paradigm of Western medicine today. EBM is expected to reduce the use of intuition and to promote the use of scientific evidence, in the clinical decision-making process. ⋯ All the above could lead to several bioethical conflicts. This work consists in a literature review that examines the interaction between EBM and Bioethics in a reciprocity frame, in order to approach possible ethical conflicts that emerge with the use of EBM, and later analyze them from the perspective of the Narrative Ethics model, proposed by the philosopher Paul Ricoeur.
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Tocilizumab (TCZ) is a new therapeutic alternative for severe cases of COVID-19 pneumonia. ⋯ The occurrence of ADRs after the use of TCZ is frequent, of mild severity, and in one third of the cases, preventable. We suggest monitoring blood count, liver function tests and ruling out infection prior to TCZ administration.
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Revista médica de Chile · Apr 2022
[Implementation of a protocol for neuropsychiatric disease surveillance in a general hospital].
The COVID-19 pandemic increased the incidence of neuropsychiatric diseases. Proactive models of consultation-liaison psychiatry (CLP-p) could play a key role in the prevention and management of these diseases in a general hospital. ⋯ The neuropsychiatric surveillance protocol facilitates early and timely interventions and establishes criteria for the continuity of post-discharge care. These changes could improve the quality of care in general hospitals and reduce the gap between mental and physical health.
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Revista médica de Chile · Apr 2022
[Performance of EuroSCORE II in Latin America: a systematic review].
EuroSCORE II is a mortality risk score for cardiac surgery in adults. This version is widely validated and compared with other scores in Europe, North America, and Asia. ⋯ In these studies, EuroSCORE II underestimated mortality in cardiac surgery.
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Revista médica de Chile · Apr 2022
[A systematic review of standardized instruments to measure the doctor-patient relationship].
The current health situation caused by the COVID-19 pandemic has prompted a reconfiguration of the doctor-patient relationship. We performed a systematic review to comparatively evaluate the instruments most used to study communication in the doctor-patient relationship. ⋯ Most of these instruments contemplate a unidirectional design and address similar dimensions of the doctor-patient relationship, particularly in the Latin American context where the relationship is mostly studied in a unidimensional way. We propose recommendations for the development, revision, or refinement of instruments that measure communication in the doctor-patient relationship.