Revista médica de Chile
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Revista médica de Chile · Apr 2022
Assessing student perceptions of the clinical teachers' performance during early clinical exposure.
The clinical teachers' attributes can be grouped into physician competencies, teacher competencies, and personal characteristics. Global performance is considered the clinical teacher's capacity to facilitate an active and stimulating learning process for medical students and a warm, supportive, and pleasant environment. ⋯ This study showed that teacher competencies, personal characteristics, and physician competencies are qualities that influence the perception of the global performance of clinical teachers.
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Revista médica de Chile · Apr 2022
[Training in palliative care in nursing and medical schools in Chile].
Training in Palliative Care (PC) at the undergraduate level has proven to be an effective strategy to expand access to this type of services. In Chile, the increase in magnitude of serious health-related suffering and the recently approved Law that guarantees universal access to Palliative Care, requires the extension of PC undergraduate training in medical and nursing schools. ⋯ However, gaps persist in the number of teaching hours and the teaching methods used, which may be due to the scarcity of qualified professionals in PC, limited access to clinical fields and disciplinary differences. Strengthening and expanding PC training at the undergraduate level with practical and interdisciplinary methodologies are fundamental steps so that future medical and nursing professionals can provide adequate care and relief of serious health-related suffering to an aging population until the end of their life.
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Revista médica de Chile · Apr 2022
Case Reports[Severe respiratory alkalosis due to psychogenic hyperventilation. Report of one case].
Severe respiratory alkalosis is a life-threatening condition, as it induces hypo- calcaemia and extreme adrenergic sensitivity leading to cerebral and myocardial vasoconstriction. We report a 37-year-old woman with previous consultations for a conversion disorder. While she was infected with SARS-CoV-2 (without pulmonary involvement), she consulted in the emergency room due to panic attacks. ⋯ She also had electrocardiographic changes and high troponin levels suggestive of ischemia, and hyperlactatemia. She was managed in the hospital with intravenous benzodiazepines. The clinical and laboratory manifestations resolved quickly, without the need for invasive measures and without systemic repercussions.
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Revista médica de Chile · Apr 2022
Observational Study[STOP-BANG questionnaire as predictor of a difficult airway management during anesthesia].
Obstructive sleep apnea (OSA) is highly prevalent. The STOP-BANG questionnaire is a simple and useful tool to screen for OSA. ⋯ The STOP-BANG questionnaire was only able to predict difficult mask ventilation. Since its discriminative value was low, it cannot be recommended it as a single predictor.
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Revista médica de Chile · Apr 2022
[Psychometric properties of the Generalized Anxiety Disorder 7-item (GAD-7) scale in Chilean adolescents].
The Generalized Anxiety Disorder 7-item (GAD-7) scale is widely used for the assessment of generalized anxiety disorder. ⋯ The Chilean version adapted for adolescents of the GAD-7 has good psychometric properties. Thus, it may be a useful and valid instrument for the assessment of generalized anxiety disorder in adolescents in Chile.