Revista médica de Chile
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Revista médica de Chile · Jul 2021
[Experiences of medical students belonging to sexual and gender diversity: a systematic review].
Students belonging to sexual and gender diversity experience chronic stress due to stigmatization and discrimination. ⋯ LGBTQ+ medical students still experience more discrimination than inclusion during their training. Therefore, medical schools should render medical education a more inclusive space for the LGBTQ+ population.
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Revista médica de Chile · Jul 2021
[Construction of text resources for automatic identification of clinical information in unstructured narratives].
A significant proportion of the clinical record is in free text format, making it difficult to extract key information and make secondary use of patient data. Automatic detection of information within narratives initially requires humans, following specific protocols and rules, to identify medical entities of interest. ⋯ A linguistic resource with annotated medical entities on texts produced in Chilean hospitals was built and made available, working with annotators related to medicine. The iterative annotation approach allowed us to improve performance metrics. The corpus and annotation protocols will be released to the research community.
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The Chilean House of Representatives is discussing the bill on "Dignified death and palliative care", which regulates the so-called medical assistance in dying or euthanasia. This paper will critically analyze the different aspects of the bill, particularly concerning four main dimensions, namely, the patient's condition at the time of requesting euthanasia; the doctor-patient relationship and respect for the autonomy of both parties; the idea of medicine involved in it; and the possible therapeutic alternatives to euthanasia. This critical analysis raises the need to discuss in more depth a project that has to do with such important decisions about our lives and that implies a radical change in the way of thinking and practicing medicine.
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Suicide is a public health problem in the world. In Chile, suicide rates increased since 1990 with regional differences in rates. ⋯ The use of geographic methods and the disaggregation of suicide cases at district level, allowed the identification of territorial variability in the distribution of suicide rates within the Araucanía Region. Spatial patterns of areas with high suicide risk were found.
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Revista médica de Chile · Jul 2021
[Epidemiology of acute pancreatitis in Chile between 2013 and 2018].
The worldwide incidence of acute pancreatitis (AP) is increasing. ⋯ The annual incidence of AP is 42.6/100,000 inhabitants, with geographical differences from North to South, which can be associated with the high frequency of biliary tract disease in aboriginal ethnic groups. The age distribution and length hospital stay were stable over time.