Revista médica de Chile
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Revista médica de Chile · Feb 2021
Results of the ACTION-IO survey in Chilean patients with obesity and health care providers.
Most of the Chilean population has overweight or obesity. The ACTION-IO survey identified the perceptions, attitudes, and barriers to effective obesity care in people with obesity (PwO) and healthcare professionals (HCPs). ⋯ Chilean data reveal misconceptions among PwO and HCPs about obesity and highlights the need to improve education about its biologic background and clinical management.
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Revista médica de Chile · Feb 2021
Case Reports[Tuberculous pericarditis an infrequent extrapulmonary manifestation of TB].
Extrapulmonary tuberculosis (TB) contributes to 15% of total cases, representing a great diagnostic and therapeutic challenge. Pericardial involvement is present in 1 to 2% of TB patients and is considered an unusual presentation form of TB. We report a 67-year-old male presenting with fever and progressive dyspnea. ⋯ Therefore, an emergency pericardiectomy was performed. The pathological report of pericardial tissue showed caseating necrosis and its Koch culture was positive. The patient was treated with anti-tuberculous drugs with a favorable evolution.
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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.