Revista médica de Chile
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Revista médica de Chile · Sep 2020
[Anticoagulant efficacy of different pharmacological presentations of vitamin K antagonists].
Vitamin K antagonist medications (VKA) are essential for the prevention of thromboembolic events, but their effectiveness is influenced by multiple factors, such as the type of medication chosen. ⋯ The pharmacological presentation of vitamin K antagonists could influence anticoagulant control. Therefore, it is not prudent to switch these presentations frequently.
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Revista médica de Chile · Sep 2020
[Assessment of an asyncronic tele dermatology system for primary care physicians via social networking app WhatsApp].
In Chile, there is little access to Dermatology outpatient consultations in the public health care system, which has favored the development of tele dermatology (TD). ⋯ TD via a WhatsApp® group linked to a university is a low cost and easy to implement intervention, generating high levels of satisfaction among general practitioners.
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There is an important interindividual variability in dose requirement for coumarinic anticoagulants, which could be explained by genetic and non-genetic factors. Among hereditary factors, there are gene polymorphisms that code the therapeutic target and the main enzyme responsible for their metabolism. ⋯ Therefore, algorithms considering different variables to adjust individual dosages are required. Herein, we analyze the available evidence about factors that can modify the effects of vitamin K antagonists and that should be incorporated to dosing algorithms.
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Revista médica de Chile · Sep 2020
[Role of medical students in the accompaniment of patients. Reflections about a true case].
We share the experience of a clinical relationship that arose between a medical student and a patient hospitalized due to a SARS-CoV-2 pneumonia. The analysis of this experience and the discussion of medical students' possible role in patient care suggest that they should be included as members of the health care team during their clinical practice. This would mean a positive contribution for both the patients' care and the students' learning experience.
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In Chile, sick leaves serve the extra purpose of filling social protection gaps. Therefore, in practice, their operation range extends beyond health care regulations. In our institutional framework, sick leaves are used to fill social protection gaps and to accomplish an assortment of other purposes that justify an absence from work.