Revista médica de Chile
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Revista médica de Chile · Sep 2019
Review[Prostate cancer in african american immigrants in Chile].
In 2017, migrants were 4.35% of the Chilean population, mainly from Peru and Colombia. From 2015, the amount of migrants from Central America, particularly from Haiti increased notably. This process changed the phenotype of the male population, increasing the proportion of black men, mainly between 20 and 50 years. ⋯ Therefore, it is necessary to discuss early detection strategies focused on this population, including education for both patients and health professionals. This review includes data on the reality of migration in Chile and its impact on the health system. The higher incidence and mortality of prostate cancer in the migrant population is reviewed and risk-adjusted screening strategies are proposed.
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Revista médica de Chile · Sep 2019
[Surgical complications in cirrhotic patients. Analysis of 102 cases].
Cirrhotic patients have an increased surgical risk due to potential intra and postoperative complications. ⋯ In these patients, surgical complications were common, although with low mortality.
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Stroke is a time-dependent emergency. Most patients with acute ischemic stroke are excluded from reperfusion therapies due to late consultation. ⋯ There were significant differences in the arrival times of patients with stroke. Only a low proportion of patients with ischemic stroke consulted within the window for reperfusion therapies. Severe strokes and living near the hospital were associated with early consultation.
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Revista médica de Chile · Sep 2019
[Effect of a high-speed bodyweight resistance training on timed up and go and one leg stance in older women].
High-speed resistance training programs aiming to increase muscle power have beneficial effects on balance. ⋯ High-speed bodyweight resistance training for 12 weeks improved TUG in these women.
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Revista médica de Chile · Sep 2019
[Spirituality in medicine. An analysis of Christina Puchalki's writings].
The relationship between spirituality and medicine is present from the very origins of Medicine. Its relevance has been rediscovered during the past decades. Numerous publications report positive health results when spiritual needs of patients are addressed. ⋯ Our analysis shows that Puchalski's arguments are ultimately grounded on an ethics of virtue and a realist anthropology, more than in mere positive effects or in patient's wishes. Indeed, Puchaslki's anthropological conception recognized human dignity as an intrinsic value that must be always acknowledged, especially in the context of disease, where questions about the meaning of life, suffering, connection and transcendence inevitable arise. We conclude that Puchalski's ethical arguments are solid and suggest the challenge of including the spiritual dimension in the formation of health care professionals.