Revista médica de Chile
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Revista médica de Chile · Apr 2016
[Cost effectiveness of a theoretical cardiac rehabilitation program after myocardial infarction].
Secondary prevention programs are an essential part of comprehensive care of patients with cardiovascular disease (CVD), and its effectiveness in reducing morbidity or mortality has been proved. ⋯ A comprehensive cardiac rehabilitation program after myocardial infarction is very cost-effective in the context of its implementation in a public health service.
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Revista médica de Chile · Apr 2016
[Suicide attempts and self inflicted harm: a one year follow up of risk behaviors among out of treatment cocaine users].
Cocaine users tend to have a higher frequency of risk behaviors. ⋯ CBP users had a greater frequency of self -inflicted injuries and suicide attempts, both life threatening risk behaviors, than CH users. This profile shows the high vulnerability of CBP users and should encourage further research and design of outreach interventions, particularly focused on this group.
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Revista médica de Chile · Mar 2016
[Association between resistin serum levels and dimension and body composition variables in children and adolescents].
Resistin is an adipokine secreted in adipose tissue that may be associated with the metabolic and endocrine disorders of obesity. ⋯ There is a significant association between resistin levels and body composition variables, particularly with indicators of fat accretion.
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Revista médica de Chile · Mar 2016
[Position paper from the Department of Ethics of the Chilean College of Physicians about conscientious objection].
The Chilean bill that regulates abortion for three cases (Bulletin Nº 9895-11) includes the possibility that health professionals may manifest their conscientious objection (CO) to perform this procedure. Due to the broad impact that the issue of C O had, the Ethics Department of the Chilean College of Physicians considered important to review this concept and its ethical and legal basis, especially in the field of sexual and reproductive health. ⋯ Specifically, we recognize the right to conscientious objection that all physicians who directly participate in a professional act have. But we a lso recognize that physicians have ineludib le obligations towards their patients, including the obligation to inform about the existence of this service, how to access to it and -as set out in our code of ethics- to ensure that another colleague will continue attending the patient.
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Revista médica de Chile · Mar 2016
[Ethical and health issues posed by the recent Ebola epidemic: What should we learn?].
The recent Ebola epidemic that affected several countries in Africa, with very high mortality and a pandemic threat, posed problems of justice, public health, prevention, treatment and research, each of which has relevant ethical issues. Despite severe initial difficulties, an effective international response was achieved, whose outcome has left significant teachings to be considered in order to deal with future epidemics or pandemics. ⋯ Authors conclude that at the present time health is a global issue without borders, that insufficient healthcare resources in some countries poses risks and affects all countries and that the confrontation of the threats of epidemics requires a solution based in universal solidarity. At the same time, a moral duty to investigate should be acknowledged, seeking a balance between sense of urgency, scientific rigor and involvement of local communities.