Revista médica de Chile
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Revista médica de Chile · Aug 2023
[Profile of people served through telemedicine by the diabetes unit of a digital hospital in Chile].
Traditionally, diabetes management has involved a face-to-face meeting between the doctor and the patient. However, incorporating new tools such as telemedicine into clinical practice may be beneficial for controlling this disease. ⋯ The people who are treated through telemedicine by the diabetes cell of the Digital Hospital are mostly women and older adults from Familiy Health Care Centres (CESFAM), who present comorbidities, use insulin, are sedentary, have malnutrition due to excess, deficient metabolic control and their main diabetic complication is retinopathy.
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Revista médica de Chile · Aug 2023
[Factors associated with the perception of loneliness among older people living in the community].
Chilean community-dwelling older people are a vulnerable population with a high risk of being self-perceived as lonely. ⋯ Preventive strategies and age-appropriate psychosocial interventions to mitigate or reverse the impact of these factors may be essential to reduce the self-perception of loneliness and consequently improve older people's well-being.
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Revista médica de Chile · Aug 2023
Observational Study[Risk factors and predictors of drug resistance in tuberculosis: A comprehensive analysis of cases in Chile (2014-2018)].
Determine the risk factors associated with drug resistance and unsuccessful treatment of tuberculosis in Chile between 2014 and 2018. ⋯ The risk factors identified as relapse and coinfection with HIV as predictors of drug resistance highlight the complexity of disease management. Likewise, the presence of street situations, drug addiction, and alcoholism highlights the need for specific approaches to address tuberculosis in different population groups, suggesting the need for personalized strategies.
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Revista médica de Chile · Aug 2023
[Behavioral economics and nudges in the promotion and prevention of public health. Systematic review].
To systematically evaluate the literature on the use and effectiveness of nudges based on Behavioral Economics (BE). ⋯ In decision-making, behavior is a complex process requiring constant analysis from the BE, and BE is a promising approach to support more effective public health interventions.
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Revista médica de Chile · Aug 2023
[Integrative Medicine in Chile: Towards a more global vision of people's health].
The World Health Organization has defined health as a state of complete physical, mental and social well-being, not just the absence of disease. Integrative medicine considers the articulation of different medical practices and systems such as mind-body therapies, manual therapies, energy medicine, whole systems and healthy lifestyles, allowing focusing on the cause of diseases and giving concrete tools to focus on the person rather than just the disease. ⋯ For its advancement, it is essential to gradually incorporate this discipline in health careers curricula, agree on taxonomies and outcomes, and maintain sight that the core of health care is at the primary level. It is also necessary to generate evidence on the use of integrative medicine, especially at the local level, incorporating its practice more routinely and reporting on its potential adverse effects.