Revista médica de Chile
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The scope of clinical bioethics must be broadened to a social bioethics that tackles institutional and public health ethical problems and those related to the health system reform. The superficial application of the four bioethical principles is not enough to face these problems and assure a complete respect of individual rights. ⋯ We propose to incorporate these social issues to the academic bioethical discussion and to develop a bioethics with complementary principles that can be used to solve cases and in decision making. We should use the means incorporated in our legislation such as Assistance Ethics Committees, Research Ethics Committees and the National Bioethics Commission, to pursue our objectives).
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Revista médica de Chile · Aug 2008
Randomized Controlled Trial[Effect of probiotic Saccharomyces boulardii on prevention of antibiotic-associated diarrhea in adult outpatients with amoxicillin treatment].
Antibiotic-associated diarrhea is one of the most common adverse effects of antimicrobials. Any antimicrobial can potentially produce diarrhea but beta-lactamics have a higher risk. Among these, amoxicillin is widely indicated in ambulatory practice. One of the alternatives suggested to prevent antibiotic-associated diarrhea, is the use of the probiotic Saccharomyces boulardii. ⋯ Saccharomyces boulardii (500 mg/day) did not prevent diarrhea related to amoxicillin.
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Revista médica de Chile · Aug 2008
Multicenter Study[Characteristics and factors associated with mortality in patients receiving mechanical ventilation: first Chilean multicenter study].
The outcome of mechanically ventilated patients can be influenced by factors such as the indication of mechanical ventilation (MV) and ventilator parameters. ⋯ Conditions present at the onset of MV and ventilator management were similar to those reported in the literature. Magnitude of multiorgan dysfunction and high plateau pressures are the most important factors associated with mortality.
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Revista médica de Chile · Aug 2008
Case Reports[Intestinal obstruction due to a trichobezoar or Rapunzel syndrome: report of one case].
Rapunzel syndrome or gastrointestinal trichobezoar is caused by hair ingestion. The diagnosis may be suspected in young females with important weight loss, who deny hair eating. ⋯ A gastrostomy and enterostomy were performed and a 17 x 6 x 5 cm trichobezoar was extracted. The patient had an uneventful postoperative outcome and was derived to Psychiatry.