Revista médica de Chile
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Revista médica de Chile · Feb 2021
[Relationship between occupational commitment and teaching practices among healthcare teachers].
A central aspect of professional identity is occupational commitment, which has a significant relationship with motivation and positive mental states in healthcare environments. However, it is not clear how occupational commitment is related to teaching practices in universities. ⋯ OCQ showed an adequate internal consistency, and it was directly related with teaching practices. Committed teachers had better teaching practices. This confirms the importance of teachers' values and perceptions on their professional performance.
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Revista médica de Chile · Feb 2021
[Comparison of different methods to estimate glomerular filtration rate in older adults].
Glomerular filtration rate (GFR) estimation in older adults using a creatinine clearance/24-hour (CrCl) or an equation based on serum creatinine, are often considered equivalent by clinicians. ⋯ The practice of considering equivalent the GFR estimation using the creatinine-based equations with measured creatinine clearance in older adults should be reconsidered, because their results differ markedly.
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Revista médica de Chile · Feb 2021
[Strategies to advance recovery (STAR) protocol implemented colorectal cancer patients during the COVID-19 pandemic].
SARS-CoV-2 hampered the resolution of multiple diseases, including cancer. ⋯ The STAR protocol reduces the length of hospital stay. In a pandemic context such as COVID-19 it becomes a useful resource and can be implemented in cancer patients, as herein reported.
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Revista médica de Chile · Feb 2021
[Calorie and macronutrient intake during the first six months after bariatric surgery].
Bariatric surgery (BS) is the most effective procedure in the management of obesity, achieving a significant decrease in energy intake. ⋯ Patients subjected to BS had a low calorie and macronutrient intake in the first six postoperative months. Their calorie intake is negatively associated with weight loss, mainly during the first postoperative month.
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Revista médica de Chile · Feb 2021
Case Reports[Low molecular weight heparin-induced hyperkalemia and hyponatremia. Report of one case].
Low molecular weight heparin-induced hyperkalemia is not an uncommon side effect. The development of hyponatremia is well described although it is less common. We report a 72-year-old woman with lumbar metastases who developed hyponatremia and hyperkalemia on the tenth day of hospitalization. ⋯ Enoxaparin-induced hypoaldosteronism was proposed and the drug was discontinued. After four days' persistence of the electrolyte disturbance, dexamethasone was changed to Hydrocortisone, and parameters normalized in 24 hours. The patient remained well until discharge and during outpatient control.