Revista médica de Chile
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Revista médica de Chile · Jul 2022
Review[Instruments to assess functional capacity and the presence of frailty in older people].
The evaluation of functional capacity and the presence of frailty is an essential prognostic indicator in older people. ⋯ The main instruments to assess CFI and frailty in older people cared in PHC in Chile are the EFAM, and the Fried and FTI criteria, respectively.
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Revista médica de Chile · Jul 2022
Observational Study[Primary biliary cholangitis. Experience in 179 patients].
Primary biliary cholangitis (PBC) is a chronic autoimmune cholestatic disease, which can progress to cirrhosis. It mainly affects middle-aged women. Its most frequent form of presentation is asymptomatic with biochemical cholestasis and the presence of antimitochondrial antibodies (AMA). ⋯ The epidemiological characteristics of our patients agree with those published abroad. Laboratory cholestasis associated with the presence of AMA, currently allows diagnosis without the need for histological study. Ursodeoxycholic acid (UDCA) is the first-line treatment for patients with PBC. The use of biochemical response criteria is essential to identify patients who require other UDCA alternatives for isolated or combined treatment.
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Revista médica de Chile · Jul 2022
[Adjustments for the care of people with sensory disabilities in primary health centers].
People with Sensory Disabilities (PcDS) face barriers for equal access to health care. Thus, health centers require adjustments to comply with equal access that allows an universal coverage of care. ⋯ There is a paucity of adjustments for the health care of PcDS in the analyzed health centers. This deficiency underscores the barriers faced by PcDS for receiving care in the Chilean public health system.
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Revista médica de Chile · Jul 2022
Observational Study[Secular trend for overweight and excessive weight gain during pregnancy in a Southern Chilean region].
Overweight during pregnancy has increased in Chile. In the region of La Araucanía it occurs in 67% of pregnancies, which exceeds the national indicators. ⋯ The results show social inequality. Female malnutrition by excess is a problem that must be addressed through a robust public policy, centered on primary health care level and with a focus on social determinants. Prenatal care provides a window of opportunity to intervene.