Revista médica de Chile
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Smoking is one of the most relevant public health problems worldwide and one of the main causes of preventable premature death. In-hospital treatment and subsequent follow-up are effective in terms of cessation. ⋯ The percentage of smokers in this group of patients is lower than that reported in the national health survey. The high proportion of respondent that are attempted to quit and failed, justifies the availability of structured quitting programs at the hospital and follow-up strategies after discharge.
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Revista médica de Chile · Feb 2023
[Artificial intelligence fuzzy system for the design of confinements during quarantines].
Different modalities of quarantines were one of the main measures implemented worldwide to avoid the spread of SARS-CoV2 virus. ⋯ Using an artificial intelligence system could improve decision-making transparency, emergency governance, and risk communication to the population.
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Revista médica de Chile · Feb 2023
Case Reports[Infective endocarditis with bivalvular involvement due to Erysipelothrix rhusiopathiae. Report of one case].
The microbiology of infective endocarditis (IE) varies in different populations and depends on public health conditions and socioeconomic status. In low-income countries, oral Streptococci affect hearts with rheumatic valve disease in patients with poor dentition. In high-income countries, Staphylococci are the most common cause, affecting elderly and immunocompromised patients, or those with invasive devices. ⋯ We report a 62 year-old male patient with a history of exposure to animals, who developed an infective endocarditis with severe bivalve regurgitation and septic shock, requiring antimicrobials and surgical resolution. Erysipelothrix rhusiopathiae was isolated from blood and valve vegetation cultures. The patient had a successful evolution and was discharged from the hospital.
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Revista médica de Chile · Feb 2023
ReviewAnalysis of the Chilean health promotion policy "Choose a Healthy Lifestyle".
Intersectoral health promotion initiatives in Chile to address obesity and non- communicable diseases have had a long history in Chile, but also a high degree of changes in their design, implementation, and financing. ⋯ Law 20,670 falls within the ACF. However, policy learning slowed down because the problem involved social aspects, conflict between deep beliefs of both coalitions, and lack of permanent funding, thus affecting the continuity of the policy.