Revista médica de Chile
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Revista médica de Chile · Apr 2023
[Clinical and regulatory challenges of forced hospitalization in Chile under the new Mental Health Law].
Forced hospitalization is a common practice in psychiatry. It involves limiting the patient's freedom of movement in a clinical context without expressing informed consent, causing stress to the family and support network. Thus, forced hospitalization may cause violations, disturbances, or threats to the human rights of a vulnerable population. ⋯ The new law No. 21,331 establishes a more demanding standard for the origin of forced internment, shortening the distance concerning the human rights guidelines regarding intellectual disability. The incoming development of the regulations mandated by the law could fill in the gaps in several situations that may arise and clarify fuzzy points. The key stakeholders' participation level will be critical in this matter.
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Revista médica de Chile · Apr 2023
Review[Vaccination for Cirrhosis and Liver Transplant Patients].
Patients with cirrhosis and liver transplantation (LT) have a higher risk of infections, complications and death. Vaccines have historically been used to prevent and reduce the risk of complications from viral and bacterial infections. ⋯ In case of not reaching its inoculation prior to LT, in the post-LT period its vaccination status should be updated. All doctors involved in the health care of these patients must have knowledge about this important topic and be aware of the access and free availability for this population through the presentation of a special form incorporated into the National Immunization Program.
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Revista médica de Chile · Apr 2023
Observational Study[Epidemiological Characterization of Benzodiazepine and Antidepressant Poisonings in Chile].
Poisonings are a worldwide preventable public health problem that affects the general population. ⋯ Poisoning events were characterized according to the studied variables. National poisoning rates decreased over the years with prevalence of those intentional events linked to women. Efforts should be made in creating poisoning prevention campaigns focused on age-based groups in the general population.