Revista médica de Chile
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Revista médica de Chile · Oct 2007
Multicenter Study Clinical Trial[Biphasic insulin aspart for the management of diabetic patients with unsatisfactory metabolic control].
Biophasic insulin aspart (InAsBi) is a mixture of 30% of rapid acting soluble aspart insulin and 70% aspart insulin retarded with protamine. The soluble portion reduces postprandial serum glucose rises and the retarded portion reduces basal glucose levels. ⋯ In this group of diabetic patients with a bad metabolic control, the use of InAsBi was associated with a significant reduction of glycosilated hemoglobin levels.
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Revista médica de Chile · May 2007
Multicenter Study[Prevalence of severe sepsis in intensive care units. A national multicentric study].
Severe sepsis (SS) is the leading cause of death in the Intensive Care Units (ICU). ⋯ SS is highly prevalent in Chilean ICUs and represents the leading diagnosis at admission. SS as cause of hospitalization, APACHE II and SOFA scores were independent predictors of mortality.
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Revista médica de Chile · Nov 2006
Multicenter Study[Prognostic factors and outcome of community-acquired pneumonia in hospitalized adult patients].
Severity assessment of community-acquired pneumonia (CAP) patients allows the clinician to decide the place of management and guide empirical antimicrobial treatment. ⋯ These results validate in Chile, findings from foreign studies.
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Revista médica de Chile · Oct 2006
Multicenter Study[Smoking and chronic obstructive pulmonary disease: attributable risk determination].
Smoking is the main risk factor for Chronic Obstructive Pulmonary Disease (COPD), an important cause of morbidity and mortality. ⋯ This article confirms the strong association between smoking and COPD. Attributable risks are high and significant, even when they are adjusted by confounding variables. Women had a higher risk than men, at lower levels of tobacco consumption.
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Revista médica de Chile · Aug 2006
Multicenter Study[Student patient relationship from the patient's point of view].
Patients are becoming increasingly active in their relationship with medical professionals. Their relationship with medical students needing to learn clinical skills, may be specially problematic if patients are not willing to accept their involvement in the medical team. ⋯ Patients in Chilean public and private hospitals were in general positive regarding student's participation in their care. Students' clinical practice ought to strictly respect patients's rights, and patients should be considered volunteers who generously agree to cooperate with the education of medical students.