Revista médica de Chile
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Revista médica de Chile · Aug 2019
[The effect of an educational intervention on the metabolic control of diabetic patients].
Diabetic patients have a poor adherence to lifestyle changes and a low compliance with medications. ⋯ A educational intervention in patients with insulin requiring diabetes mellitus improved the metabolic control of their disease.
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The Chilean Law regulating the voluntary interruption of pregnancy, contemplates the possibility that health personnel may refrain from doing the procedure if they have stated that they are conscientious objectors (CO). There are numerous articles on the subject. However, the impact on medical training centers when a student or resident abstain from performing certain clinical procedures invoking CO, has seldom been analyzed. ⋯ Second, an adequate ethical sensitivity is promoted. Third, it contributes to the necessary heterogeneity and diversity of students, promoting a desirable pluralism. However, certain interests and values, such as the well-being of patients, must be considered over and above accepting the CO requests.
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Revista médica de Chile · May 2019
[Gestational diabetes adherence to treatment and metabolic control].
Adherence to treatment is a large obstacle in the management of chronic diseases. ⋯ Therapeutic adherence is an important factor for adequate glycemic control.
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Revista médica de Chile · May 2019
[Changes in the prevalence of hypertension in Peru using the new guideline of the American College of Cardiology].
There is little evidence in Latin America about the impact of the ACC/AHA 2017 guideline. Taking as reference the JNC 7 guideline, the objective of our study is to estimate changes in the prevalence of arterial hypertension (HBP) according to socio-demographic characteristics and geographic regions, applying the criteria of the new ACC / AHA guide 2017. ⋯ Considering the context of a Latin American country and knowing the epidemiology of hypertension in Peru, the potential adoption of the ACC/AHA 2017 guidelines for the prevention, detection, evaluation, and management of hypertension should be accompanied by an evaluation of the impact at the individual, system and social level.
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Visual or hearing disabilities account for 20% of people reporting some sort of disability. We performed a literature review about the interaction that people with visual or hearing disabilities have with the health care system. We found that these people report a lower quality of life and have a higher frequency of physical and psychological ailments. They also have difficulties to obtain an adequate health care and report a paucity of trained professionals to take care of them.