Revista médica de Chile
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Revista médica de Chile · May 2015
Biography Historical ArticleMaria Montessori (1870-1952): Women's emancipation, pedagogy and extra verbal communication.
Maria Montessori is one of the most well-known women in Italian history. Although she was the first woman who graduated in medicine in Italy, she is mostly known as an educator. ⋯ However, the need to adopt a non-verbal communication, led her to a sensational discovery: children use an innate and universal language. This language, made of gestures and mimic, is called extra verbal communication.
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Revista médica de Chile · May 2015
Review[Causes and management of severe acute liver damage during pregnancy].
Abnormalities in liver function tests appear in 3% of pregnancies. Severe acute liver damage can be an exclusive condition of pregnancy (dependent or independent of pre-eclampsia) or a concomitant disease. HELLP syndrome and acute fatty liver of pregnancy are the most severe liver diseases associated with pregnancy. ⋯ It has a high mortality and patients should be transplanted. Fulminant hepatic failure caused by acetaminophen overdose can be managed with n-acetyl cysteine. Because of the high fetal mortality rate, the gestational age at diagnosis is crucial.
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Revista médica de Chile · May 2015
[Clinical predictors of bacteremia in immunocompetent adult patients hospitalized for community-acquired pneumonia].
The clinical usefulness of blood cultures in the management of patients hospitalized with community-acquired pneumonia (CAP) is controversial. ⋯ Blood cultures do not contribute significantly to the initial management of patients hospitalized for community-acquired pneumonia. The main clinical predictors of bacteremia were antibiotic use, hypotension, renal dysfunction and systemic inflammation.
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Revista médica de Chile · May 2015
[The cost of polypharmacy in patients with type 2 diabetes mellitus].
Polypharmacy or the concomitant use of three or more medications, may increase the complexity of health care and its costs. ⋯ Medications represent less than 50% of total expenses of diabetic patients with polypharmacy.