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Terapia ocupacional y paciente crítico
(Universidad de Chile, 2014)
, Licenciada en Ciencia de la Ocupación Humana. Profesor Asistente
en docencia. Escuela de Terapia Ocupacional Universidad de Chile. Independencia 1027, Santiago. +56229786587, enavarre@med.uchile.cl
5. Médico especialista en Medicina Interna y Medicina...
.torrent@gmail.com 101 UNIVERSIDAD DE CHILE FACULTAD DE MEDICINA ESCUELA DE TERAPIA OCUPACIONAL 102 INTRODUCCIÓN Los servicios de salud en Chile son responsables de la articulación, gestión y desarrollo de una red asis- tencial correspondiente, para la ejecución de...
.torrent@gmail.com 101 UNIVERSIDAD DE CHILE FACULTAD DE MEDICINA ESCUELA DE TERAPIA OCUPACIONAL 102 INTRODUCCIÓN Los servicios de salud en Chile son responsables de la articulación, gestión y desarrollo de una red asis- tencial correspondiente, para la ejecución de...
Satisfacción usuaria con el control de salud infantil en un Centro de Salud Familiar en el año del 2015
(Universidad de Chile, 2015)
infantil, en el Centro de Salud Familiar Karol Wojtyla, en la Comuna de Puente Alto, así como la calificación por la atención recibida. Las informaciones analizadas parten de encuestas realizadas a los acompañantes de los menores que asistieron a los...
El significado de la salud y la enfermedad en el pueblo de Talabre: un acercamiento desde la perspectiva de género
(2005)
– enfermedad y Cultura 26
2.2. Medicinas Tradicionales y Sistemas Médicos 29
2.3. Sistemas Médicos en los Andes 30
Capítulo III Género: Construcción Simbólica y Cultural en los Andes 35
3.1. Concepto de género y mirada desde la antropología 35...
salud y la enfermedad: la relación de equilibrio entre hombres y mujeres 59 4.2. Tipología y enfermedades y procedimientos de curación 63 4.3. El especialista en medicina tradicional 66 4.4. La reproducción: un espacio femenino 68 4...
salud y la enfermedad: la relación de equilibrio entre hombres y mujeres 59 4.2. Tipología y enfermedades y procedimientos de curación 63 4.3. El especialista en medicina tradicional 66 4.4. La reproducción: un espacio femenino 68 4...
Inmunodeficiencia combinada severa, reporte de pacientes chilenos diagnosticados durante el período 1999-2020
(Sociedad Chilena Pediatría, 2020)
enfermedades consideradas raras y no están
incluidas dentro del currículum de pre-grado de las es-
cuelas de medicina ni en los programas de post-grado
de pediatría ni medicina familiar, lo cual se podría co-
rrelacionar con la ausencia de diagnóstico...
Hospital San Borja Arriarán. Santiago, Chile nFacultad de Medicina Universidad del desarrollo-Clínica Alemana. Santiago, Chile oHospital Roberto del Río. Independencia. Santiago, Chile pUnidad de Inmunología, Hospital Luis Calvo Mackenna. Providencia, Santiago...
Hospital San Borja Arriarán. Santiago, Chile nFacultad de Medicina Universidad del desarrollo-Clínica Alemana. Santiago, Chile oHospital Roberto del Río. Independencia. Santiago, Chile pUnidad de Inmunología, Hospital Luis Calvo Mackenna. Providencia, Santiago...
Significados y cambio asociados al propio riesgo suicida y a la ayuda recibida de pacientes hospitalizados por riesgo suicida
(Universidad de ChilePontificia Universidad Católica de Chile, 2012)
evaluaron variables del
funcionamiento, individual, interpersonal y social, tales como el sentimiento de malestar
subjetivo, la satisfacción con el funcionamiento familiar y el manejo del enojo.
Complementariamente, los pacientes evaluaron el tratamiento...
The study is made up by two parallel phases, a qualitative and a quantitative one, comprising four studies. The qualitative phase analyzed the perspective of patients hospitalized due to suicidal ideation or a suicide attempt according to their risk, that of the parents of young people hospitalized due to suicidal ideation or a suicide attempt, and that of patients with respect to the help that they received while hospitalized. The purpose of the qualitative phase was to construct a conceptual model of the meanings associated with patients' own suicide risk and the aid received during hospitalization. Results obtained in this stage shed light on some of the questions asked regarding the quantitative information gathered. The quantitative phase evaluated individual, interpersonal, and social functioning variables, such as subjective distress, satisfaction with family functioning, and anger management. In addition to this, the patients assessed the treatment received. The hypotheses formulated at the beginning of this research considered that, after the hospital intervention, positive changes would ensue in the patients' anger state and subjective distress. It was also expected that there would be no changes in their anger and expression of anger. Regarding satisfaction with their family functioning, the hypotheses predicted a weaker improvement in patients with higher family dysfunction levels, and a stronger effect in those with lower family dysfunction levels. Study 1 paper 1: Patients' perception of their own risk. Their comprehension of their suicidality is noteworthy as it was the result of a long-term process. They identify predisposing events which took place years before, precipitating events which happened during the last year, and “triggering” events which resulted in suicidal ideation or the current suicide attempt. These events occurred in a personal context which includes characteristics of their personality, of their families, and of the social environment to which they belong. Two different suicidal processes were identified after the analyses. The first one takes place after the breakdown of a bond (the end of a couple relationship, an argument with a loved one), which brings along a distressing-depressive affect intolerable for the patient. This feeling of unbearable anguish, added to the breakdown of the bond, triggers a suicide attempt, with the simultaneous intention of requiring care and of dying, thus relieving the suffering experienced. The other suicidal process takes place after the breakdown of an affective, academic, or work-related bond, in which patients experience a distressing-depressive affect which is combined with a categorical confirmation of a depressive meaning. This depressive meaning tends to be of the type “I don't belong here”, “nobody loves me”, “nobody cares about me”, “there's no possible solution”. Faced with this drastic confirmation, the patient saw no choice but to die, thus triggering a suicide attempt with a clear intention of dying. Regarding protective factors, the interviewees value close bonds and relationships. They say that they feel protected by bonds in which they feel accepted, understood, and supported. These understanding and comforting bonds also helped them during their hospitalization. There are also factors which they think relieve them, but which can be risky, such as using alcohol and drugs when with friends, and browsing the Internet and playing computer games indiscriminately They also identify risk factors in their families, such as affective instability and limited communication concerning personal issues. In addition, they identify personality traits which negatively affect them, such as feelings of being bad at solving problems, difficulties for asking for help, impulsiveness, and trouble regulating emotions. The interviewees also deem certain close and stormy bonds to be risky (couple, friends, and/or relatives), as they bring them suffering and psychic exhaustion. Study 2, paper 2: The perspective of patients’ parents. The answers of the patients' parents show that they, in hindsight, can also see a process which occurred during a period of time and which involved multiple factors. They mention personality traits and circumstances which predetermined (in the long term) and predisposed (in the short term) their children's current suicide risk. They can identify an event which triggered suicidal ideation or the suicide attempt. In addition, parents see valuable characteristics in their children. Although most parents recalled having perceived the behavior that preceded their children's suicidal conduct, and said that it had worried them, they stated that they did not interpret it as a sign of suicide risk. They thought that it was typical of their children's age and personality. Study 3, paper 3: Perception of the aid received through the institutional intervention program. Most patients displayed a clinical recovery and had a positive view of the treatment received. The interventions which were better rated quantitatively by most patients were psychiatry, occupational therapy, and psychology. In their qualitative assessment, patients highlighted the relationship with other patients as one of the most valuable experiences in their hospitalization. Regarding each of the interventions during their hospitalization, the interviewees refer to technical and relational aspects, emphasizing the importance of meeting in person, talking, and spending time with other patients, professionals, and technicians. It is noteworthy that they stress the importance of their relationship with other patients, mostly through group activities, both informal and organized by the occupational therapy team. Study 4, paper 4: The change after the hospitalization for suicide attempt or suicide ideation. The most noticeable changes were observed in the patients' feelings of subjective discomfort. The patients in all the groups studied displayed a statistically and clinically significant improvement. Nearly half of the patients who participated in the study attained the reliable change index and were found to be within the functional population after their discharge. Regarding their satisfaction with their family functioning, females displayed significant changes in the way of spending time with their family, how they discuss issues, and how family members express affection. The suicidal ideation group experienced a significantly greater level of satisfaction with how they spent time with their family. With respect to anger management, females displayed a statistically significant decrease in their experience of anger (anger state and anger trait) and in their anger expression (anger in and anger out). Males displayed a significant favorable change in anger in. The low severity suicide attempt group also showed a significant decrease in anger in, while the high severity attempt group presented a reduction in anger trait. This change in anger trait is noteworthy, as it is conceptualized as a stable aspect of personality.Finally, recommendations are made for inpatient and post-discharge treatment, considering individual interventions as well as others involving the patient's family. It is also suggested that the patients studied be followed-up, especially those who did not feel relieved or who experienced unfavorable changes after their hospitalization due to suicide risk....
The study is made up by two parallel phases, a qualitative and a quantitative one, comprising four studies. The qualitative phase analyzed the perspective of patients hospitalized due to suicidal ideation or a suicide attempt according to their risk, that of the parents of young people hospitalized due to suicidal ideation or a suicide attempt, and that of patients with respect to the help that they received while hospitalized. The purpose of the qualitative phase was to construct a conceptual model of the meanings associated with patients' own suicide risk and the aid received during hospitalization. Results obtained in this stage shed light on some of the questions asked regarding the quantitative information gathered. The quantitative phase evaluated individual, interpersonal, and social functioning variables, such as subjective distress, satisfaction with family functioning, and anger management. In addition to this, the patients assessed the treatment received. The hypotheses formulated at the beginning of this research considered that, after the hospital intervention, positive changes would ensue in the patients' anger state and subjective distress. It was also expected that there would be no changes in their anger and expression of anger. Regarding satisfaction with their family functioning, the hypotheses predicted a weaker improvement in patients with higher family dysfunction levels, and a stronger effect in those with lower family dysfunction levels. Study 1 paper 1: Patients' perception of their own risk. Their comprehension of their suicidality is noteworthy as it was the result of a long-term process. They identify predisposing events which took place years before, precipitating events which happened during the last year, and “triggering” events which resulted in suicidal ideation or the current suicide attempt. These events occurred in a personal context which includes characteristics of their personality, of their families, and of the social environment to which they belong. Two different suicidal processes were identified after the analyses. The first one takes place after the breakdown of a bond (the end of a couple relationship, an argument with a loved one), which brings along a distressing-depressive affect intolerable for the patient. This feeling of unbearable anguish, added to the breakdown of the bond, triggers a suicide attempt, with the simultaneous intention of requiring care and of dying, thus relieving the suffering experienced. The other suicidal process takes place after the breakdown of an affective, academic, or work-related bond, in which patients experience a distressing-depressive affect which is combined with a categorical confirmation of a depressive meaning. This depressive meaning tends to be of the type “I don't belong here”, “nobody loves me”, “nobody cares about me”, “there's no possible solution”. Faced with this drastic confirmation, the patient saw no choice but to die, thus triggering a suicide attempt with a clear intention of dying. Regarding protective factors, the interviewees value close bonds and relationships. They say that they feel protected by bonds in which they feel accepted, understood, and supported. These understanding and comforting bonds also helped them during their hospitalization. There are also factors which they think relieve them, but which can be risky, such as using alcohol and drugs when with friends, and browsing the Internet and playing computer games indiscriminately They also identify risk factors in their families, such as affective instability and limited communication concerning personal issues. In addition, they identify personality traits which negatively affect them, such as feelings of being bad at solving problems, difficulties for asking for help, impulsiveness, and trouble regulating emotions. The interviewees also deem certain close and stormy bonds to be risky (couple, friends, and/or relatives), as they bring them suffering and psychic exhaustion. Study 2, paper 2: The perspective of patients’ parents. The answers of the patients' parents show that they, in hindsight, can also see a process which occurred during a period of time and which involved multiple factors. They mention personality traits and circumstances which predetermined (in the long term) and predisposed (in the short term) their children's current suicide risk. They can identify an event which triggered suicidal ideation or the suicide attempt. In addition, parents see valuable characteristics in their children. Although most parents recalled having perceived the behavior that preceded their children's suicidal conduct, and said that it had worried them, they stated that they did not interpret it as a sign of suicide risk. They thought that it was typical of their children's age and personality. Study 3, paper 3: Perception of the aid received through the institutional intervention program. Most patients displayed a clinical recovery and had a positive view of the treatment received. The interventions which were better rated quantitatively by most patients were psychiatry, occupational therapy, and psychology. In their qualitative assessment, patients highlighted the relationship with other patients as one of the most valuable experiences in their hospitalization. Regarding each of the interventions during their hospitalization, the interviewees refer to technical and relational aspects, emphasizing the importance of meeting in person, talking, and spending time with other patients, professionals, and technicians. It is noteworthy that they stress the importance of their relationship with other patients, mostly through group activities, both informal and organized by the occupational therapy team. Study 4, paper 4: The change after the hospitalization for suicide attempt or suicide ideation. The most noticeable changes were observed in the patients' feelings of subjective discomfort. The patients in all the groups studied displayed a statistically and clinically significant improvement. Nearly half of the patients who participated in the study attained the reliable change index and were found to be within the functional population after their discharge. Regarding their satisfaction with their family functioning, females displayed significant changes in the way of spending time with their family, how they discuss issues, and how family members express affection. The suicidal ideation group experienced a significantly greater level of satisfaction with how they spent time with their family. With respect to anger management, females displayed a statistically significant decrease in their experience of anger (anger state and anger trait) and in their anger expression (anger in and anger out). Males displayed a significant favorable change in anger in. The low severity suicide attempt group also showed a significant decrease in anger in, while the high severity attempt group presented a reduction in anger trait. This change in anger trait is noteworthy, as it is conceptualized as a stable aspect of personality.Finally, recommendations are made for inpatient and post-discharge treatment, considering individual interventions as well as others involving the patient's family. It is also suggested that the patients studied be followed-up, especially those who did not feel relieved or who experienced unfavorable changes after their hospitalization due to suicide risk....
La ciudad médica-industrial: melancólico, delirante y furioso; el psiquiátrico de Santiago de Chile 1852-1930
(Universidad de Chile, 2005)
.2. Diferentes aproximaciones al tema y
la perspectiva historiográfica Pág. 8
1. 3. Perspectiva Teórica Pág. 9
1. 4. Metodología Pág. 12
1. 5. Antecedentes Históricos Pág. 12
Capitulo II: MEDICINA COLONIAL EN CHILE 1536...
-1839 Pág. 15 2. 1. Medicina de la Conquista 1536-1616 Pág. 15 2. 2. Medicina Colonial Religiosa 1616-1823 Pág. 16 2. 3. Protomedicato 1756-1839 Pág. 18 Capitulo III: MEDICINA EUROPEA Y SU...
-1839 Pág. 15 2. 1. Medicina de la Conquista 1536-1616 Pág. 15 2. 2. Medicina Colonial Religiosa 1616-1823 Pág. 16 2. 3. Protomedicato 1756-1839 Pág. 18 Capitulo III: MEDICINA EUROPEA Y SU...
Estudios sobre los sentidos del enfoque de derechos del programa centros integrales de protección (CIP) como estrategia del distrito para el restablecimiento de derechos de los niños niñas y adolescentes en Bogotá D.C.
(Universidad de Chile, 2014-06)
, derecho
(abogados y defensores de familia), sumado a otras disciplinas que realizan valoraciones e
intervenciones con el NNA en aéreas como pedagogía, medicina, fonoaudiología y
nutrición , en un esfuerzo conjunto orientado a garantizar el desarrollo...
de Bienestar Familiar), los cuales tienen importantes diferencias con respecto a las instituciones que corresponden a la Secretaria Distrital de Integración Social. Finalmente se hace necesario adelantar mayores estudios los cuales deben ser...
de Bienestar Familiar), los cuales tienen importantes diferencias con respecto a las instituciones que corresponden a la Secretaria Distrital de Integración Social. Finalmente se hace necesario adelantar mayores estudios los cuales deben ser...
Niños, niñas y adolescentes con discapacidad en acogimiento residencial en Chile
(Universidad de Chile, 2021-01)
.3.1. Leyes internas sobre discapacidad infantil. .................................................. 21
Capítulo II: Derecho a la vida familiar: acogimiento residencial como ultima ratio. .. 24
1. Derecho a la vida familiar...
. ....................................................................................... 24 1.1. Definición y consagración del derecho a la vida familiar en el ordenamiento nacional. ........................................................................................................................ 24 1.2. Trascendencia de la...
. ....................................................................................... 24 1.1. Definición y consagración del derecho a la vida familiar en el ordenamiento nacional. ........................................................................................................................ 24 1.2. Trascendencia de la...
Aplicación de un cuestionario de sueño y la escala de
somnolencia de Epworth en un centro de salud familiar
(2008)
182 www.sonepsyn.cl
Aplicación de un cuestionario de sueño y la escala de
somnolencia de Epworth en un centro de salud familiar
Application of a sleep questionnaire and the Epworth
sleepiness scale in a family health...
registran conflictos de interés. Publicado en forma parcial, en el Libro de Resúmenes del XII Congreso Panamericano de Neurología. 2007; número 36: página 98. 1 Departamento de Ciencias Neurológicas Oriente, Facultad de Medicina, Universidad de Chile. 2...
registran conflictos de interés. Publicado en forma parcial, en el Libro de Resúmenes del XII Congreso Panamericano de Neurología. 2007; número 36: página 98. 1 Departamento de Ciencias Neurológicas Oriente, Facultad de Medicina, Universidad de Chile. 2...
Diseño y evaluación de proceso de una intervención comunitaria para la detección precoz del primer episodio de psicosis en Chile
(2012)
JAIRO
VANEGAS(5)
(1)Escuela de Salud Pública.
Facultad de Medicina.
Universidad de Chile.
Independencia 939. Santiago.
Chile.
mavalenz@med.uchile.cl
(2) Psicóloga. Magister en Salud
Pública. Chile
(3) Departamento Psiquiatría. Fa-
cultad de...
Medicina. Sede Sur, Universidad de Chile. Chile (4) Facultad de Medicina, Universidad del Desarrollo. (5) Médico, PhD en Salud Pública. Chile. Este trabajo fue financiado por el Fondo Nacional de Investi- gación y Desarrollo en Salud (Fonis...
Medicina. Sede Sur, Universidad de Chile. Chile (4) Facultad de Medicina, Universidad del Desarrollo. (5) Médico, PhD en Salud Pública. Chile. Este trabajo fue financiado por el Fondo Nacional de Investi- gación y Desarrollo en Salud (Fonis...