ABSTRACT
Background: Hyperglycemia among hospitalized patients is a common finding as is associated with a worse prognosis in patients with an without a history of diabetes. An optimal control of blood glucose reduces complications in these patients. Although the national prevalence of diabetes in Chile is well know, data on its prevalence among hospitalized patients is scanty. Aim: To assess the prevalence of diabetes and its association with hospital evolution among patients admitted to a medical service of a public hospital. Patients and Methods: In a prospective study from august to october of 2006 period, the cause of admission and the presence of diabetes mellitus was registered for every patient admitted to the medicine service. Among diabetics, the type of diabetes and the length of disease was recorded. Patients were followed during hospital stay, registering length of hospitalization, complications and mortality. Results: A total of 367 patients were studied and 92 (26 percent) were diabetics. Among the latter, 96 percent had type 2 diabetes and the main causes of admission were cardiovascular diseases in 38 (40 percent), infections in 18 (19 percent) and acute complications of diabetes in 13 (13 percent). Hospital mortality among diabetic and non diabetic patients was 6 and 4 percent, respectively (p = NS). Complications during hospital stay among diabetic and non diabetic patients, occurred in 15 and 9 percent, respectively (p = 0.064). The length of hospital stay was 8.8 and 9.2 days in diabetic and non diabetic patients, respectively (p = NS). Those patients with a diabetes lasting for more than 10 years had a higher rate of complications. Conclusions: The prevalence diabetes mellitus among hospitalized diabetic patients is higher than registered in national statistics. Patients with a diabetes lasting more than 10 years have more complications during hospital stay.
Subject(s)
Humans , Male , Female , Diabetes Complications/epidemiology , Diabetes Mellitus/epidemiology , Hospitalization/statistics & numerical data , Diabetes Complications/mortality , /epidemiology , Diabetes Mellitus/mortality , Hospital Mortality , Length of Stay , Multivariate Analysis , Prevalence , Prospective StudiesABSTRACT
Este artículo se propone presentar el Programa de Capacitación Laboral para Personas con Discapacidad Intelectual que se lleva a efecto en la Escuela Gabriela Mistral. Su objetivo es favorecer la integración sociolaboral de los alumnos en la comunidad. Se intenta demostrar que, aunque los recursos sean escasos, un equipo de trabajo interdisciplinario logra establecer redes que acojan a este sector de la sociedad y le permitan acceder al mundo laboral en buenas condiciones.
This paper presents a Labor Program for the Intelectual Disability that is taking place at the Escuela Gabriela Mistral. Its goal is to favor the sociolaboral integration of its students inside the community. It tries to demonstrate that, even with low resources, an interdisciplinary working group may establish nets that will accept this people, thus allowing them to join the labor world in good conditions.
Subject(s)
Humans , Male , Adolescent , Female , Child , Education, Special/methods , Program Evaluation , Disabled Persons/rehabilitation , Social Adjustment , Occupational Therapy/methods , Chile , Family , Interpersonal Relations , Patient Care Team , Disabled Persons/psychology , Social SupportABSTRACT
Enfoque clinico-antropologico del esquizofrenico. Condicion unitaria para la psicosis incluyendo la esquizofrenia. Causa y mejoria de la psicosis esperada desde la bioquimica. Revitalizacion de la rehabilitacion del enfermo mental a traves de la "comunicacion psicoterapeutica"
Subject(s)
Humans , Schizophrenia , PsychotherapyABSTRACT
Se puntualizam los cuantro enfoques basicos en el estudio de las "enfermedades mentales" : psicoanalitico, fenomenologico, reflexologico y neurofisiologico. Se hace hincapie en la importancia fundamental de la psicoterapia en el tratamiento de los "enfermos mentales". Se centra el valor de la psicoterapia en la capacidad del psicoterapeuta para establecer y saber conducir la compleja y peculiar vinculacion, que requiere este tratamiento con el enfermo, por sobre las "tecnicas" psicoterapeuticas