[Assessment of patients' capacity to give a valid consent].

Abstract:

:Autonomy is an inherent condition of every ethical act. This attribution is expressed, when decisions are made, as capacity. Physician-patient alliance is defied when there is a reasonable doubt of patients' ability to make a choice, an extraordinarily complex scenario. As a response, in the last few decades multiple tools have been developed aiming to determine in a standardized fashion whether capacity is present or not. In the present article, we present a classification of the most well-known tools and discuss their usefulness, the implications for standardization of capacity, and make recommendations for their use, based in evidence.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Robert B S,Reculé JI,Prato JA

doi

10.4067/S0034-98872016001000014

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

1336-1342

issue

10

eissn

0034-9887

issn

0717-6163

pii

S0034-98872016001000014

journal_volume

144

pub_type

杂志文章
  • [Population policy of the government of Chile].

    abstract::This article reports verbatim the National Development Plan for 1978-1983, issued by the Office of the President of the Chilean Republic, and by the Office of National Planning. The document states that an increase in population would be desirable; however, action toward such goal is to be taken by individual couples...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1979-06-01 00:00:00

  • [Priapism in a patient with chronic myeloid leukemia].

    abstract::Priapism is a rare complication of hematological diseases. Among leukemia, it is most frequently seen in patients with chronic myeloid leukemia, due to the high leukocyte counts that these patients achieve. We report a 22 years old male who presented with a priapism lasting more than 24 hours. Thirty six hours after a...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Rojas B,Cabrera ME,Kliwadenko W,Avilés JJ

    更新日期:1998-08-01 00:00:00

  • [Etiology and biomarkers of systemic inflammation in mild to moderate COPD exacerbations].

    abstract:BACKGROUND:The etiology of acute exacerbations of chronic obstructive pulmonary disease (COPD) is heterogeneous and still under discussion. Inflammation increases during exacerbation of COPD. The identification of inflammatory changes will increase our knowledge and potentially guide therapy. AIM:To identify which inf...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872012000100002

    authors: Saldías PF,Díaz PO,Dreyse DJ,Gaggero BA,Sandoval AC,Lisboa BC

    更新日期:2012-01-01 00:00:00

  • [Evolution of mortality and current status of an HIV-infected population cared for at a comprehensive HIV/AIDS center in Chile].

    abstract:BACKGROUND:Chile, a middle-income country with an HIV epidemic of moderate proportions (global infection rate 0.2%) began a government sponsored, free, highly active antiretroviral therapy (HAART) for patients from the public health system in 2001 reaching in 2004 a 100% coverage. Arriaran Foundation (AF) is the larges...

    journal_title:Revista medica de Chile

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    doi:10.4067/s0034-98872006000500006

    authors: Wolff R M,Alvarez P P,Flores S I,Northland A R,Wolff L C

    更新日期:2006-05-01 00:00:00

  • [Proposing a data mining scaffolding for preventing harmful alcohol consumption in Chilean adolescents].

    abstract:BACKGROUND:Adolescent alcohol and drug consumption are important public health problems in the Chilean young population. AIM:The purpose of this study was to examine the potential ofa data mining approach in scaffolding policy making, using the particular case of differential risks of harmful alcohol consumption in ad...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872013000500013

    authors: Marcelo Villalón C,Cuellar C

    更新日期:2013-05-01 00:00:00

  • [Quality of life of older people living in Antofagasta, Chile].

    abstract:BACKGROUND:As basic needs of older people are covered, the concern about the determinants of their quality of life becomes preeminent. AIM:To evaluate the relationship between self-reported quality of life and related variables. MATERIAL AND METHODS:The Quality of Life Survey for older people developed by the World H...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872011000800005

    authors: Urzúa A,Bravo M,Ogalde M,Vargas C

    更新日期:2011-08-01 00:00:00

  • [HRP/WHO: special program of research, development and research training in human reproduction, of the World Health Organization].

    abstract::The history, objectives and aims of this programme are described in detail. The principal goals achieved on anticonception, reproductive biology and abortion are analyzed, with special reference to the research done in Chile. The strengthening of research capabilities at national level was pointed out with special men...

    journal_title:Revista medica de Chile

    pub_type: 历史文章,杂志文章

    doi:

    authors: Lavín P

    更新日期:1998-07-01 00:00:00

  • [Food quality and nutritional status in university students of eleven Chilean regions].

    abstract:BACKGROUND:The Chilean population has inadequate lifestyles and high prevalence of chronic diseases. AIM:To analyze eating behaviors, nutritional status and history of previous diseases, in students of higher education. MATERIAL AND METHODS:Cross-sectional study in students of 54 higher education centers across the c...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872012001200008

    authors: Ratner RG,Hernández PJ,Martel JA,Atalah ES

    更新日期:2012-12-01 00:00:00

  • [Effectiveness of oral hypoglycemic drugs in the metabolic control of patients with gestational diabetes].

    abstract::Gestational Diabetes is characterized by different degrees of glucose intolerance that produce a series of fetal and perinatal alterations. During many years, in those cases of gestational diabetes that did not respond to nutritional interventions, the use of insulin was a proven treatment to achieve metabolic control...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:/S0034-98872008000700015

    authors: Valdés R E,Soto-Chacón E,Lahsen M R,Barrera H C,Candía P P

    更新日期:2008-07-01 00:00:00

  • [Antimicrobial activity of actinomycetes isolated from aquatic environments in southern Chile].

    abstract:BACKGROUND:The easy access and inappropriate use of antimicrobials led to selection and spread of resistant microorganisms strains. It is imperative to search for new and more effective antimicrobials. One strategy is the screening of metabolites produced by microorganisms found in the environment. Actinomycetes are a ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872004000200003

    authors: Leiva S,Yáñez M,Zaror L,Rodríguez H,García-Quintana H

    更新日期:2004-02-01 00:00:00

  • [Subcortical dementia in HTLV-I tropical spastic paraparesis. Study of 43 cases].

    abstract:BACKGROUND:Central nervous system damage associated to HTLV-I does not limit itself to the spinal cord, but also involves subcortical structures, producing cognitive impairment and behavioral changes which eventually could conform a new form of subcortical dementia. AIM:To study cognitive changes in patients with HTLV...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Cartier L,Gormaz A

    更新日期:1999-04-01 00:00:00

  • [Early test of thallium dipyridamole after myocardial infarction: prognostic value and correlation with coronarography].

    abstract::Fifty three patients were studied with dipyridamole thallium myocardial scintigraphy, 4 to 6 days after a first episode of myocardial infarction. Localization of infarction was anterior in 25 and inferior in 28. Infarction was confirmed by myocardial scintigraphy in 87% of cases. A non q wave myocardial infarction was...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Kunstmann S,Corbalán R,Olea E,Orellana P,Marchant E,Puschel K,Galleguillos CG

    更新日期:1991-08-01 00:00:00

  • [Anal tuberculosis. Report of a case].

    abstract::We report a 70 years old man presenting with malaise, anal pain and progressive defecation difficulty, with a decrease in stool caliber. The patient had no contact or past history of tuberculosis. On physical examination, there was an ulcerated anal lesion with purulent discharge, that produced an anal stenosis. The p...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Rocha M,Carrasco C,Naquira N,Venegas J,Kauer G,Coñoman H

    更新日期:1997-10-01 00:00:00

  • [Soft tissue sarcoma. Combined treatment of drug therapy, radiotherapy and conservative surgery].

    abstract::The preliminary results of a prospective and cooperative protocol for the treatment of soft tissue sarcomas of trunk and extremities, stages IB-IIIB are presented. Thirty one patients (17 males, 22 with a tumor larger than 5 cm) aged 16 to 68 years, were treated with one dose of epirubicin 70 mg/m2 i.v. and radiothera...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: San Martín S,Pérez R,Sepúlveda M,Rodríguez M,Durán B,Trujillo C,Arraztoa J

    更新日期:1993-02-01 00:00:00

  • [Risk of attention deficit/hyperactivity disorder in Aymara and Rapa-Nui school children: association with dopaminergic system polymorphisms].

    abstract:BACKGROUND:Attention deficit/hyperactivity disorder (ADHD) is a common, highly heritable neurobiological disorder of childhood onset, characterized by hyperactivity, impulsiveness or inattentiveness. AIM:To search for differences in risk for ADHD and its components among Chilean native and mixed populations and to loo...

    journal_title:Revista medica de Chile

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    doi:/S0034-98872011000500006

    authors: Paz Lagos L,Silva C,Rothhammer P,Carrasco X,Llop E,Aboitiz F,Rothhammer F

    更新日期:2011-05-01 00:00:00

  • [Serum levels of alanine aminotransferase in Chilean population: analysis of results of the national health survey 2009-2010].

    abstract:BACKGROUND:Determination of Alanine aminotransferase serum levels ([ALT]s) is a sensitive ana reliable test for liver diseases. AIM:To report the prevalence of abnormal [ALT]s in Chilean population and to identify associated variables. METHODS:We analyzed data from a random sub-sample of 2,794 adults surveyed during ...

    journal_title:Revista medica de Chile

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    doi:10.4067/S0034-98872013000700011

    authors: Tejos R,Padilla O,Pizarro M,Solís N,Arab JP,Margozzini P,Miquel JF,Riquelme A,Arrese M

    更新日期:2013-07-01 00:00:00

  • [Hematopoietic stem cell transplantation for patients with Wiskott-Aldrich syndrome].

    abstract:BACKGROUND:Wiskott-Aldrich syndrome (WAS) is an X linked congenital disease that presents as eczema, thrombocytopenia and immune deficiency. The only curative procedure for this illness is hematopoietic stem cell transplant (HSCT), preferably from a healthy HLA identical sibling donor. Cord blood is becoming an excelle...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872007000700013

    authors: Wietstruck P MA,Zúñiga C P,Talesnik G E,Méndez R C,Barriga C F

    更新日期:2007-07-01 00:00:00

  • [False negative spect parathyroid scintigraphy with sestamibi in patients with primary hyperparathyroidism].

    abstract:BACKGROUND:99mTc-sestamibi parathyroid SPECT scintigraphy is a useful tool in the pre-operative study of hyperparathyroidism. False negatives (FN) have been reported in 5.7-14% of the examinations. AIM:To characterize 99mTc-sestamibi FN in cases referred for primary hyperparathyroidism (PHP) to a university hospital. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872017000801021

    authors: Paillahueque G,Massardo T,Barberán M,Ocares G,Gallegos I,Toro L,Araya AV

    更新日期:2017-08-01 00:00:00

  • [Hemoptysis as the initial manifestation of Behçet's disease. Report of two cases].

    abstract::Arterial involvement in Behçet's disease (BD) is less common than venous lesions. The most commonly affected arteries are: the aorta, lower extremity arteries, mesenteric, femoral, coronary, renal, subclavian and pulmonary arteries. The rupture of pulmonary arteries is the main cause of death of patients with EB and t...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872018000400528

    authors: Abarca M,Santamarina M,Vergara C,Vega J

    更新日期:2018-04-01 00:00:00

  • [Association between chronic periodontitis and rheumatoid arthritis. A systematic review].

    abstract::Rheumatoid arthritis (RA) and chronic periodontitis (CP) may be related due to a bidirectional etiology. The evidence shows that CP could alter the clinical course of RA. We performed a systematic search to determine if CP alters the morbidity of RA, analyzing its clinical and molecular aspects. Of 552 initial article...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872019000600762

    authors: Wen S,Beltrán V,Chaparro A,Espinoza F,Riedemann JP

    更新日期:2019-06-01 00:00:00

  • [Structured clinical examinations with simulated patients during internal medicine clerkship].

    abstract:BACKGROUND:Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. AIM:To report the experience with OSCE in an environment with a high...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872020000600810

    authors: Bozzo Navarrete S,Arancibia Salvo C,Contreras Reyes D,Pérez González L

    更新日期:2020-06-01 00:00:00

  • [Influence of personality and learning styles in the choice of medical specialty].

    abstract:BACKGROUND:Several studies indicate that doctors who work in the same area of the medical profession tend to behave somehow similarly. Thus, it has been suggested that personality relates to the medical specialty choice. However, it is not known whether people self-select into the medical specialties according to their...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872005001000008

    authors: Bitran M,Zúñiga D,Lafuente M,Viviani P,Mena B

    更新日期:2005-10-01 00:00:00

  • [Cervical polyadenopathy due to Kikuchi and Fujimoto disease].

    abstract::Kikuchi and Fujimoto disease is a benign subacute necrotizing lymphadenitis, probably associated to a viral infection, that affects mostly young Asian women. We report a 19 years old women, with a vast familiar history of thyroid disease (three uncles with papillary thyroid carcinoma and one with a Hashimoto thyroidit...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: López JM,Alvarez M,Cárdenas IE,Gallegos M

    更新日期:1997-03-01 00:00:00

  • [Understanding cortisol action in acute inflammation: A view from the adrenal gland to the target cell].

    abstract::Glucocorticoids (cortisol in humans) are essential for numerous biological functions. Among critically ill patients, therapy with cortisol has gained strength in recent years, but clinical results have been mixed. A series of events, that may explain the diversity of clinical responses, occur from the synthesis of cor...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872017000200011

    authors: Guerrero J

    更新日期:2017-02-01 00:00:00

  • [Ehlers-Danlos syndrome, with special emphasis in the joint hypermobility syndrome].

    abstract::There is an urgent need to increase the awareness on the Joint Hyper mobility Syndrome QHS). This is a congenital and prevalent emergent condition that is frequently undiagnosed and that causes significant health problems. Besides recurrent muscular-skeletal problems and signs and symptoms derived from tissue fragilit...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:/S0034-98872009001100013

    authors: Bravo JF

    更新日期:2009-11-01 00:00:00

  • [Constrictive pericarditis as a serious and rare presentation of systemic lupus erythematosus: Report of one case].

    abstract::Constrictive Pericarditis (CP) is an unusual disease. Its most common causes are idiopathic or secondary to cardiac surgery. Less frequently it is caused by connective tissue diseases. We report a 30 years old woman hospitalized due to progressive dyspnea, chest pain and signs of right sided heart failure. During her ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872014000800015

    authors: Lustig N,Florenzano P,Sanhueza LM,Cid X,Ramos G,Thone N,Fullerton DA

    更新日期:2014-08-01 00:00:00

  • [Carcinoembryonic antigen (CEA) as an independent prognostic factor in colorectal carcinoma].

    abstract:BACKGROUND:CEA is widely used in the follow up of patients with colorectal carcinoma. AIM:To study the value of preoperative CEA as an independent prognostic factor in colorectal carcinoma. PATIENTS AND METHODS:Analysis of 373 operated patients (204 females, age range 21-92 years) with colorectal carcinoma and a mean...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872004000600005

    authors: Bannura G,Cumsille MA,Contreras J,Barrera A,Melo C,Soto D

    更新日期:2004-06-01 00:00:00

  • [Non-specific cecal ulcer in a patient with chronic renal failure in hemodialysis treatment. Case report].

    abstract::We report a 65 years old female undergoing hemodialysis, presenting with intense pain in the lower right quadrant and moderate hematochezia. Since symptoms did not abate after an appendectomy, a colonoscopy and barium enema were performed, whose results suggested an advanced cecal carcinoma. Biopsies were negative for...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Bannura G,Melo C,Villamán J,Muñoz M,Levy I

    更新日期:1999-05-01 00:00:00

  • [Blood transfusions in Jehovah's witnesses].

    abstract::Jehovah Witnesses cite religious motives to refuse transfusions of whole blood or its components for themselves and their children, even when life is endangered. An ethical analysis of decision making in health problems is made, giving priority to the alternatives chosen by the patient. One of the elements that turns ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Aguilera P

    更新日期:1993-04-01 00:00:00

  • [Bioethical challenges of stem cell tourism].

    abstract::Stem cells have drawn extraordinary attention from scientists and the general public due to their potential to generate effective therapies for incurable diseases. At the same time, the production of embryonic stem cells involves a serious ethical issue concerning the destruction of human embryos. Although adult stem ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872013000800010

    authors: Ventura-Juncá P,Erices A,Santos MJ

    更新日期:2013-08-01 00:00:00