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      Sobre la muerte: a quien pueda interesar Translated title: About death: To whom it may concern

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          Abstract

          Introducción: Podría decirse que la enfermedad y el temor a la muerte son los problemas principales que obligan a la mayoría de las personas a buscar ayuda médica. Sin embargo, sorprende que a la enfermedad se le dedique casi todo el tiempo de la enseñanza en las facultades de medicina y que la muerte se tome simplemente como algo implícito; pocas veces el tema de la muerte, como fenómeno real y vivencia universal, es discutido en las clases para los futuros médicos. Objetivo: Por medio de un ensayo de reflexión, se pretende motivar al lector médico de que además de criterios científicos o empíricos, existen otras miradas válidas y enriquecedoras sobre la agonía, la muerte y el morir, como son la mirada filosófica y teológica. Para ello tomamos como base un artículo recientemente publicado en esta revista y del que haremos alusión más adelante.

          Translated abstract

          Introduction: One could say that disease and fear of death are the key issues that make most people seek medical help. However, it is striking to find that most of the time devoted to teaching at medical schools focuses on disease while death is simply unspoken. Death as a real and universal fact is a topic rarely discussed in a doctors-to-be classroom. Objective: This essay is intended to make the medical reader aware of the fact that in addition to scientific or empirical criteria, there are other valid and enriching perspectives about agony, death and dying; i.e. the philosophical and theological perspective. To that end, the background is a recently published article in this journal that will be referred to in the next pages.

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          Factors associated with site of death: a national study of where people die.

          Recent public attention has focused on quality of care for the dying. Where one dies is an important individual and public health concern. The 1993 National Mortality Followback Survey (NMFS) was used to estimate the proportion of deaths occurring at home, in a hospital, or in a nursing home. Sociodemographic variables, underlying cause of death, geographic region, hospice use, social support, health insurance, patients' physical limitations, and physical decline were considered as possible predictors of site of death. The relationship between these predictors and site death with multinomial logistic regression methods was analyzed. Nearly 60% of deaths occurred in hospitals, and approximately 20% of deaths took place at home or in nursing homes. Decedents, who were black, less educated, and enrolled in an HMO were more likely to die in the hospital. After adjustment, functional decline in the last 5 months of life was an important predictor of dying at home (for loss of 3 or more ADLs [OR, 1.57; 95% CI, 1.11-2.21]). Having functional limitations 1 year before death, and experiencing functional decline in the last 5 months of life were both associated with dying in a nursing home. Rapid physical decline during the last 5 months was associated with dying at home or in a nursing home, whereas earlier functional loss was associated with dying in a nursing home.
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            Factors associated with place of death among the Chinese oldest old

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              Where they want to die: correlates of elderly persons' preferences for death site.

              The purpose of this study is to characterize older people who prefer dying at home versus those who prefer dying elsewhere. Data were drawn from a longitudinal study that was conducted of 1138 elderly persons in Israel. The results showed that the vast majority of the respondents preferred to die in their homes. Those who preferred to die at home did not differ significantly in most sociodemographic characteristics from those who preferred to die elsewhere except for marital status, economic status, living arrangements, and place of residence. The preference for the death site showed that those who lived with somebody, had trust in the family, and had frequent social contacts preferred to die at home.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                rca
                Revista Colombiana de Anestesiología
                Rev. colomb. anestesiol.
                SCARE-Sociedad Colombiana de Anestesiología y Reanimación (Bogotá )
                0120-3347
                October 2012
                : 40
                : 3
                : 195-198
                Affiliations
                [1 ] Universidad Nacional de Colombia Colombia
                Article
                S0120-33472012000300006
                10.1016/j.rca.2012.02.001
                582ba2bf-5b1d-4e14-a3df-1954a0478c54

                http://creativecommons.org/licenses/by/4.0/

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                SciELO Colombia

                Self URI (journal page): http://www.scielo.org.co/scielo.php?script=sci_serial&pid=0120-3347&lng=en
                Categories
                ANESTHESIOLOGY

                Anesthesiology & Pain management
                Death,Disease,Philosophy,Physician,Muerte,Enfermedad,Filosofía,Médico
                Anesthesiology & Pain management
                Death, Disease, Philosophy, Physician, Muerte, Enfermedad, Filosofía, Médico

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