RESUMO
BACKGROUND: Dermatologic care was halted because of the coronavirus disease 2019 pandemic, prompting us to study the usefulness of direct-to-patient teledermatology via a mobile application. We aimed to evaluate the service as a tool for avoiding face-to-face consultations, describe the main conditions diagnosed, and assess levels of patient and physician satisfaction. MATERIAL AND METHOD: Prospective descriptive study of new patients who met the inclusion criteria. Descriptive statistics for all variables were analyzed with SPSS. RESULTS: Of the 1,497 patients who agreed to participate in the study, 25% (n=374) sent an image to a consultant dermatologist through the mobile application. Sixty-four patients (17%) were discharged directly and referred to primary care for follow-up. A face-to-face consultation was avoided for at least 3 months in 85% of patients (n=318); 87.1% (n=325) received a diagnosis and the dermatologist's level of confidence in this diagnosis was 7 or higher in 77.5% of cases (n=290). The quality of the images sent was considered sufficient in 52.1% of cases. Patients rated their satisfaction with a score of 4.5 out of 5. Eleven of the 16 dermatologists rated their satisfaction as good overall. The most common conditions were inflammatory and melanocytic lesions. The main diagnoses were nevi, acne, and eczema. DISCUSSION: Direct-to-patient store-and-forward teledermatology is an effective means of evaluating new patients. Both clinicians and patients expressed high levels of satisfaction with the service. Systems enabling the addition of digital images to patient records are necessary to ensure the efficiency of teledermatology.
Assuntos
COVID-19 , Dermatologia/tendências , Consulta Remota/tendências , Dermatopatias , Telemedicina/tendências , Controle de Doenças Transmissíveis , Humanos , Projetos Piloto , Estudos Prospectivos , Dermatopatias/diagnóstico , EspanhaRESUMO
Se realizó una revisión bibliográfica sobre el estado actual de las ligamentoplastías del LCA, incluyendo bases anatómicas, funcionales y tratamiento quirúrgico.
A bibliographic review was conducted on the current status of ACL ligamentoplasties including their anatomical and functional bases and surgical treatment.
RESUMO
A bibliographic review was conducted on the current status of ACL ligamentoplasties including their anatomical and functional bases and surgical treatment.
Assuntos
Lesões do Ligamento Cruzado Anterior , Ligamento Cruzado Anterior/cirurgia , Reconstrução do Ligamento Cruzado Anterior/métodos , HumanosAssuntos
Humanos , Masculino , Idoso , Antituberculosos/uso terapêutico , Lúpus Vulgar , Cabeça/patologiaAssuntos
Anestésicos Locais/efeitos adversos , Eczema/induzido quimicamente , Dermatoses da Mão/induzido quimicamente , Hemorroidas/tratamento farmacológico , Administração Tópica , Doença Crônica , Eczema/tratamento farmacológico , Feminino , Dermatoses da Mão/tratamento farmacológico , Humanos , Pessoa de Meia-Idade , Resultado do TratamentoAssuntos
Corticosteroides/efeitos adversos , Ciclosporina/efeitos adversos , Imunossupressores/efeitos adversos , Transplante de Rim , Complicações Pós-Operatórias/induzido quimicamente , Doenças das Glândulas Sebáceas/induzido quimicamente , Glândulas Sebáceas/patologia , Corticosteroides/uso terapêutico , Adulto , Idoso , Ciclosporina/uso terapêutico , Dermatoses Faciais/epidemiologia , Dermatoses Faciais/etiologia , Feminino , Humanos , Hiperplasia , Masculino , Pessoa de Meia-Idade , Prevalência , Doenças das Glândulas Sebáceas/epidemiologia , Espanha/epidemiologiaRESUMO
Arthroscopic surgery of the shoulder is considered a safe technique, yet a variety of complications have been described. There are few published reports on the incidence of these complications. The aim of this study is to evaluate the complication rate of arthroscopic shoulder surgery. We retrospectively evaluated a series of 179 consecutive arthroscopic (n=141) and combined (arthroscopic plus open; n=38) procedures performed by the same surgeon. The overall complication rate was 9.49%. Combined procedures had a 5.26% complication rate and arthroscopic procedures a 10.63% complication rate.