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1.
Rev. enferm. UERJ ; 28: e51821, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1117686

RESUMEN

Objetivo: compreender a vivência do enfrentamento e repercussões da COVID-19, na percepção de mulheres em tratamento oncológico. Método: estudo qualitativo, do tipo ação-participante, fundamentado no Itinerário de Pesquisa de Paulo Freire, que possui três fases: Investigação Temática; Codificação e Descodificação; Desvelamento Crítico. Foi realizado Círculo de Cultura virtual, com a participação de 12 mulheres em tratamento do câncer de mama, de diferentes localidades do Brasil. Resultados: no Círculo de Cultura virtual discutiram dois temas: desafios no enfrentamento do câncer e da COVID-19; aprendizados gerados nessa vivência, considerando um renascimento das próprias cinzas. Considerações finais: o momento pandêmico tem instigado reflexões sobre o viver. Assim, as mulheres em tratamento oncológico e também em restrição social puderam expressar seus sentimentos, descobrindo e redescobrindo fragilidades e fortalezas para ressignificar e crescer como seres, em uma sociedade, que pode e deve articular estratégias para promoção da saúde.


Objective: to understand the experience of coping with COVID-19, as perceived by women undergoing cancer treatment. Method: qualitative, participatory action research based on the three phases of Paulo Freire's Research Itinerary: Thematic Investigation; Coding and Decoding; and Critical Unveiling. A Culture Circle was held online with 12 women from different places in Brazil undergoing breast cancer treatment. Results: in the virtual Culture Circle, they discussed two themes: challenges in coping with cancer and COVID-10; and learning generated in that experience, with a view to rebirth from their own ashes. Final considerations: the pandemic has prompted thinking about living. Accordingly, women undergoing cancer treatment and also under social restrictions were able to express their feelings, and in discovering and rediscovering weaknesses and strengths, to resignify themselves and to grow in a society that can and should deploy strategies for health promotion.


Objetivo: comprender la experiencia de afrontamiento del COVID-19, según la perciben las mujeres en tratamiento oncológico. Método: investigación-acción cualitativa y participativa basada en las tres fases del Itinerario de Investigación de Paulo Freire: Investigación Temática; Codificación y decodificación; y revelación crítica. Se realizó un Círculo Cultural en línea con 12 mujeres de diferentes lugares de Brazil sometidas a tratamiento contra el cáncer de mama. Resultados: en el Círculo de Cultura virtual se discutieron dos temas: desafíos en el afrontamiento del cáncer y COVID-10; y el aprendizaje generado en esa experiencia, con miras a renacer de sus propias cenizas. Consideraciones finales: la pandemia ha llevado a pensar en vivir. En consecuencia, las mujeres en tratamiento oncológico y también bajo restricciones sociales pudieron expresar sus sentimientos, y al descubrir y redescubrir debilidades y fortalezas, resignificarse y crecer en una sociedad que puede y debe desplegar estrategias de promoción de la salud.


Asunto(s)
Humanos , Femenino , Adulto , Persona de Mediana Edad , Neoplasias de la Mama/psicología , Adaptación Psicológica , Cuarentena/psicología , Infecciones por Coronavirus/epidemiología , Promoción de la Salud , Aprendizaje , Brasil , Proceso Salud-Enfermedad , Telemedicina , Investigación Cualitativa , Emociones , Acontecimientos que Cambian la Vida
3.
Medicine (Baltimore) ; 99(45): e22958, 2020 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-33157937

RESUMEN

INTRODUCTION: Treatment-resistant depression (TRD) has a high prevalence and can be exacerbated by poor physical health and economic hardships, which have become common stressors during the current COVID-19 pandemic. The therapeutic approaches used to treat these patients are not always available, may be not be accepted by some patients, and often require face-to-face interactions. OBJECTIVE: The main aim of this study will be to evaluate the effectiveness of an Internet-based adjuvant lifestyle-based intervention for patients with TRD. METHODS: This will be a parallel, randomized, and controlled clinical trial. A total of 180 patients with TRD will be randomly allocated (1:1:1) to 1 of 3 groups: treatment prescribed by the mental health team and written suggestions for lifestyle changes (placebo control group); treatment prescribed by the mental health team, written suggestions for lifestyle changes, and an 8-week mindfulness-based cognitive therapy program (active control group); or treatment prescribed by the mental health team, written suggestions for lifestyle changes, and an 8-week lifestyle change promotion program (intervention group). We will perform this study during the COVID-19 pandemic, and will administer interventions by teletherapy, and contact participants by telephone calls, text messages, and/or teleconferences. We will collect patient data using questionnaires administered at baseline, immediately after the intervention, and after 6 and 12 months. The primary outcome will be score on the Beck Depression Inventory-II. The secondary outcomes will be score on the Clinical Global Impressions Scale (used to quantify and track patient progress and treatment response over time) and health-related quality of life measured using the European Quality of Life-5 Dimensions Questionnaire. DISCUSSION: Patients with TRD are especially vulnerable when face-to-face psychotherapy is unavailable. The main strength of the proposed study is the novelty of the intervention to be used as an adjuvant therapy. Our results may provide guidance for treatment of patients with TRD in future situations that require lockdown measures. CLINICALTRIALS REGISTRATION NUMBER: NCT04428099.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Trastorno Depresivo Resistente al Tratamiento/terapia , Estilo de Vida Saludable , Neumonía Viral/epidemiología , Telemedicina , Terapia Cognitivo-Conductual , Promoción de la Salud , Humanos , Atención Plena , Pandemias , Ensayos Clínicos Pragmáticos como Asunto , Calidad de Vida , Encuestas y Cuestionarios
4.
Pan Afr Med J ; 35(Suppl 2): 135, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33193950

RESUMEN

Tuberculous neuroretinis, a relatively rare manifestation of extra-pulmonary tuberculosis, is characterized by optic disc edema, peripapillary and macula swelling, with hard exudates forming a partial or complete 'macular star' While the disease may present a diagnostic challenge for Ophthalmologists, prognosis is usually good, with proper management. The Coronavirus Disease 2019 (COVID-19) pandemic has presented a healthcare delivery dilemma in many parts of the world, with poor accessibility to, and under-utilization of, important healthcare services by non-COVID-19-related cases. Herein is a report of a case of tuberculous neuroretinitis in Lagos, Nigeria, whose care was negatively impacted by the ongoing pandemic through the combined factors of the interruption of clinical services during the lockdown, patient avoidance of healthcare facilities and the absence of robust telehealth services. These all culminated in the delayed institution of therapy which may be responsible for the poor visual outcome of no-light-perception.


Asunto(s)
Continuidad de la Atención al Paciente , Infecciones por Coronavirus/epidemiología , Accesibilidad a los Servicios de Salud , Pandemias , Neumonía Viral/epidemiología , Retinitis/tratamiento farmacológico , Tuberculosis Ocular/tratamiento farmacológico , Antituberculosos/uso terapéutico , Teléfono Celular , Diagnóstico Tardío , Técnicas de Diagnóstico Oftalmológico , Quimioterapia Combinada , Femenino , Clausura de las Instituciones de Salud , Humanos , Mácula Lútea/patología , Nigeria/epidemiología , Fotograbar , Cuarentena , Retinitis/diagnóstico , Telemedicina , Tomografía de Coherencia Óptica , Resultado del Tratamiento , Negativa del Paciente al Tratamiento , Tuberculosis Ocular/diagnóstico , Adulto Joven
5.
J Subst Abuse Treat ; 119: 108148, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33138931

RESUMEN

Prior to COVID-19, options for parenting support while receiving substance use disorder (SUD) treatment were limited. The transition to using mobile technology for SUD treatment due to physical distancing during the pandemic may make parenting resources for people with SUDs even more limited. The rapid integration of parenting supports into telehealth and web-based treatment delivery is essential for improving long-term outcomes for families affected by substance use.


Asunto(s)
Infecciones por Coronavirus , Pandemias , Responsabilidad Parental , Neumonía Viral , Trastornos Relacionados con Sustancias/rehabilitación , Humanos , Internet , Telemedicina/métodos
6.
J Korean Med Sci ; 35(42): e383, 2020 Nov 02.
Artículo en Inglés | MEDLINE | ID: mdl-33140593

RESUMEN

Multiple neurological complications have been associated with the coronavirus disease-19 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2. This is a narrative review to gather information on all aspects of COVID-19 in elderly patients with cognitive impairment. First, the following three mechanisms have been proposed to underlie the neurological complications associated with COVID-19: 1) direct invasion, 2) immune and inflammatory reaction, and 3) hypoxic brain damage by COVID-19. Next, because the elderly dementia patient population is particularly vulnerable to COVID-19, we discussed risk factors and difficulties associated with cognitive disorders in this vulnerable population. We also reviewed the effects of the patient living environment in COVID-19 cases that required intensive care unit (ICU) care. Furthermore, we analyzed the impact of stringent social restrictions and COVID-19 pandemic-mediated policies on dementia patients and care providers. Finally, we provided the following strategies for working with elderly dementia patients: general preventive methods; dementia care at home and nursing facilities according to the activities of daily living and dementia characteristics; ICU care after COVID-19 infection; and public health care system and government response. We propose that longitudinal follow-up studies are needed to fully examine COVID-19 associated neurological complications, such as dementia, and the efficacy of telemedicine/telehealth care programs.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Demencia/epidemiología , Servicios de Salud para Ancianos , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Actividades Cotidianas , Anciano , Betacoronavirus , Encéfalo/fisiopatología , Cuidadores , Disfunción Cognitiva/complicaciones , Disfunción Cognitiva/epidemiología , Infecciones por Coronavirus/complicaciones , Cuidados Críticos , Demencia/complicaciones , Humanos , Hipoxia , Sistema Inmunológico , Inflamación , Casas de Salud , Neumonía Viral/complicaciones , Medicina Preventiva , Salud Pública , Factores de Riesgo , Aislamiento Social , Telemedicina
7.
BMJ Open Qual ; 9(4)2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33148602

RESUMEN

Practice-based learning via clinical placement is a core part of a physiotherapy degree with the Chartered Society of Physiotherapy requiring completion of 1000 placement hours over a preregistration degree programme. In April 2020, as a result of the COVID-19 pandemic and subsequent lockdown Connect Health had to cancel 10 student placements as we transitioned to virtual consultations for all clinics. This cancellation of student placements was replicated across the nation with many Higher Education Institutes reporting a backlog of student placements. Without the requisite placement hours students are unable to progress into the next academic year or are unable to graduate. This then reduces the flow of new-graduate physiotherapists into the workforce at a time when there is a plan to grow the physiotherapy workforce to meet primary care demand. In response to this problem a novel placement model to facilitate virtual student placements ('virtual placements') was developed, tested and then rolled out across Connect Health using the Plan-Do-Study-Act quality improvement methodology. The model combines shadowing a broad range of virtual clinics with delivery of patient-facing online exercise classes via the Facebook Live platform and completion of virtual projects to support knowledge consolidation. This virtual student placement model enabled an increase in student capacity of over 400% compared with 2018-2019 with 182 students starting between May and August 2020. The model runs using widely available technology, requires no additional investment and has enabled these students to continue their studies and progress towards qualifying as physiotherapists.


Asunto(s)
Infecciones por Coronavirus , Internado no Médico/métodos , Modelos Educacionales , Pandemias , Fisioterapeutas/educación , Neumonía Viral , Telemedicina/métodos , Betacoronavirus , Humanos , Fisioterapeutas/provisión & distribución , Estudiantes del Área de la Salud
8.
Int J Pediatr Otorhinolaryngol ; 138: 110383, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33152974

RESUMEN

INTRODUCTION: Virtual outpatient clinics (VOPC) have been integrated into both paediatric and based adult outpatient services due to a multitude of factors, including increased demand for services, technological advances and rising morbidity secondary to ageing populations. The novel coronavirus disease (COVID-19) has accentuated pressures on the National Health Service (NHS) infrastructure, particularly elective services, whilst radically altering patterns of practice. AIM: To evaluate the impact of the COVID-19 pandemic on paediatric otolaryngology outpatient services whilst collating patient feedback to elicit long-term sustainability post COVID-19. METHOD: A retrospective analysis of VOPCs was undertaken at a tertiary paediatric referral centre over a 3-month capture period during the COVID-19 pandemic. Demographic, generic clinic (presenting complaint, new vs. follow-up, consultation type), as well as outcome data (medical or surgical intervention, discharge vs. ongoing review, onward referral, investigations, and conversion to face-to-face) was collated. Additionally a modified 15-point patient satisfaction survey was created. The Paediatric Otolaryngology Telemedicine Satisfaction survey (POTSS), was an adaptation of 4 validated patient satisfaction tools including the General Medical Council (GMC) patient questionnaire, the telehealth satisfaction scale (TESS), the telehealth usability questionnaire (TUQ), and the telemedicine satisfaction and usefulness questionnaire (TSUQ). RESULTS: Of 514 patients reviewed virtually over a 3-month period, 225 (45%) were randomly selected to participate, of which 200 met our inclusion criteria. The most common mode of consultation was telephony (92.5%, n = 185). Non-attendance rates were reduced when compared to face-to-face clinics during an equivalent period prior to the COVID-19 pandemic. A significant proportion of patients (29% compared to 26% pre-VOPC) were discharged to primary care. Nine percent were listed for surgery compared to 19% pre-VOPC. A subsequent face-to-face appointment was required in 10% of participants. Overall, the satisfaction when assessing the doctor-patient relationship, privacy & trust, as well as consultation domains was high, with the overwhelming majority of parents' content with the future integration and participation in VOPCs. CONCLUSION: An evolving worldwide pandemic has accelerated the need for healthcare services to reform in order to maintain a steady flow of patients within an elective outpatient setting without compromising patient care. Solutions must be sustainable long-term to account for future disruptions, whilst accounting for evolving patient demographics. Our novel survey has demonstrated the vast potential that the integration of VOPCs can offer paediatric otolaryngology services within a carefully selected cohort of patients.


Asunto(s)
Atención Ambulatoria/estadística & datos numéricos , Infecciones por Coronavirus , Pandemias , Satisfacción del Paciente , Pediatría/estadística & datos numéricos , Neumonía Viral , Telemedicina , Adolescente , Atención Ambulatoria/métodos , Instituciones de Atención Ambulatoria/organización & administración , Betacoronavirus , Niño , Preescolar , Femenino , Encuestas de Atención de la Salud , Humanos , Lactante , Masculino , Pediatría/métodos , Relaciones Médico-Paciente , Derivación y Consulta/estadística & datos numéricos , Estudios Retrospectivos , Medicina Estatal , Telemedicina/métodos , Telemedicina/estadística & datos numéricos , Centros de Atención Terciaria/estadística & datos numéricos , Reino Unido
9.
Int J Pediatr Otorhinolaryngol ; 138: 110399, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33152987

RESUMEN

The purpose of this paper is to explore the current literature on telemedicine in otolaryngology, focusing on the potential for telemedicine in the field and the major modalities available. Ultimately, the goal is to summarize telemedicine implementation in otolaryngology during the COVID-19 pandemic and potential long term applications. This paper analyzes a variety of studies that have evaluated the efficacy of different telemedicine approaches in otolaryngology, with commentary on what these results mean for the potential of telemedicine during the COVID-19 pandemic. Otolaryngology is well-suited for telemedicine, and this technology is viewed favorably by both patients and physicians. However, its application cannot be generalized to such a wide-ranging specialty. Furthermore, store and forward technology, which has been traditionally used to provide care to remote and underserved populations, and synchronous technology both have the potential to limit unnecessary in-person visits-ultimately keeping both patients and providers safe as social distancing continues.


Asunto(s)
Otolaringología/métodos , Telemedicina/métodos , Infecciones por Coronavirus , Prestación de Atención de Salud/métodos , Humanos , Pandemias , Pediatría/métodos , Neumonía Viral
10.
Maturitas ; 142: 8-10, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33158491

RESUMEN

Targeting older at-risk patients with decision-making algorithms is a priority at a time when hospitals are receiving an influx of Covid-19 patients that may exceed their capacity. Such screening could likely be extended to primary care settings in order to identify older community dwellers with Covid-19, but also those experiencing the adverse consequences of prolonged home confinement. The Centre of Excellence on Longevity of McGill University (Quebec, Canada) designed a short assessment for Montreal's housebound community-dwelling older adults. It acts as the first step in connecting older community dwellers who are housebound during the Covid-19 outbreak to telemedicine.


Asunto(s)
Infecciones por Coronavirus , Evaluación Geriátrica , Personas Imposibilitadas , Pandemias , Neumonía Viral , Atención Primaria de Salud/métodos , Telemedicina , Anciano , Anciano de 80 o más Años , Betacoronavirus , Hospitales , Humanos , Quebec
11.
Curr Oncol ; 27(5): 270-274, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33173379

RESUMEN

The coronavirus disease 2019 (covid-19) pandemic caused by the novel severe acute respiratory syndrome coronavirus 2 has necessitated changes to the way patients with chronic diseases are managed. Given that patients with multiple myeloma are at increased risk of covid-19 infection and related complications, national bodies and experts around the globe have made recommendations for risk mitigation strategies for those vulnerable patients. Understandably, because of the novelty of the virus, many of the proposed risk mitigation strategies have thus far been reactionary and cannot be supported by strong evidence. In this editorial, we highlight some of the risk mitigation strategies implemented at our institutions across Canada during the first wave of covid-19, and we discuss the considerations that should be made when managing patients during the second wave and beyond.


Asunto(s)
Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/complicaciones , Mieloma Múltiple/terapia , Neumonía Viral/complicaciones , Guías de Práctica Clínica como Asunto/normas , Telemedicina/métodos , Canadá/epidemiología , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Manejo de la Enfermedad , Humanos , Mieloma Múltiple/virología , Pandemias , Neumonía Viral/epidemiología , Neumonía Viral/virología , Gestión de Riesgos
13.
Curr Oncol ; 27(5): e512-e515, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33173391

RESUMEN

Sarcoma treatment during the covid-19 pandemic is a new challenge. This patient population is often immunocompromised and potentially more susceptible to viral complications. Government guidelines highlight the need to minimize patient exposure to unnecessary hospital visits. However, those guidelines lack practical recommendations on ways to manage triage and diagnosis expressly for new cancer patients. Furthermore, there are no reports on the efficiency of the guidelines. One of the main issues in treating musculoskeletal tumours is the complexity and variability of presentation. We offer a triage model, used in a quaternary-referral musculoskeletal oncology centre, that allows us to maintain an open pathway for referral of new patients while minimizing exposure risks. A multidisciplinary approach and analysis of existing investigations allow for a pre-clinic evaluation. The model identifies 3 groups of patients: ■ Patients with suspected high-grade malignancy, or benign cases with aggressive features, both in need of further evaluation in the clinic and prompt treatment■ Patients with low-grade malignancy, and benign cases whose treatment is not urgent, that are managed during the pandemic by telemedicine, with reassurance and information about their illness■ Patients who can be managed by their local medical professionals In comparison to a pre-pandemic period, that approach resulted in a higher ratio of malignant-to-benign conditions for new patients seen in the clinic (3:4 vs. 1:3 respectively), thus using available resources more efficiently and prioritizing patients with suspected high-grade malignancy. We believe that this triage system could be applied in other surgical oncology fields during a pandemic.


Asunto(s)
Betacoronavirus/aislamiento & purificación , Neoplasias Óseas/terapia , Infecciones por Coronavirus/complicaciones , Neumonía Viral/complicaciones , Guías de Práctica Clínica como Asunto/normas , Neoplasias de los Tejidos Blandos/terapia , Telemedicina/métodos , Triaje/normas , Neoplasias Óseas/virología , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Manejo de la Enfermedad , Humanos , Pandemias , Neumonía Viral/epidemiología , Neumonía Viral/virología , Gestión de Riesgos , Neoplasias de los Tejidos Blandos/virología
14.
J Prim Care Community Health ; 11: 2150132720969557, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33174495

RESUMEN

OBJECTIVE: In this brief report, we characterize pediatric primary care service utilization in metropolitan Chicago over the first 24 weeks of the COVID-19 pandemic response in relation to the comparable time period in 2019. METHODS: We examined retrospective visit and billing data, regardless of payer, from 16 independent pediatric practices that utilize a common electronic medical record platform within an Accountable Care Organization of 252 pediatricians in 71 offices throughout metropolitan Chicago. We categorized visits as Well-Child and Immunization-Only (WC-IO) or Other types and identified visits with a telemedicine billing modifier. Diagnoses for Other visits were tallied and categorized using the Agency for Healthcare Research and Quality Clinical Classification System. We summarized counts of visits and the proportion of visits with a telemedicine billing modifier in one-week epochs for 2020 compared with 2019. RESULTS: There were 102 942 total visits (72 030 WC-IO; 30 912 Other) in 2020 and 144 672 visits (80 578 WC-IO; 64 094 Other) in 2019. WC-IO visits in 2020 were half of 2019 visits at the start of the Illinois Stay-at-Home Order and returned greater than 90% of 2019 visits in 8 weeks. Other visit types have remained below 70% of 2019 visits. A telemedicine billing modifier peaked in mid-April (21% of all visits) and declined to <10% of all visits in June (Phase 2 reopening). The top 10 most common diagnoses differed between years. CONCLUSIONS: Recovery of well child and immunization visits suggests that practice-level efforts and policy change can ensure children receive recommended care as the pandemic evolves.


Asunto(s)
Atención Ambulatoria , Salud del Niño , Infecciones por Coronavirus , Pandemias , Aceptación de la Atención de Salud/estadística & datos numéricos , Pediatría/estadística & datos numéricos , Neumonía Viral , Atención Primaria de Salud/estadística & datos numéricos , Adolescente , Betacoronavirus , Chicago/epidemiología , Niño , Preescolar , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Registros Electrónicos de Salud , Humanos , Inmunización , Lactante , Visita a Consultorio Médico/estadística & datos numéricos , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Estudios Retrospectivos , Aislamiento Social , Telemedicina
17.
PLoS One ; 15(11): e0240526, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33141833

RESUMEN

In-person (face-to-face) data collection methods offer many advantages but can also be time-consuming and expensive, particularly in areas of difficult access. We take advantage of the increasing mobile phone penetration rate in rural areas to evaluate the feasibility of using cell phones to monitor the provision of key health and nutrition interventions linked to the first 1,000 days of life, a critical period of growth and development. We examine response rates to calendarized text messages (SMS) and phone calls sent to 1,542 households over a period of four months. These households have children under two years old and pregnant women and are located across randomly selected communities in Quiche, Guatemala. We find that the overall (valid) response rate to phone calls is over 5 times higher than to text messages (75.8% versus 14.4%). We also test whether simple SMS reminders improve the timely reception of health services but do not find any effects in this regard. Language, education, and age appear to be major barriers to respond to text messages as opposed to phone calls, and the rate of response is not correlated with a household's geographic location (accessibility). Moreover, response veracity is high, with an 84-91% match between household responses and administrative records. The costs per monitored intervention are around 1.12 US dollars using text messages and 85 cents making phone calls, with the costs per effective answer showing a starker contrast, at 7.76 and 1.12 US dollars, respectively. Our findings indicate that mobile phone calls can be an effective, low-cost tool to collect reliable information remotely and in real time. In the current context, where in-person contact with households is not possible due to the COVID-19 crisis, phone calls can be a valuable instrument for collecting information, monitoring development interventions, or implementing brief surveys.


Asunto(s)
Teléfono Celular/estadística & datos numéricos , Infecciones por Coronavirus/epidemiología , Monitoreo Fisiológico/estadística & datos numéricos , Estado Nutricional/fisiología , Pandemias , Neumonía Viral/epidemiología , Población Rural/estadística & datos numéricos , Adulto , Teléfono Celular/economía , Preescolar , Femenino , Guatemala/epidemiología , Humanos , Lactante , Recién Nacido , Masculino , Monitoreo Fisiológico/economía , Embarazo , Sistemas Recordatorios/economía , Sistemas Recordatorios/estadística & datos numéricos , Encuestas y Cuestionarios , Telemedicina/economía , Telemedicina/estadística & datos numéricos , Envío de Mensajes de Texto/economía , Envío de Mensajes de Texto/estadística & datos numéricos
18.
Artículo en Inglés | MEDLINE | ID: mdl-33167478

RESUMEN

The outbreak of the COVID-19 pandemic has caused changes in the provision of psychotherapy around the world. The common format of delivering in-person psychotherapy is replaced by psychotherapy via the Internet to a great extent. This study examined how well Austrian psychotherapists feel informed about the use of the Internet in psychotherapy, where additional information needs exist, and which software is used. A link to an online survey was sent to all psychotherapists providing a valid email address in the official list of licensed psychotherapists at the start of the COVID-19 lockdown in Austria. A total of 1547 people took part in the survey. The results show that psychotherapy via the Internet was primarily offered via Skype and Zoom during the COVID-19 pandemic and that the majority of the therapists felt well-informed about psychotherapy via the Internet; however, several therapists stated that they wish to have further information on data protection and security. Overall, the study shows that Austrian psychotherapists coped well with the rapid change from the provision of psychotherapy through personal contact to psychotherapy via the Internet. Security and data protection aspects of therapy via the Internet should be addressed in training and further education of psychotherapists. As this study was conducted online, it might have caused some respondent bias towards a higher participation of psychotherapists with higher preference for new technologies.


Asunto(s)
Intervención basada en la Internet , Psicoterapia/educación , Psicoterapia/tendencias , Telemedicina/tendencias , Austria , Betacoronavirus , Infecciones por Coronavirus , Educación Continua , Humanos , Pandemias , Neumonía Viral
19.
Biomed Instrum Technol ; 54(4): 242-250, 2020 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-33171500

RESUMEN

Could COVID-19 provide the push telehealth needs to finally gain widespread acceptance? Although many in healthcare saw it coming, no one predicted it would happen this fast. Telehealth services, in step with the coronavirus, started out at a slow crawl in early March. Soon, telehealth would begin hitting its stride-and would reach a full sprint no more than a month or two later.


Asunto(s)
Infecciones por Coronavirus , Pandemias , Neumonía Viral , Telemedicina/tendencias , Betacoronavirus , Humanos
20.
Rev Assoc Med Bras (1992) ; 66(10): 1320-1322, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33174918

RESUMEN

The coronavirus pandemic (COVID-19) brought up discussions about improvements in both primary healthcare and hospital care in Brasil. In addition, the use of information and communication technology tools has become more prominent in the transmission of health information to patients remotely. Through content dissemination actions for professionals and direct guidance to users, remote telehealth/telemedicine services offer qualified actions that can reduce unnecessary referrals and decrease the flow of patients in health units. Information and communication technologies are allies in the fight against COVID-19.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Difusión de la Información/métodos , Neumonía Viral/epidemiología , Telemedicina/tendencias , Betacoronavirus , Brasil , Humanos , Pandemias
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