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2.
J Formos Med Assoc ; 120(1 Pt 2): 422-428, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32563581

RESUMO

BACKGROUND/PURPOSE: Population aging and unequal accessibility of health care are increasingly important in developed countries. One strategy to overcome these issues is utilizing telemedicine, which is recently made possible technologically by the advancement of internet speed, high speed zooming cameras, and the information storages. In Taiwan, the telemedicine is granted legally by the amendment for Taiwan's Physician Act in 2018. METHODS: Kaohsiung Chang Gung Memorial Hospital (Kaohsiung CGMH) is the first hospital in Taiwan to provide the telemedicine service connecting to Cheng Kung Branch of Taitung Hospital since Nov 2018. Consultation services from Dermatology, ENT, and Ophthalmology have been delivered in the live-interactive and face to face module every week. RESULTS: Dermatology consultation comprises the majorities. In the first year, there were totally 426 dermatology consultation services. Eczema, fungal infections, and scabies infestation were the three most common diseases in the beginning. The disease diagnosis became more diverse after several months, including some ready-to-treat diseases pending correct diagnosis, such as pediculosis, psoriasis, and urticaria. Coupled with dermoscopic images, diseases such as hair loss, pediculosis capitis, skin tumor, and scabies, were diagnosed promptly. The subjective patient improvement rate was more than 75% year-round and the case closure rate was more than 85% year-round. CONCLUSION: Teledermatology is a promising approach to serve the remote medical-underprivileged regions. The teledermatology is anticipated to help underserved regions, nursing homes, prisons, and in situations with severe pandemic infections, such as COVID-19.


Assuntos
Dermatologia/métodos , Acesso aos Serviços de Saúde/organização & administração , Hospitais de Distrito , Hospitais Rurais , Serviços de Saúde Rural/organização & administração , Dermatopatias , Telemedicina/métodos , Dermatologia/organização & administração , Humanos , Dermatopatias/diagnóstico , Dermatopatias/terapia , Taiwan , Telemedicina/organização & administração
7.
Clin Dermatol ; 38(6): 785-787, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33341217

RESUMO

The world has changed dramatically since the COVID-19 pandemic began. In addition to our social, occupational, and personal lives, the new coronavirus also poses novel challenges for all physicians, including dermatologists. Several skin conditions have emerged, mainly as a result of prolonged contact with personal protective equipment and excessive personal hygiene. Pressure injury, contact dermatitis, itch, pressure urticaria, and exacerbation of preexisting skin diseases, including seborrheic dermatitis and acne, have been described. We have focused on the dermatologic aspects of the COVID-19 infection so that dermatologists are aware of the skin complications and preventive measures can be taken in the COVID-19 pandemic.


Assuntos
/complicações , Dermatologia/organização & administração , Equipamento de Proteção Individual/efeitos adversos , Dermatopatias/etiologia , Desinfecção das Mãos , Humanos , Dermatopatias/prevenção & controle
14.
Actas Dermosifiliogr ; 111(8): 650-654, 2020 Oct.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-32622869

RESUMO

As the COVID-19 pandemic gradually comes under control, the members of the Spanish Contact Dermatitis and Skin Allergy Research Group (GEIDAC) have drawn up a proposed list of the requirements, limitations, and conditioning factors affecting the resumption of work in contact dermatitis units. The assumption is that the severe acute respiratory syndrome coronavirus2 is still circulating and that occasional or seasonal outbreaks will occur. They recommend that the first step should be to assess how many patch tests each clinic can handle and review the waiting list to prioritize cases according to disease severity and urgency. Digital technologies can, where possible, be used to send and receive the documentation necessary for the patch test (information, instructions, informed consent, etc.). If the necessary infrastructure is available, patients can be offered the option of a remote initial consultation. Likewise, in selected cases, the patch test results can be read in a virtual visit using photographs taken by the patient or a video visit can be scheduled to allow the physician to evaluate the site of application remotely. These measures will reduce the number of face-to-face visits required, but will not affect the time spent on each case, which must be scheduled in the normal manner. All of these recommendations are suggestions and should be adapted to the needs and possibilities of each health centre.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Dermatologia/organização & administração , Testes do Emplastro/normas , Pneumonia Viral/epidemiologia , Telemedicina/organização & administração , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/prevenção & controle , Dermatite Alérgica de Contato/diagnóstico , Inquéritos Epidemiológicos/normas , Humanos , Hipersensibilidade/diagnóstico , Visita a Consultório Médico , Pandemias/prevenção & controle , Acesso dos Pacientes aos Registros , Pneumonia Viral/diagnóstico , Pneumonia Viral/prevenção & controle , Gestão de Riscos/organização & administração , Espanha/epidemiologia , Avaliação de Sintomas/métodos , Telepatologia , Triagem/organização & administração , Listas de Espera
20.
Clin Dermatol ; 38(3): 310-315, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32563342

RESUMO

Dermatology is currently the second least diverse medical specialty, after orthopedic surgery, with only a minority of physicians identifying as underrepresented in medicine (UIM). To diversify our specialty, our understanding and recognition of multifactorial barriers to inclusivity such as financial barriers, lack of mentorship, and the implicit bias against minorities UIM is critical. With collaborative efforts by national dermatology organizations, dermatology residency programs, and medical schools to increase the presence of UIM dermatology physicians in the US health care, this important issue continues to receive the attention it deserves.


Assuntos
Dermatologistas/estatística & dados numéricos , Dermatologia/economia , Dermatologia/estatística & dados numéricos , Mão de Obra em Saúde/estatística & dados numéricos , Internato e Residência/estatística & dados numéricos , Estudantes de Medicina/estatística & dados numéricos , Dermatologia/organização & administração , Humanos , Mentores/estatística & dados numéricos , Grupos Minoritários , Sociedades Médicas , Estados Unidos
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