Management of diabetic retinopathy using telemedicine and network integrationBackground: If we are able to increase the resolution of complex medical problems at primary health care levels, we would improve the efficiency of the health care systems and would reduce the burden of specialists. Aim: To describe the result of a telemedicine and network management of diabetic retinopathy supervised by an ophthalmological service. Material and Methods: Diabetic patients attended in primary health care centers of the East Metropolitan Health Service in Santiago, Chile, derived for 45° digital retinographies were evaluated using telemedicine by the ophthalmologists of the base hospital. These professionals screened for diabetic retinopathy and classified it. Those patients with diabetic retinopathy were derived to the base hospital for specialized management. Results: Of 2,566 patients evaluated, 22% had signs of diabetic retinopathy, 75% did not have the condition and 2% could not be evaluated with retinography. Seventy percent of patients with retinopathy, equivalent to only fifteen percent of total diabetics, were referred to the specialists for treatment. Conclusions: This model allowed a reduction of referrals to ophthalmologists, reducing the burden of secondary and tertiary health care systems.
NET.LAB es el proyecto de investigación en diseño realizado en el marco del March Design Research Laboratory (DRL) por el equipo formado por Ibraheem Ammash, Jimena Araíza, María Loreto Flores y Ahmad Sukkar en la Architectural Association School of Architecture, Londres, entre 2004 y 2006.El objetivo de esta investigación fue la aplicación de algoritmos en la generación de espacios arquitectónicos articulando una amplia variedad de sistemas sociales, escalas y requerimientos programáticos. La implementación de la herramienta elegida, el Diagrama de Voronoi, representó dos desafíos principales a la investigación: en primer término, de qué forma el protocolo matemático informaría al diseño y en segundo lugar, como conjugar los resultados obtenidos con la voluntad estética del diseñador. Con este fin, la investigación incluyó una serie de experimentos digitales y físicos, los cuales plantearon un cuestionamiento directo a las habilidades y rol del arquitecto dentro de un proceso digitalmente dirigido, en el cual más allá de crear una forma específica, se requiere la articulación de nuevas lógicas de diseño.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.