Evaluación de la satisfacción de pacientes chilenos atendidos por telemedicina en consultas nutricionales / Evaluation of the Satisfaction of Chilean Patients Attended by Telemedicine in Nutritional Consultations

La telemedicina, a través del uso de plataformas de videoconferencias por Internet, se encuentra cada vez más extendida en Chile, debido a la pandemia de COVID-19 y las restricciones para controlar el virus. El nutricionista no es ajeno a esta situación y ha tenido que modificar las consultas para dar respuesta a esta nueva realidad. Sin embargo, no existe suficiente información respecto al nivel de satisfacción de los usuarios de la telemedicina, que emplea este profesional. El objetivo de la investigación fue describir la percepción de la satisfacción usuaria relacionada con las consultas nutricionales mediante la telemedicina, realizadas durante la pandemia. Se realizó un estudio observacional, descriptivo y transversal. Se reclutaron 62 pacientes de Santiago de Chile, quienes fueron atendidos en una consulta nutricional por videoconferencia. Se diseñó un cuestionario online constituido por seis ítems para determinar la aceptabilidad de la consulta nutricional por telemedicina. El rol del nutricionista en la consulta nutricional por videoconferencia tuvo un grado de satisfacción superior al 70 por cientoEl 62,9 por ciento de los encuestados prefiere que la consulta nutricional sea combinada. Solo el 50 por ciento señala que la plataforma de videoconferencia zoom favorece la relación nutricionista-paciente. La consulta nutricional por telemedicina permite controlar el estado nutricional del paciente sin necesidad de asistir de manera presencial, lo que mejora el acceso a la atención. Existe un nivel elevado de aceptación por parte de los pacientes que han recibido atención nutricional por telemedicina(AU)

Telemedicine, through the use of Internet videoconferencing platforms, is increasingly widespread in Chile, as a consequence of the COVID-19 pandemic and the restrictions to control the virus. The nutritionist is no stranger to this situation and has had to modify consultations to respond to this new reality. However, there is insufficient information regarding the level of satisfaction of telemedicine users employed by this professional. The objective of the research was to describe the perception of user satisfaction related to nutritional consultations through telemedicine, carried out during the pandemic. An observational, descriptive and cross-sectional study was developed. Sixty-two patients were recruited from Santiago, Chile, who were attended in a nutritional consultation by videoconference. An online questionnaire consisting of six items was designed to determine the acceptability of the nutritional consultation by telemedicine. The role of the nutritionist in the nutritional consultation by videoconference had a degree of satisfaction higher than 70percen. 62.9percentof the respondents prefer the nutritional consultation to be combined. Only 50percent indicated that the zoom videoconferencing platform favors the nutritionist-patient relationship. The telemedicine nutritional consultation makes it possible to monitor the patient's nutritional status without the need to attend in person, which improves access to care. There is a high level of acceptance by patients who have received nutritional care via telemedicine(AU)

Conversando con el editor jefe de la British Dental Journal, Dr. Hancocks, por los 150 años de la revista / In conversation with the Editor-in-Chief of the British Dental Journal, Dr. Hancocks, for 150 years of the journal

La British Dental Journal celebrará en el 2022 su 150° aniversario. Su editor jefe, Dr. Hancocks, tiene el liderazgo de esta revista por más de 15 años. En el encuentro con él por videconferencia, nos relata los logros, pilares, y desafíos que esta revista tuvo a lo largo de los últimos años para crecer y alcanzar su longevidad y éxito. El Dr. Hancocks también comparte su rol y manejo de responsabilidades en su rol de líder de la revista y su trabajo conjunto con la British Dental Association.

The British Dental Journal will celebrate its 150th anniversary in 2022. Its editor-in-chief, Dr. Hancock, has led this journal for more than 15 years. In the meeting with him by vi- deoconference, he tells us about the achievements, pillars, and challenges that the journal had over the last years to grow and achieve its longevity and success. Dr. Hancock also shares his role and handling of responsibilities in his role as leader of the journal and his joint work with the British Dental Association.

Videoconferencia en línea comoherramienta de enseñanza de anomalías dentomaxilofaciales a residentes de ortodoncia. Una narración académica docente / Online videoconference as a tool for teaching dentofacial deformities to post-doctoral students in orthodontics: a professor’s scholarly narrative

Objetivo: Describir y analizar, a través de una narrativa académica docente, una experienciade dos años en el manejo de la videoconferencia en línea como herramienta de enseñanzaa distancia de anomalías dentomaxilofaciales (ADF). Método: Se utiliza el método denarración autobiográfica cualitativa para describir la experiencia docente. Este se usa eneducación y humanidades. La narración combina elementos de reflexión con la descripcióny análisis de las experiencias al enseñar por medio de videoconferencia. Resultados: Sepresentan tres puntos importantes. El primero es el tipo de clases que se ha implementadoy su metodología. El segundo es cómo lograr que el estudiante sienta la interacción conel docente en el proceso de aprendizaje. El tercero es cómo controlar los factores relacionadascon la tecnología. Conclusión: Se generan propuestas de estudios para evaluarcientíficamente la cátedra de ADF cuando se usa videoconferencia en línea...

Aim: Describe and analyze through a professor’s scholarly narrative a two-year experienceusing online videoconference as a tool for long distance teaching the dentofacial deformities’subject. Method: Qualitative autobiographical narrative is used as a method todescribe the teaching experience. This method is used in education and humanities. Thenarrative combines elements of reflection with the description and analysis of the teachingexperiences using videoconference. Results: Three important points are presented. The firstone is the class format and methodology. The second aspect is how to make the studentfeel the interactive guidance with the professor in the learning process. The third one is howto control the factors related to technology. As a conclusion, some studies are proposedto give scientific support to the teaching learning process through online videoconference...

Newer insights in teledermatology practice.

The study and practice of dermatology care using interactive audio, visual, and data communications from a distance is called teledermatology. A teledermatology practice (TP) provides teleconsultation as well tele-education. Initially, dermatologists used videoconference. Convenience, cost-effectiveness and easy application of the practice made "store and forward" to emerge as a basic teledermatology tool. The advent of newer technologies like third generation (3G) and fourth generation (4G) mobile teledermatology (MT) and dermatologists' interest to adopt tertiary TP to pool expert (second) opinion to address difficult-to-manage cases (DMCs) has resulted in a rapid change in TP. Online discussion groups (ODGs), author-based second opinion teledermatology (AST), or a combination of both are the types of tertiary TP. This article analyzes the feasibility studies and provides latest insight into TP with a revised classification to plan and allocate budget and apply appropriate technology. Using the acronym CAP-HAT, which represents five important factors like case, approach, purpose, health care professionals, and technology, one can frame a TP. Store-and-forward teledermatology (SAFT) is used to address routine cases (spotters). Chronic cases need frequent follow-up care. Leg ulcer and localized vitiligo need MT while psoriasis and leprosy require SAFT. Pigmented skin lesions require MT for triage and combination of teledermoscopy, telepathology, and teledermatology for diagnosis. A self-practising dermatologist and national health care system dermatologist use SAFT for routine cases and a combination of ASTwith an ODG to address a DMC. A TP alone or in combination with face-to-face consultation delivers quality care.

Implementation of a Videoconferencing System between Multiple Family Medicine Departments / 가정의학회지

Attending conferences is important for doctors and residents in family medicine. Nevertheless, departments of family medicine at many hospitals find it difficult to hold regular conferences. Holding joint videoconferences between Family Medicine Departments of several hospitals through a videoconferencing system could solve this problem. Therefore, Family Medicine Departments of Seoul National University Hospital, Seoul National University Bundang Hospital, and Kangwon National University Hospital decided to hold regular joint videoconferences via a videoconferencing system. Eighty-one joint videoconferences were held from April 1 to October 29, 2010. PowerPoint slideshows were transferred to the other two locations in the same resolution as presenter's monitor. Image and voice of the speaker were transferred in real time and in acceptable quality. Joint videoconferences are feasible, satisfactory and useful for medical education, especially when individual family medicine departments are small and lack resources to hold face-to-face conferences. We expect that more family medicine departments will choose to participate in implementing similar joint videoconferencing systems in the future.

Capacitação de agentes comunitários de saúde em saúde auditiva: efetividade da videoconferência / Community health agents training on hearing health: effectiveness of videoconference

BACKGROUND: training of Community Health Agents on hearing health through videoconference. AIM: to verify the effectiveness of a training program for community health agents, through videoconference, on child hearing health. METHOD: participants of the study were 50 professionals who were randomly divided in two groups: 31 community health agents were physically present in the training program and 19 participated via videoconference. Training was provided in eight hours, through classes and using specific material adapted from the Primary ear and hearing care training resource - basic, intermediate and advanced levels for both groups, simultaneously. Training was organized and evaluated according to a previous study. RESULTS: both groups presented a statistically significant difference when comparing pre and post training performances. However, for the group of community health agents who were physically present during the training program, this difference was higher not only when considering the final total scores but also when looking at the individual topics. CONCLUSION: videoconference was effective as a learning tool for the training of community health agents on child hearing health. However, this instrument should be used as a complementary material to the traditional form of training.

TEMA: capacitação de agentes comunitários de saúde na área de saúde auditiva por meio de videoconferência. OBJETIVO: avaliar a efetividade da capacitação dos agentes comunitários de saúde, por meio da videoconferência, na área de saúde auditiva infantil. MÉTODOS: participaram da pesquisa 50 profissionais divididos aleatoriamente em dois grupos de acordo com a metodologia de ensino: 31 agentes comunitários de saúde participaram da capacitação de forma presencial e 19 por meio de videoconferência. A atividade ocorreu em um encontro de oito horas, por meio de aulas expositivas sobre o conteúdo ministrado e a utilização do material adaptado Primary ear and hearing care training resource - basic, intermediate and advanced levels, de forma simultânea para ambos os grupos. A capacitação foi organizada e avaliada de acordo com a proposta de estudo anterior. RESULTADOS: ambos os grupos apresentaram diferença estatisticamente significante quando considerado o desempenho apresentado no instante pré e póscapacitação, de forma mais expressiva para o grupo que participou da capacitação de forma presencial, tanto na análise do escore total como quando considerado os temas abordados separadamente. CONCLUSÃO: a videoconferência como ferramenta de ensino foi efetiva para a capacitação dos agentes comunitários de saúde na área de saúde auditiva, porém deve ser utilizada de forma complementar à capacitação realizada de forma presencial.

Implementing RUTE's usability: the Brazilian Telemedicine University Network

The Brazilian eHealth initiative enables videoconferencing, diagnosis and formative second opinion, continuous and permanent education and web conferencing, by linking university and teaching hospitals via RNP (Rede Nacional de Ensino e Pesquisa), Brazil's national research and education R & E network. It operates two significant national projects: The Telemedicine University Network, RUTE (Rede Universitaria de TElemedicina www.rute.rnp.br) and the National eHealth Primary Care Program, Brazil Telehealth (www.telessaudebrasil.org.br); respectively from the Science and Technology Ministry MCT and Health Ministry MS. The municipal, state, national and international health institutions coordinate collaborative projects in research, innovation, development, management, education and assistance...