Browsing by Author "Vera-Kellet C."

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    New dermoscopic keys for circumscribed acral hypokeratosis: Report of four cases
    (2021) Majluf-Cáceres P.; Vera-Kellet C.; González-Bombardiere S.
    © 2021 Sociedad Medica de Santiago. All rights reserved.PAHO/WHO proposes to implement the role of Advanced Practice Nurse (APN) in Latin America, to reduce gaps in coverage and access to health care. For this purpose, it is necessary to train nursing professionals with an expanded role, which allows them to collaborate in the diagnosis, treatment, and monitoring of people with specific diseases, under established protocols and clinical guidelines and within consolidated interdisciplinary health teams in a cost-effective way. One of the areas with the greatest coverage deficit in Latin America is adult oncology, with inequality in care opportunities for these patients. Part of the premature deaths attributable to this disease are due to the lack of access to timely diagnosis and treatment. As a contribution to the reduction of this gap, a training program of Advanced Nursing Practice was developed, addressing the most urgent needs in the field of oncology. The necessary competencies were defined to develop a professional-level master's degree program, considering prevention, early detection, diagnosis, treatment, and monitoring of people with oncological diseases at different levels of care. A program of this kind is an opportunity to reduce the access gap and coverage of health care for people with cancer, improving their quality of life and their survival.
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    Rapid implementation of tele-dermatology during COVID-19 pandemic in an academic dermatology departmentRápida implementación de teledermatología durante la pandemia por COVID-19: lecciones aprendidas de un departamento académico de Dermatología
    (HUMANA PRESS INC, 2021) Ramirez-Cornejo C.; Munoz-Lopez C.; Del Barrio-Diaz P.; Jaque A.; Majerson D.; Navarrete-Dechent C.; Uribe P.; Vera-Kellet C.; Abarzua A.; Bello C.; Cardenas C.; Carreno N.; Concha M.; Cossio M.L.; Curi M.; Del Puerto C.; Downey C.; Droppelmann K.; Garcia-Huidobro I.; Giesen L.; Gompertz-Mattar M.; Harz-Fresno I.; Kam S.; Kolbach M.; Navajas L.; Reyes-Baraona F.; Rubio R.; Salomone C.; Sandoval M.; Silva S.; Valle E.; Zegpi M.S.; Pertuze C.; Valderrama S.
    © 2021 Sociedad Medica de Santiago. All rights reserved.Background: The day after COVID-19 quarantine started, we initiated patient care through Tele-dermatology. Aim: To report the experience of the implementation of Telemedicine in dermatology and to assess its impact on the number of dermatological visits compared with the pre-pandemic period. Material and methods: The study was conducted between March 27th, 2020, and April 30th, 2020. All patients submitted clinical images of their skin condition via secure email before the telemedicine visit. All telemedicine visits were conducted using the Zoom video conferencing platform. Patient demographics and medical history were recorded. If the dermatologist was unable to reach a diagnosis, the patient was sent for an in-person visit, skin biopsy, or additional laboratory workup. Results: We recorded 1,357 Tele dermatology visits from 1,222 patients aged 29 ± 18 years (38% males). Visits increased from 104 to 298 from the first to the last week, corresponding to 17% of the patient volume seen before the pandemic (1,709 in-person patients/week). A preliminary diagnosis was made in 95% of cases. Ninety percent of patients sent photos. Fifty eight percent of cases were chronic diseases, and were classified as inflammatory in 68%, infectious in 15%, neoplastic/tumoral in 7%, or other conditions in 11%. Less than 1% of these visits were COVID-19 related. Conclusions: In this prospective study of Tele-dermatology lasting five weeks, a preliminary diagnosis could be made in approximately 95% of cases and in the first five weeks of implementation, a volume of consultations equivalent to 17% of those made in the pre-pandemic period was carried out. Therefore, Tele-dermatology can be implemented quickly and successfully in practices when healthcare access is limited.