{"id":22890,"date":"2003-10-05T00:00:00","date_gmt":"2003-10-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validez-y-utilidad-cla%c2%adnica-del-retinografo-no-midriatico-para-el-diagnostico-de-la-retinopata%c2%ada-diabetica-en-la-practica-medica\/"},"modified":"2003-10-05T00:00:00","modified_gmt":"2003-10-05T00:00:00","slug":"validez-y-utilidad-cla%c2%adnica-del-retinografo-no-midriatico-para-el-diagnostico-de-la-retinopata%c2%ada-diabetica-en-la-practica-medica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/miguel-hernandez-de-elche\/validez-y-utilidad-cla%c2%adnica-del-retinografo-no-midriatico-para-el-diagnostico-de-la-retinopata%c2%ada-diabetica-en-la-practica-medica\/","title":{"rendered":"Validez y utilidad cl\u00ednica del retin\u00f3grafo no midri\u00e1tico para el diagn\u00f3stico de la retinopat\u00edadiab\u00e9tica en la pr\u00e1ctica m\u00e9dica"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Baeza Diaz Manuel Vicente <\/strong><\/h2>\n<p>Introducci\u00f3n  hay acuerdo de la necesidad de realizar campa\u00f1as de cribado en la retinopat\u00eda diab\u00e9tica (rd) y existen 2 m\u00e9todos diagn\u00f3sticos para detecci\u00f3n de la rd que se consideran validados y son por un lado la exploraci\u00f3n por medio fotograf\u00edas de la retina con una cobertura de 7 campos retinianos seg\u00fan airlie house y de otro lado el examen cl\u00ednico con oftalmoscopia indirecta y la biomicroscopia de la retina central. La demanda de una poblaci\u00f3n diab\u00e9tica creciente que parece exceder a la capacidad de los servicios de oftalmolog\u00eda, justifica la necesidad de realizar m\u00e9todos diagn\u00f3sticos m\u00e1s sencillos.  existen estudios parciales de validez del retin\u00f3grafo no midri\u00e1tico (r no m), pero faltan estudios globales en los que se calculen los indicadores de validez, utilidad cl\u00ednica y fiabilidad; en el presente estudio introducimos una metodolog\u00eda nueva que ayude a mejorar la toma de decisiones. El contraste de hip\u00f3tesis que planteamos es si el r no m puede sustituir al m\u00e9todo de certeza, en base a obtener una sensibilidad y especificidad mayor del 80%, unos cocientes de probabilidad en las categor\u00edas a o b, y una fiabilidad sustancial o casi perfecto.  objetivos  desarrollar una estrategia de exploraci\u00f3n de la retina con c\u00e1mara fotogr\u00e1fica, estableciendo el protocolo m\u00e1s sencillo con adecuados indicadores  de validez con respecto al patr\u00f3n oro para detectar rd y los grados de serveridad susceptibles de derivaci\u00f3n al oftalm\u00f3logo. Para ello comparamos cuantos campos son necesarios y si es imprescindible la midriasis. Conocer los indicadores del protocolo propuesto: 2 campos de 45\u00c2\u00ba con o sin midriasis seg\u00fan la calidad de la retinograf\u00edas. Determinar las causas de la mala calidad de las fotograf\u00edas. An\u00e1lisis de indicadores de gravedad de la rd que ayude a aumentar la sensibilidad del cribado.  material y m\u00e9todos  se dise\u00f1a un estudio observacional transversal. Definimos como factor del estudio el r no m<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validez y utilidad cl\u00ednica del retin\u00f3grafo no midri\u00e1tico para el diagn\u00f3stico de la retinopat\u00edadiab\u00e9tica en la pr\u00e1ctica m\u00e9dica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validez y utilidad cl\u00ednica del retin\u00f3grafo no midri\u00e1tico para el diagn\u00f3stico de la retinopat\u00edadiab\u00e9tica en la pr\u00e1ctica m\u00e9dica <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Baeza Diaz Manuel Vicente <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/05\/2003<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Vicente Gil Guillen<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Belmonte Martinez <\/li>\n<li>isabel Fernandez fernandez (vocal)<\/li>\n<li>salvador Pita fernandez (vocal)<\/li>\n<li>Jorge Navarro p\u00e9rez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Baeza Diaz Manuel Vicente Introducci\u00f3n hay acuerdo de la necesidad de realizar campa\u00f1as de cribado en la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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