{"id":79454,"date":"2006-06-04T00:00:00","date_gmt":"2006-06-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validacion-de-la-fotografa%c2%ada-digital-del-fondo-de-ojo-transmitida-por-correo-electronico-como-metodo-de-screening-y-control-de-la-retinopata%c2%ada-diabetica-en-atencion-primaria\/"},"modified":"2006-06-04T00:00:00","modified_gmt":"2006-06-04T00:00:00","slug":"validacion-de-la-fotografa%c2%ada-digital-del-fondo-de-ojo-transmitida-por-correo-electronico-como-metodo-de-screening-y-control-de-la-retinopata%c2%ada-diabetica-en-atencion-primaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/validacion-de-la-fotografa%c2%ada-digital-del-fondo-de-ojo-transmitida-por-correo-electronico-como-metodo-de-screening-y-control-de-la-retinopata%c2%ada-diabetica-en-atencion-primaria\/","title":{"rendered":"Validaci\u00f3n de la fotograf\u00edadigital del fondo de ojo transmitida por correo electr\u00f3nico como m\u00e9todo de screening y control de la retinopat\u00edadiab\u00e9tica en atenci\u00f3n primaria."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Eduardo Molina Fern\u00e1ndez <\/strong><\/h2>\n<p>Objetivo:validaci\u00f3n de la transmisi\u00f3n por correo electr\u00f3nico de la fotograf\u00eda digital del fondo de ojo de pacientes diab\u00e9ticos tipo 2 como m\u00e9todo de detecci\u00f3n de la retinopat\u00eda diab\u00e9tica. dise\u00f1o de investigaci\u00f3n y m\u00e9todos:observacional descriptivo. Valoraci\u00f3n en paralelo, de forma ciega para los observadores, del grado de retinopat\u00eda mediante biomicroscop\u00eda realizada por oftalm\u00f3logos, frente a imagen  fotogr\u00e1fica digital realizada por el m\u00e9dico de familia enviada por correo electr\u00f3nico, de pacientes diab\u00e9ticos tipo 2 que no hubiesen recibido tratamiento previo de fotocoagulaci\u00f3n con l\u00e1ser (n=352).Previamente se comprob\u00f3 la concordancia entre oftalm\u00f3logos en la biomicroscop\u00eda.Se utiliz\u00f3 un retin\u00f3grafo midri\u00e1tico, posteriormente uno no midri\u00e1tico con o sin dilataci\u00f3n. Se compararon entre ellos. resultados:el 25.70% de las retinograf\u00edas ten\u00edan retinopat\u00eda, el 10.44% leve, el 12.05% moderada y el 3.21% severa.Kappa ponderado 0.876, para la concordancia en la biomicroscop\u00eda.La sensibilidad para detectar retinopat\u00eda es 76,6%, la especificidad 95,2% siendo del 92,7% y 99,5% respectivamente para retinopat\u00eda derivable al oftalm\u00f3logo.La sensibilidad fue 66,7% con el retin\u00f3grafo no midri\u00e1tico sin dilataci\u00f3n, 76,9% con dilataci\u00f3n electiva y 85% con el midri\u00e1tico. conclusiones:la concordancia en la valoraci\u00f3n, mediante biomicroscop\u00eda, del grado de retinopat\u00eda, ha sido \u00abmuy buena\u00bb. Esto permite utilizar la exploraci\u00f3n de un solo oftalm\u00f3logo como patr\u00f3n de referencia.La transmisi\u00f3n telem\u00e1tica de la fotograf\u00eda del fondo de ojo de pacientes diab\u00e9ticos tipo 2 como m\u00e9todo de detecci\u00f3n de la retinopat\u00eda es factible. Las fotograf\u00edas deber\u00edan realizarse dilatando, independientemente del tipo de retin\u00f3grafo empleado, ya que mejora significativamente la sensibilidad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validaci\u00f3n de la fotograf\u00edadigital del fondo de ojo transmitida por correo electr\u00f3nico como m\u00e9todo de screening y control de la retinopat\u00edadiab\u00e9tica en atenci\u00f3n primaria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validaci\u00f3n de la fotograf\u00edadigital del fondo de ojo transmitida por correo electr\u00f3nico como m\u00e9todo de screening y control de la retinopat\u00edadiab\u00e9tica en atenci\u00f3n primaria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Eduardo Molina Fern\u00e1ndez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/04\/2006<\/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>Jos\u00e9 Luis S\u00e1nchez Ramos<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Mi\u00f1ano s\u00e1nchez Francisco javier <\/li>\n<li>pablo Roman rodriguez (vocal)<\/li>\n<li> Montero de espinoza escoriaza ignacio (vocal)<\/li>\n<li>Antonio Pereira gonz\u00e1lez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Eduardo Molina Fern\u00e1ndez Objetivo:validaci\u00f3n de la transmisi\u00f3n por correo electr\u00f3nico de la fotograf\u00eda digital del fondo de [&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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