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- 저자 : Adrian Martinez-Moreno (검색결과 2 건)
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Psoriasis and Cardiovascular Disease: A Narrative Review
Adrian Martinez-Moreno,Jorge Ocampo-Candiani,Veronica Garza-Rodriguez 대한가정의학회 2021 Korean Journal of Family Medicine Vol.42 No.5
Psoriasis is a chronic, autoimmune, and inflammatory disease that affects 2% of the world’s population. In recent years, it has been demonstrated that psoriasis confers a 25% increase in relative risk of cardiovascular disease, independent of factors such as hyperlipidemia, smoking, and obesity. The objective of this review was to analyze and describe the association between psoriasis and cardiovascular disease. In this review, we describe the epidemiological association of psoriasis and cardiovascular disease, pathophysiology, mechanisms, and its association with the well-known cardiovascular risk calculators. In addition, we describe diagnostic tools, such as imaging techniques and novel biomarkers, that are useful in the evaluation of atherosclerotic cardiovascular disease. Finally, we present different systemic therapies that are used in patients with psoriasis and their effect on atherosclerotic cardiovascular disease. This article provides an overview of the current literature on psoriasis and cardiovascular risk, which can be useful for primary care physicians in their daily clinical practice.
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Remote Healthcare Program in Mexico in the Context of the COVID-19 Pandemic
Rodolfo Lehmann Mendoza,Gabriela Yanet Cortés Moreno,Hilario Ascensión Martinez Arredondo,Anaya Aguilar Cynthia Jeanet,Pedro Armando Chaidez Rosales,Ilicia González Mundo,Armando Mejía Nava,Adrian H. 대한의료정보학회 2022 Healthcare Informatics Research Vol.28 No.2
Objectives: Given the challenge of limiting the transmission of coronavirus disease 2019 while simultaneously continuingto provide medical care for other chronic and degenerative diseases and monitor therapy, a remote medical advice and guidanceprogram was created to help individuals receive health services at their homes. Methods: A descriptive, cross-sectional,and observational study was performed from April 13, 2020 to April 19, 2021 among Petroleos Mexicanos (PEMEX) healthservices beneficiaries. Mobile text messages were used to assign patients throughout Mexico to a doctor, who coordinateda video call with the nursing service for advice and remote care. Results: In total, 17,472 calls were registered, with an averageduration of 10.28 minutes. Almost half (49.4%) of the people who requested attention through the remote program wereworkers, 31.5% were workers’ relatives, and 19.1% were retired workers. The average age of the program users was 50.66 ±18.02 years. A total of 144 doctors from 28 different specialties participated. In this program, 7,163 calls were made becauseof respiratory symptoms, 1,514 for therapeutic monitoring (prescriptions), and 8,183 because of other diseases, includingmental health. Conclusions: Remote healthcare programs have shown the potential to support the health system. This programis the first to deploy real-time video calls with a health team utilizing institutional electronic clinical records in Mexico. The implementation of this pandemic management program impacted the number of consultations given remotely, resultingin effective triage.
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