Estadísticas

 array:23 [
  "pii" => "S1578219019302203"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2019.03.024"
  "estado" => "S300"
  "fechaPublicacion" => "2019-10-01"
  "aid" => "2199"
  "copyright" => "Elsevier España, S.L.U. and AEDV"
  "copyrightAnyo" => "2019"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Actas Dermosifiliogr. 2019;110:623"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731019301577"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2019.03.007"
      "estado" => "S300"
      "fechaPublicacion" => "2019-10-01"
      "aid" => "2199"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "cor"
      "cita" => "Actas Dermosifiliogr. 2019;110:623"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 169
        "formatos" => array:2 [
          "HTML" => 113
          "PDF" => 56
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Comentarios Editoriales</span>"
        "titulo" => "La teledermatolog&#237;a como herramienta al servicio del m&#233;dico de familia en poblaciones aisladas"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "623"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Teledermatology as a Service for General Practitioners in Remote Areas"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "B&#46; Echeverr&#237;a-Garc&#237;a"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "B&#46;"
                "apellidos" => "Echeverr&#237;a-Garc&#237;a"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219019302203"
          "doi" => "10.1016/j.adengl.2019.03.024"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019302203?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019301577?idApp=UINPBA000044"
      "url" => "/00017310/0000011000000008/v1_201910020711/S0001731019301577/v1_201910020711/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219019302173"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2019.03.023"
    "estado" => "S300"
    "fechaPublicacion" => "2019-10-01"
    "aid" => "2204"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Actas Dermosifiliogr. 2019;110:623-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1
      "HTML" => 1
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Commentary</span>"
      "titulo" => "Benign Lesions Referred to Dermatology"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "623"
          "paginaFinal" => "624"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Lesiones benignas en la consulta del dermat&#243;logo"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "L&#46; Ferr&#225;ndiz"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Ferr&#225;ndiz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731019301632"
        "doi" => "10.1016/j.ad.2019.03.011"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019301632?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019302173?idApp=UINPBA000044"
    "url" => "/15782190/0000011000000008/v1_201910050935/S1578219019302173/v1_201910050935/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Commentary</span>"
    "titulo" => "Teledermatology as a Service for General Practitioners in Remote Areas"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "623"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "B&#46; Echeverr&#237;a-Garc&#237;a"
        "autores" => array:1 [
          0 => array:4 [
            "nombre" => "B&#46;"
            "apellidos" => "Echeverr&#237;a-Garc&#237;a"
            "email" => array:1 [
              0 => "begoecheverria2@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital Universitario de Fuenlabrada&#44; Fuenlabrada&#44; Madrid&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "La teledermatolog&#237;a como herramienta al servicio del m&#233;dico de familia en poblaciones aisladas"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In this issue Gonz&#225;lez Coloma et al<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> analyze the use of teledermatology as a solution to the problem of access to specialist care in the province of Palena&#44; Chile&#44; where primary care clinics attend a large number of patients seeking care for skin conditions&#46; The province&#39;s population is widely dispersed over a large geographic area&#44; and access to a dermatologist through the public health care system is difficult because specialists are concentrated in centrally located cities&#46; The authors report their cross-sectional study of the use of a teledermatology system&#44; in particular the level of agreement between the diagnoses at the primary care clinics and at the referral hospital where the dermatologist was available&#46; Agreement was moderate&#44; somewhat lower than in similar studies&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> The significant difference between the rates of specialist and nonspecialist diagnoses of inflammatory skin diseases suggest a need for better training of primary care physicians in this respect&#46; The authors also saw a very large reduction in response time &#40;until a specialist diagnosis was reached&#41; when a dermatologist was contracted at the referral hospital as opposed to attending cases there on a part-time basis&#46; The results suggest a clear need for specialist staffing&#46; Response time was also shorter when direct physical examination by the dermatologist at the referral center was not required&#46; This study shows how teledermatology can resolve a significant proportion of the skin conditions seen by primary care practitioners&#44; reducing costs and time until diagnosis for patients who reside in isolated rural areas that lack specialists&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Echeverr&#237;a-Garc&#237;a B&#46; La teledermatolog&#237;a como herramienta al servicio del m&#233;dico de familia en poblaciones aisladas Actas Dermosifiliogr&#46; 2019&#59;110&#58;623&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:2 [
            0 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Teledermatolog&#237;a aplicada en zonas extremas&#58; experiencia de 4 centros asistenciales chilenos en &#225;mbito rural y aislamiento extremo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F&#46; Gonz&#225;lez Coloma"
                            1 => "M&#46; Sandoval Garc&#233;s"
                            2 => "V&#46; Gedda Quiroga"
                            3 => "C&#46; Bley Banda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ad.2019.01.009"
                      "Revista" => array:2 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2019"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Teledermatology&#58; Experience in a Chilean urban Family Health Center"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46; Cid"
                            1 => "M&#46; Vargas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev ANACEM"
                        "fecha" => "2015"
                        "volumen" => "9"
                        "paginaInicial" => "68"
                        "paginaFinal" => "71"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011000000008/v1_201910050935/S1578219019302203/v1_201910050935/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "66476"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Commentaries"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011000000008/v1_201910050935/S1578219019302203/v1_201910050935/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019302203?idApp=UINPBA000044"
]