<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932021000100025</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2021.08.01.25</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Telemedicina y electroencefalografía en el Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Telemedicine and electroencephalography in Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arbo Oze de Morvil]]></surname>
<given-names><![CDATA[Carlos Adolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galván Sosa]]></surname>
<given-names><![CDATA[Pedro Esteban]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abente Cabrera]]></surname>
<given-names><![CDATA[Silvia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera Cubilla]]></surname>
<given-names><![CDATA[Marta Fredesvinda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Servín Coronel]]></surname>
<given-names><![CDATA[Santiago David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortellado Maidana]]></surname>
<given-names><![CDATA[Angel José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Nacional Servicio de Neurología]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Servicio de Telemedicina ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Hospital Universitario &#8220;Nuestra Señora de la Asunción ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>8</volume>
<numero>1</numero>
<fpage>25</fpage>
<lpage>35</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932021000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932021000100025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932021000100025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el programa nacional de Telemedicina - Electroencefalografía (EEG) representa un paso importante en el acercamiento de medios auxiliares de diagnóstico neurológicos a la población rural que debía recorrer grandes distancias realizando un gran esfuerzo económico.  Objetivos:  realizar un estudio descriptivo-comparativo abarcando resultados del ECG del periodo 2015-2016 y el estado actual hasta el año 2019. Establecer su utilidad como medio auxiliar de diagnóstico a distancia. Determinar fortalezas y debilidades.  Metodología:  descripción de EEG de hospitales del Ministerio de Salud Pública y Bienestar Social del 2015-2016, y comparación con resultados hasta el 2019 utilizando el sistema internacional 10-20, la interpretación fue realizada por el mismo equipo de neurólogos electroencefalografistas. El informe consignado en una ficha informática es devuelto al médico remitente para su implementación terapéutica.  Resultados:  hasta el año 2016 hubo 9 centros para la realización de EEG pero este número aumento a 18 en 2019. La cantidad de EEG realizados fue 858 hasta 2016 y 12.139 hasta 2019. Se observó aumento de solicitudes de asistencia remota y de equipos disponibles, abarcando más regiones y mayor número de pacientes. Se registró 60% de hallazgos normales, 22,8% patológicos donde los hallazgos focales con generalización secundaria representaron la mayoría. En 17% fueron devueltos por estar incompletos e inespecíficos.  Conclusiones:  se encontraron 188 resultados patológicos hasta 2016 y 2.747 hasta 2019. En los hallazgos patológicos, el más frecuente en ambos periodos fue la epilepsia parcial con generalización secundaria. No hubo diferencias en cuanto a sexo y grupos etarios en ambos periodos. Los desafíos constituyen la identificación de la epilepsia como entidad nosológica independiente, implementación de un sistema de teleconsultas y ampliar aún más el área de cobertura.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The national program of Telemedicine - Electroencephalography (EEG) represents an important step in the approach of auxiliary means of neurological diagnosis to the rural population that had to travel long distances making a great economic effort.  Objectives:  To carry out a descriptive-comparative study covering ECG results for the 2015-2016 period and the current status until 2019. To establish its usefulness as an auxiliary means of remote diagnosis. To determine strengths and weaknesses.  Methodology:  Description of EEG from hospitals of the Ministry of Public Health and Social Welfare from 2015-2016, and comparison with results until 2019 using the international 10-20 system, the interpretation was performed by the same team of electroencephalograph neurologists. The report recorded in a computer file was returned to the referring physician for its therapeutic implementation.  Results:  Until 2016, there were 9 centers to perform EEG but this number increased to 18 in 2019. The number of EEGs performed was 858 until 2016 and 12,139 until 2019. There was an increase in requests for remote assistance and available equipment, covering more regions and a greater number of patients. There were 60% normal and 22.8% pathological findings where focal findings with secondary generalization represented the majority. In 17%, the results were returned for being incomplete and unspecific.  Conclusions:  One hundred eighty-eight pathological results were found up to 2016 and 2,747 until 2019. In the pathological findings, the most frequent in both periods was partial epilepsy with secondary generalization. There were no differences regarding sex and age groups in both periods. The challenges are the identification of epilepsy as an independent nosological entity, implementation of a teleconsultation system and further expansion of the coverage area.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[telemedicina]]></kwd>
<kwd lng="es"><![CDATA[electroencefalografía]]></kwd>
<kwd lng="es"><![CDATA[epilepsia]]></kwd>
<kwd lng="es"><![CDATA[informática]]></kwd>
<kwd lng="en"><![CDATA[telemedicine]]></kwd>
<kwd lng="en"><![CDATA[electroencephalography]]></kwd>
<kwd lng="en"><![CDATA[epilepsy]]></kwd>
<kwd lng="en"><![CDATA[informatics]]></kwd>
</kwd-group>
</article-meta>
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