New technologies towards international health cooperation. Review

[EN] According to the World Bank statistics, 83% of world’s population lives in low-and middle-income countries (LMICs). These countries, often run by Governments that make an inadequate distribution of the national budgets, undergo issues in assessing the health and educational needs of their communities. Thus, from the last 80s the presence of non-governmental organizations(NGOs), which appeared as an option to fill the gaps in the system,has grown significantly. However, NGOs are usually unevenly distributed and there is rarely coordination among them, which often results in duplication of services or waste of resources.Nevertheless, the unprecedented and ubiquitous proliferation of mobile phone-based technology and internet,amongother factors, appear as a promising scenario to face the health needs of the LMICs

Open IOT-based telemedicine hub and infrastructure

In this paper, a unique healthcare solution is described that supports the even more effective operation of the hospital information systems. The main question is whether the emerging opportunities of the Internet of things devices can also be exploited in the industrial hospital information system landscape. This demonstrated research describes the most feasible way to integrate the Internet of things capability into hospital information production systems. The initial goal was the design and implementation of a single, unified telemedicine hub offering community-based solution for integrated medical systems. This solution allows the intercepted information to be collected and interpreted at community level. The designed and implemented system acts as a transmitter between the physician and patient. The software solution operates with sensor-based information collected from the individual. Emerging Internet of things devices and solutions open new horizons for today’s health care systems. The presented and detailed system provides the ability to real-time health-monitoring and in-depth health analyzing through open application programming interfaces. The telemedicine hub system makes it easier to integrate the Internet of things capability into the operating health care systems

Mobile Health Technologies

Mobile Health Technologies, also known as mHealth technologies, have emerged, amongst healthcare providers, as the ultimate Technologies-of-Choice for the 21st century in delivering not only transformative change in healthcare delivery, but also critical health information to different communities of practice in integrated healthcare information systems. mHealth technologies nurture seamless platforms and pragmatic tools for managing pertinent health information across the continuum of different healthcare providers. mHealth technologies commonly utilize mobile medical devices, monitoring and wireless devices, and/or telemedicine in healthcare delivery and health research. Today, mHealth technologies provide opportunities to record and monitor conditions of patients with chronic diseases such as asthma, Chronic Obstructive Pulmonary Diseases (COPD) and diabetes mellitus. The intent of this book is to enlighten readers about the theories and applications of mHealth technologies in the healthcare domain

Devices and Data Workflow in COPD Wearable Remote Patient Monitoring: A Systematic Review

Background: With global increase in Chronic Obstructive Pulmonary Disease (COPD) prevalence and mortality rates, and socioeconomical burden continuing to rise, current disease management strategies appear inadequate, paving the way for technological solutions, namely remote patient monitoring (RPM), adoption considering its acute disease events management benefit. One RPM’s category stands out, wearable devices, due to its availability and apparent ease of use. Objectives: To assess the current market and interventional solutions regarding wearable devices in the remote monitoring of COPD patients through a systematic review design from a device composition, data workflow, and collected parameters description standpoint. Methods: A systematic review was conducted to identify wearable device trends in this population through the development of a comprehensive search strategy, searching beyond the mainstream databases, and aggregating diverse information found regarding the same device. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed, and quality appraisal of identified studies was performed using the Critical Appraisal Skills Programme (CASP) quality appraisal checklists. Results: The review resulted on the identification of 1590 references, of which a final 79 were included. 56 wearable devices were analysed, with the slight majority belonging to the wellness devices class. Substantial device heterogeneity was identified regarding device composition type and wearing location, and data workflow regarding 4 considered components. Clinical monitoring devices are starting to gain relevance in the market and slightly over a third, aim to assist COPD patients and healthcare professionals in exacerbation prediction. Compliance with validated recommendations is still lacking, with no devices assessing the totality of recommended vital signs. Conclusions: The identified heterogeneity, despite expected considering the relative novelty of wearable devices, alerts for the need to regulate the development and research of these technologies, specially from a structural and data collection and transmission standpoints.Introdução: Com o aumento global das taxas de prevalência e mortalidade da Doença Pulmonar Obstrutiva Crónica (DPOC) e o seu impacto socioeconómico, as atuais estratégias de gestão da doença parecem inadequadas, abrindo caminho para soluções tecnológicas, nomeadamente para a adoção da monitorização remota, tendo em conta o seu benefício na gestão de exacerbações de doenças crónicas. Dentro destaca-se uma categoria, os dispositivos wearable, pela sua disponibilidade e aparente facilidade de uso. Objetivos: Avaliar as soluções existentes, tanto no mercado, como na área de investigação, relativas a dispositivos wearable utilizados na monitorização remota de pacientes com DPOC através de uma revisão sistemática, do ponto de vista da composição do dispositivo, fluxo de dados e descrição dos parâmetros coletados. Métodos: Uma revisão sistemática foi realizada para identificar tendências destes dispositivos, através do desenvolvimento de uma estratégia de pesquisa abrangente, procurando pesquisar para além das databases convencionais e agregar diversas informações encontradas sobre o mesmo dispositivo. Para tal, foram seguidas as diretrizes PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), e a avaliação da qualidade dos estudos identificados foi realizada utilizando a ferramenta CASP (Critical Appraisal Skills Programme). Resultados: A revisão resultou na identificação de 1590 referências, das quais 79 foram incluídas. Foram analisados 56 dispositivos wearable, com a ligeira maioria a pertencer à classe de dispositivos de wellness. Foi identificada heterogeneidade substancial nos dispositivos em relação à sua composição, local de uso e ao fluxo de dados em relação a 4 componentes considerados. Os dispositivos de monitorização clínica já evidenciam alguma relevância no mercado e, pouco mais de um terço, visam auxiliar pacientes com DPOC e profissionais de saúde na previsão de exacerbações. Ainda assim, é notória a falta do cumprimento das recomendações validadas, não estando disponíveis dispositivos que avaliem a totalidade dos sinais vitais recomendados. Conclusão: A heterogeneidade identificada, apesar de esperada face à relativa novidade dos dispositivos wearable, alerta para a necessidade de regulamentação do desenvolvimento e investigação destas tecnologias, especialmente do ponto de vista estrutural e de recolha e transmissão de dados

New technologies towards international health cooperation. Review

[EN] According to the World Bank statistics, 83% of world’s population lives in low-and middle-income countries (LMICs). These countries, often run by Governments that make an inadequate distribution of the national budgets, undergo issues in assessing the health and educational needs of their communities. Thus, from the last 80s the presence of non-governmental organizations(NGOs), which appeared as an option to fill the gaps in the system,has grown significantly. However, NGOs are usually unevenly distributed and there is rarely coordination among them, which often results in duplication of services or waste of resources.Nevertheless, the unprecedented and ubiquitous proliferation of mobile phone-based technology and internet,amongother factors, appear as a promising scenario to face the health needs of the LMICs

Design and Development of a Comprehensive and Interactive Diabetic Parameter Monitoring System - BeticTrack

A novel, interactive Android app has been developed that monitors the health of type 2 diabetic patients in real-time, providing patients and their physicians with real-time feedback on all relevant parameters of diabetes. The app includes modules for recording carbohydrate intake and blood glucose; for reminding patients about the need to take medications on schedule; and for tracking physical activity, using movement data via Bluetooth from a pair of wearable insole devices. Two machine learning models were developed to detect seven physical activities: sitting, standing, walking, running, stair ascent, stair descent and use of elliptical trainers. The SVM and decision tree models produced an average accuracy of 85% for these seven activities. The decision tree model is implemented in an app that classifies human activity in real-time