Social and Managerial Aspects of Using Digital Health Technologies

The development of the health sector around the world is linked to digital technologies, because there is a need to optimize the processes of medical care for the population. Every year there is an increase in this market by a quarter. The use of digital technologies helps to improve health care. The management and organization system implements unified effective systems using the technological capabilities of digitalization in the health care sector. The relevance of the study is related to the need to change the outdated health management system with access to a modern level of technical and administrative support for medical services.The actual tool of digital medicine is cooperative forms of network interaction. We are exploring the further development of digital medicine in the short term, what opportunities can be presented and what results can be obtained by residents. Network communications play an important role in uniting professional medical communities. More than 65% of people between the ages of 21 and 35 have become participants in network technologies, and their number is constantly increasing. Administrative and management staffs are most active in discussions (43%) on the Internet and all respondents have an idea about telemedicine. Patients have the opportunity to get advice by contacting doctors online. The next stage in the development of information technologies is associated with increasing the speed and volume of transmitted data, which will help to predict critical conditions that threaten the patient’s health as quickly as possible. Now there is a discussion about the possibility of not just consulting, but also making diagnoses when patients contact the doctor, discussing in which cases a personal meeting with the doctor is necessary and under what conditions it is enough to provide maximum information about the state of health for diagnosis. Keywords: digital healthcare, digital technologies, adaptation, medical specialist

Characterization of wash-off from urban impervious surfaces and SuDS design criteria for source control under semi-arid conditions

[EN] Knowledge about pollutant wash-off from urban impervious surfaces is a key feature for developing effective management strategies. Accordingly, further information is required about urban areas under semi-arid climate conditions at the sub-catchment scale. This is important for designing source control systems for pollution. In this study, a characterization of pollutant wash-off has been performed over sixteen months, at the sub-catchment scale for urban roads as impervious surfaces. The study was conducted in Valencia, Spain, a city with a Mediterranean climate. The results show high event mean concentrations for suspended solids (98 mg/l), organic matter (142 mgCOD/l, 25 mg BOD5/l), nutrients (3.7mgTN/l, 0.4 mg TP/l), and metals (0.23, 0.32, 0.62 and 0.17 mg/l for Cu, Ni, Pb, and Zn, respectively). The results of the runoff characterization highlight the need to control this pollution at its source, separately from wastewater because of their different characteristics. The wash-off, defined in terms of mobilized mass (g/m(2)) fits well with both process-based and statistical models, with the runoff volume and rainfall depth being the main explanatory variables. Based on these results and using information collected from hydrographs and pollutographs, an approach for sizing sustainable urban drainage systems (SuDS), focusing on water quality and quantity variables, has been proposed. By setting a concentration-based target (TSS discharged to receiving waters < 35 mg/l), the results indicate that for a SuDS type detention basin (DB), an off-line configuration performs better than an on-line configuration. The resulting design criterion, expressed as SuDS volume per unit catchment area, assuming a DB type SuDS, varies between 7 and 10 l/m(2).This research was funded through the SUPRIS-SUReS projects (Ref. BIA2015-65240-C2-1-R MINECO/ERDF, UE) and SUPRIS-SUPeI (Ref. BIA2015-65240-C2-2-R MINECO/ERDF, UE), financed by the Spanish Ministry of Economy and Competitiveness and the European Regional Development Fund (ERDF) and by the project IMBORNAL (Ref. SP20120732), financed by Universitat Politecnica de Valencia.Andrés Doménech, I.; Hernández Crespo, C.; Martín Monerris, M.; Andrés-Valeri, VC. (2018). Characterization of wash-off from urban impervious surfaces and SuDS design criteria for source control under semi-arid conditions. The Science of The Total Environment. 612:1320-1328. https://doi.org/10.1016/j.scitotenv.2017.09.011S1320132861

A Simulation Model for Logical and Operative Clash Detection

The introduction of the Building Information Modeling (BIM) approach has facilitated the management process of documents produced by different kinds of professionals involved in the design and/or renovation of a building, through identification and subsequent management of geometrical interferences (Clash Detection). The methodology of this research proposes a tool to support Clash Detection, introducing the logical-operative dimension, that may occur with the presence of a construction site within a hospital structure, through the integration of a BIM model within a Game Engine environment, to preserve the continuity of daily hospital activities and trying to reduce negative impacts, times and costs due to construction activities