Fleet-based health monitoring for end-of-production-line and operational testing

status: accepte

Projeto das margaridas: empoderando mulheres no Município de Pocinhos

O presente texto apresenta relatos de experiências de um Programa de Extensão realizado na cidade de Pocinhos-PB em parceria com a Igreja Católica, através da Paróquia Nossa Senhora da Conceição. O Programa de Extensão teve por objetivo a capacitação do grupo de mulheres que integram o Projeto das Margaridas na Cidade de Pocinhos, inserindo novas mulheres e capacitando todas elas com conhecimentos de empreendedorismo, conhecimentos sobre alegislação brasileira na temática da mulher, elaboração de políticas públicas, comunicação e oratória. Tais ações ocorreram paralelamente a oficinas de artesanato – pintura, bordado e costura, para assim contribuir com melhoria das condições econômicas dessas mulheres. Ao longo do desenvolvimento do Programa, percebeu-se claramente a evolução das mulheres tantono aspecto de desenvoltura com os conhecimentos adquiridos nos cursos de extensão e oficinas de artesanato, tanto do aspecto da autoestima, já que elas se sentiram valorizadas e acolhidas por parte das ações que estavam sendo levadas até elas: cursos de extensão, atividades de campo, eventos para vendas dos produtos elaborados. Ao final do desenvolvimento do Programa, pela primeira vez, segundo o relato das mulheres, elas estavam reunidas fazendo orateio do lucro das vendas e fazendo planejamento para a compra de mais material de consumo para a elaboração de novos produtos. Dessa forma, considera-se que as ações do presente Programa de Extensão atingiram seus objetivos propostos

Comunicación y Salud en América Latina : contribuciones al campo

Los objetivos de esta compilación son académicos e institucionales. Apuntan al fortalecimiento y visibilidad del campo Comunicación y Salud, del Grupo de Trabajo (GT) en Comunicación y Salud de la Asociación Latinoamericana de Investigadores en Comunicación (ALAIC) y de las relaciones entre los y las investigadores de la región. A través de los distintos congresos -habiendo sido convocados para esta publicación a participantes de los Congresos XI (Montevideo 2012), XII (Lima 2014), XIII (México 2016) y XIV (Costa Rica circularon en el GT diferentes actores, disputas teóricas y metodológicas, tecnologías, agendas públicas- políticas y ciudadanas, configuraciones de poder y construcciones de sentidos con el propósito de contribuir a la comprensión y consolidación del campo Comunicación y Salud, entendido este como un campo de múltiples dimensiones

Implementing an online pharmaceutical service using design science research

Background: The rising prevalence of chronic diseases is pressing health systems to introduce reforms. Primary healthcare and multidisciplinary models have been suggested as approaches to deal with this challenge, with new roles for nurses and pharmacists being advocated. More recently, implementing healthcare based on information systems and technologies (e.g. eHealth) has been proposed as a way to improve health services. However, implementing online pharmaceutical services, including their adoption by pharmacists and patients, is still an open research question. In this paper we present ePharmacare, a new online pharmaceutical service implemented using Design Science Research. Methods: The Design Science Research Methodology (DSRM) was chosen to implement this online service for chronic diseases management. In the paper, DSRM’s different activities are explained, from the definition of the problem to the evaluation of the artifact. During the design and development activities, surveys, observations, focus groups, and eye-tracking glasses were used to validate pharmacists’ and patients’ requirements. During the demonstration and evaluation activities the new service was used with real-world pharmacists and patients. Results: The results show the contribution of DSRM in the implementation of online services for pharmacies. We found that pharmacists spend only 50% of their time interacting with patients, uncovering a clear opportunity to implement online pharmaceutical care services. On the other hand, patients that regularly visit the same pharmacy recognize the value in patient follow-up demanding to use channels such as the Internet for their pharmacy interactions. Limitations were identified regarding the high workload of pharmacists, but particularly their lack of know-how and experience in dealing with information systems (IST) for the provision of pharmaceutical services. Conclusions: This paper summarizes a research project in which an online pharmaceutical service was proposed, designed, developed, demonstrated and evaluated using DSRM. The main barriers for pharmacists’ adoption of online pharmaceutical services provision were the lack of time, time management and information systems usage skills, as well as a precise role definition within pharmacies. These problems can be addressed with proper training and services reorganization, two proposals to be investigated in future works.publishersversionpublishe

A multi-country analysis of COVID-19 hospitalizations by vaccination status

Background: Individuals vaccinated against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), when infected, can still develop disease that requires hospitalization. It remains unclear whether these patients differ from hospitalized unvaccinated patients with regard to presentation, coexisting comorbidities, and outcomes. Methods: Here, we use data from an international consortium to study this question and assess whether differences between these groups are context specific. Data from 83,163 hospitalized COVID-19 patients (34,843 vaccinated, 48,320 unvaccinated) from 38 countries were analyzed. Findings: While typical symptoms were more often reported in unvaccinated patients, comorbidities, including some associated with worse prognosis in previous studies, were more common in vaccinated patients. Considerable between-country variation in both in-hospital fatality risk and vaccinated-versus-unvaccinated difference in this outcome was observed. Conclusions: These findings will inform allocation of healthcare resources in future surges as well as design of longer-term international studies to characterize changes in clinical profile of hospitalized COVID-19 patients related to vaccination history. Funding: This work was made possible by the UK Foreign, Commonwealth and Development Office and Wellcome (215091/Z/18/Z, 222410/Z/21/Z, 225288/Z/22/Z, and 220757/Z/20/Z); the Bill & Melinda Gates Foundation (OPP1209135); and the philanthropic support of the donors to the University of Oxford's COVID-19 Research Response Fund (0009109). Additional funders are listed in the "acknowledgments" section