"Randomized Controlled Trial of Home Telemonitoring of Blood Pressure with an Adapted Tensiometer with SMS Capability"

": Despite being a public health problem, less than a third of hypertensive patients manage to control blood pressure (BP). In this paper, we conducted a two-arm randomized controlled trial to investigate the efficacy of an SMS-based home BP telemonitoring system compared to usual care in patients with uncontrolled hypertension from a primary care center. This study was conducted between April and August 2018. Participants in the intervention arm used a custom-designed telemonitoring device for two weeks and were followed up for two additional weeks; controls were followed for 4 weeks. The main objective of this study is to evaluate the impact on blood pressure of a telemonitoring system using a blood pressure monitor adapted to send data via SMS to health providers in primary care centers for 4 weeks. In this trial, 38 patients were included in the analysis (18 in each arm), 68% were women, and the mean age was 68.1 [SD: 10.8 years], with no differences between arms. Among the results we found was that There was no significant difference in the change in systolic BP values between the control and intervention arm (−7.2 [14.9] mmHg vs. −16.3 [16.7] mmHg; p = 0.09). However, we found a significant difference in the change of diastolic BP (−1.2 [6.4] mmHg vs. −7.2 [9.8] mmHg; for the control and intervention arms, respectively p = 0.03). With all this, we conclude that an SMS-based home BP telemonitoring system is effective in reducing diastolic BP by working in conjunction with primary care centers. Our findings represent one of the first interventions of this type in our environment, being an important alternative for the control of high blood pressure.

Development of 3D-Printed Orthopedic Insoles for Patients with Diabetes and Evaluation with Electronic Pressure Sensors

"The correct distribution of loads on foot, known as plantar pressures, is a relevant parameter for evaluating the evolution of some diseases. Anomalies can lead to pain and discomfort in other body parts. Diabetes changes foot tissues and compromises biomechanics, resulting in ulcers and, eventually, amputation. Customized insoles allow the redistribution of plantar pressures and are a complementary strategy to diabetes management. Nowadays, scanning and 3D printing technology can generate faster and more accurate customized insoles opening new opportunities for local medical device development. This study reports the development of 3D-printed insoles using two polymers, thermoplastic polyether-polyurethane and thermoplastic polyurethane polyester-based polymer, and the evaluation of plantar pressure distribution in walk trials using a clinical protocol and low-cost electronic system. The two 3D-printed insoles performed as well as a standard insole. No significant difference was found in average peak pressure distribution. The digital manufacturing workflow of customized insoles can be implemented in middle-income countries. Three-dimensionally printed insoles have the potential for diabetes management, and further material evaluations are needed before using them in health facilities.

Development of 3D-Printed Orthopedic Insoles for Patients with Diabetes and Evaluation with Electronic Pressure Sensors

The correct distribution of loads on foot, known as plantar pressures, is a relevant parameter for evaluating the evolution of some diseases. Anomalies can lead to pain and discomfort in other body parts. Diabetes changes foot tissues and compromises biomechanics, resulting in ulcers and, eventually, amputation. Customized insoles allow the redistribution of plantar pressures and are a complementary strategy to diabetes management. Nowadays, scanning and 3D printing technology can generate faster and more accurate customized insoles opening new opportunities for local medical device development. This study reports the development of 3D-printed insoles using two polymers, thermoplastic polyether-polyurethane and thermoplastic polyurethane polyester-based polymer, and the evaluation of plantar pressure distribution in walk trials using a clinical protocol and low-cost electronic system. The two 3D-printed insoles performed as well as a standard insole. No significant difference was found in average peak pressure distribution. The digital manufacturing workflow of customized insoles can be implemented in middle-income countries. Three-dimensionally printed insoles have the potential for diabetes management, and further material evaluations are needed before using them in health facilities.Revisión por pare

Development of 3D-Printed Orthopedic Insoles for Patients with Diabetes and Evaluation with Electronic Pressure Sensors

"The correct distribution of loads on foot, known as plantar pressures, is a relevant parameter for evaluating the evolution of some diseases. Anomalies can lead to pain and discomfort in other body parts. Diabetes changes foot tissues and compromises biomechanics, resulting in ulcers and, eventually, amputation. Customized insoles allow the redistribution of plantar pressures and are a complementary strategy to diabetes management. Nowadays, scanning and 3D printing technology can generate faster and more accurate customized insoles opening new opportunities for local medical device development. This study reports the development of 3D-printed insoles using two polymers, thermoplastic polyether-polyurethane and thermoplastic polyurethane polyester-based polymer, and the evaluation of plantar pressure distribution in walk trials using a clinical protocol and low-cost electronic system. The two 3D-printed insoles performed as well as a standard insole. No significant difference was found in average peak pressure distribution. The digital manufacturing workflow of customized insoles can be implemented in middle-income countries. Three-dimensionally printed insoles have the potential for diabetes management, and further material evaluations are needed before using them in health facilities.

Comparison of models for 3D printing of solitary fibrous tumor obtained using open-source segmentation software

The objective of the present study is to make a comparison between various free and open-source software used for medical image processing, such as 3D Slicer (version 4.11), ITK-Snap (version 3.8), and Invesalius (version 3.1) in its application for the calculation of solitary fibrous tumor volumes. Knowing the size, shape, and volume of mesothelioma is decisive for clinical decisionmaking by health personnel when performing surgery; the currently used standard procedure is manual segmentation through magnetic resonance imaging (MRI). This process tends to take a long time to complete. On the other hand, automatic segmentation software is much faster and more user-friendly, so looking for software that gives us greater accuracy when doing this task is very important. This work obtained magnetic resonance imaging (MRI) of a mesothelioma patient, and the images were segmented in the 3 different programs to evaluate the concordance between the software later.Campus Lima Centr

Manual de la prueba diagnóstica de Lectura (Comprensión de textos oralizados), Escritura y Matemática, 1er. grado de primaria

En este manual, se brindan las pautas para la aplicación de las pruebas y para el registro de las respuestas de los estudiantes, así como algunos ejemplos para la retroalimentación y orientaciones para el análisis de los resultados. Es necesario señalar que el análisis pedagógico de los resultados de estas pruebas es solo un insumo de un diagnóstico más amplio e integral. Para realizar un diagnóstico adecuado, también deben considerarse otras evidencias de aprendizaje, como el portafolio del estudiante u otros instrumentos generados por la escuela, las instancias de gestión descentralizada o el Ministerio de Educación. Toda esta información debería ser útil para tomar decisiones respecto de la planificación curricular con vistas a la continuidad de los aprendizajes durante el 2021

Aprendizaje inmersivo para una educación basada en la empatía: "aulas sin fronteras", sobre un modelo de open-science-data a través del arte en realidad aumentada.

“...democracy as a form of government, democratization of power as a political process, and socio-economic democracy as a possible goal, are analytically and empirically distinguishable; there is no linear or automatic trend from a democratic government to democratization of power and to a more egalitarian democracy”. ¿Cómo podría la democratización del conocimiento impactar en la educación de la ciudadanía? ¿Qué herramientas tecnológicas son las necesarias para alcanzar tal revolución educativa en Latinoamérica? ¿Necesitamos acaso una educación disruptiva? Aunque existen diversos métodos para la innovación educativa, que bien podrían vincularse hacia una revolución educativa, pocos son los que favorecen al pensamiento divergente. Algunos métodos podrían ser: a) el aprendizaje basado en proyectos; b) la gamificación; c) la clase al revés; d) el design thinking; e) el design for change; f) el aprendizaje cooperativo; entre otros