Joining forces across projects to have one fully functional ventilation machine, freely reproducible worldwide

880’000 ventilation machine are needed to avoid deaths. 60+ versions of freely / reproducible ventilation machines vital need of ・coordination of open networks and caregivers ・crowdsourced quality assessment ・knowledge for decentralized mass productio

Méthodes mixtes, jeux, matériel ouvert et traduction en santé

Breathing Games est une communauté internationale qui crée des jeux et capteurs librement reproductibles pour la santé respiratoire et mentale. Nous proposons un retour d’expérience sur les succès et défis rencontrés depuis l’affiche présentée en 2017. Co-création : de la compliance à l’adhésion thérapeutique. Participation aux études cliniques : limiter l’investissement. Traductions des jeux : meilleure accessibilité des contenus. Commun en accès libre : autonomie et appartenance. Protocole : gestion de maladie ou santé publique critique ? Matériel : choix d’une éthique inclusive

Open-source respiratory health commons. 15 projects communities can adapt, repair, reproduce for low cost medical care (libre and open-source tech)

Today, six humans in ten have no access to medical care or do not adhere to it. Achieving collective health requires a mindset shift from competitive models creating dependency (medtech business) to solidarity-driven models building communal capacity (health commons). Here, we present 15 initiatives created by open networks of interdisciplinary contributors (peer production); who iteratively co-create and document projects (agile development) that can be freely used, repaired, studied, reproduced and adapted by communities (libre and open-source licences) at fair prices or no cost. As resources are mutualized to avoid redundancies, costs can be cut by ten to hundred times in comparison to IP-driven models. Such commons also foster local capacity building, as various communities can take responsibility to validate, produce and distribute the projects (crowd/peer production). Disease management: valve for mask (Isinnova Charlotte), oxygen concentrator (M19 O2), ventilation machine (OpenVent), ventilator co-design platform (Polyvent), genetic material development (OpenPCR), repurposing vaccines (OSPF OpenVax), repurposing treatments (DNDi AntiCov). Disease prevention: hand rub (Geneva Hand Hygiene Model), Pulmonary Toolkit – 3D lung modeling (Pulmonary Toolkit), transparent mask (BEclear), air quality sensor (LogAir), digital health ecosystem (GNU Health). Health promotion: fun respiratory care (Breathing Games), traditional medicine (CEMI), social support network (Art Hives)

Risk factors for nasopharyngeal carriage of drug-resistant Streptococcus pneumoniae: data from a nation-wide surveillance study in Greece

<p>Abstract</p> <p>Background</p> <p>A nation-wide surveillance study was conducted in Greece in order to provide a representative depiction of pneumococcal carriage in the pre-vaccination era and to evaluate potential risk factors for carriage of resistant strains in healthy preschool children attending daycare centers.</p> <p>Methods</p> <p>A study group was organized with the responsibility to collect nasopharyngeal samples from children. Questionnaires provided demographic data, data on antibiotic consumption, family and household data, and medical history data. Pneumococcal isolates were tested for their susceptibility to various antimicrobial agents and resistant strains were serotyped.</p> <p>Results</p> <p>Between February and May 2004, from a total population of 2536 healthy children, a yield of 746 pneumococci was isolated (carriage rate 29.41%). Resistance rates differed among geographic regions. Recent antibiotic use in the last month was strongly associated with the isolation of resistant pneumococci to a single or multiple antibiotics. Serotypes 19F, 14, 9V, 23F and 6B formed 70.6% of the total number of resistant strains serotyped.</p> <p>Conclusion</p> <p>Recent antibiotic use is a significant risk factor for the colonization of otherwise healthy children's nasopharynx by resistant strains of <it>S pneumoniae</it>. The heptavalent pneumococcal conjugate vaccine could provide coverage for a significant proportion of resistant strains in the Greek community. A combined strategy of vaccination and prudent antibiotic use could provide a means for combating pneumococcal resistance.</p

Technologies de santé en communs : fiables, abordables, adaptables

6 humains sur 10 n'ont pas accès ou n'adhèrent pas aux soins, malgré les investissements. Le désinfectant pour les mains et WikiMed illustrent que la création avec les communautés d'équipements et logiciels librement reproductibles peut : sauver des millions de vies, accroître l'intégrité, réduire les coûts de 90%. Coopérer est le seul moyen de réaliser à temps l'agenda 2030 : la santé pour tou·te·s. Nous présentons neuf alternatives à l'innovation exclusive, pour une société responsable et solidaire. Nous discutons aussi de vieillissement, politiques publiques, systèmes qualité, cryptomonnaies

Open-source games for health, multiplayer and gamepads. Co-creating fun care with children with asthma, young adults with cystic fibrosis, elders with COPD

Without air pollution, our life expectancy would increase by 34 months. With a commons-based economy, each and every human could afford medical care (vs one in two today). How not to produce risks? How to foster mutual care? We, people across regions and disciplines, get engaged to value pluralism and collective wisdom. We embrace play as a natural way to experiment, socialize, learn. We document and share our work so that everyone can freely use, study, improve, adapt it. In traditional medtech, corporate experts build a technical tool to manage a disease. Sealed in a black box, its price make it unaffordable to some. At Breathing Games, volunteer, diverse contributors co-create an evolving, rewarding, immersive story to promote holistic health. Free to use, study, improve, its gratuity helps develop solidarity. We present here our games (Asthma Heroes, Asthmonautes, Rise); controllers (Spirotroller enhanced, Spirotroller gaming, Breathing gamepad); creation as research (game testing, controller testing, games co-creation, translations); our next steps (international study, game accessibility via Raspberry Pi, link to air pollution sensor); and our advocacy activities for health as commons

সর্ব সাধারনের জন্য সাস্থ্য প্রযুক্তিঃ বিশ্বাসযোগ্য,সাশ্রয়ী,অভিযোজনযোগ্য

বিনিয়োগ বৃদ্ধি সত্ত্বেও এখন পর্যন্ত প্রতি ১০ জনের মধ্যে ৬ জনের স্বাস্থ্যের যত্ন নেই, অথবা নিজেরাও যত্ন নেয় না. অ্যালকোহল ভিত্তিক হ্যান্ড স্যানিটাইজার এবং উইকিমেড দেখায় কিভাবে পুনর্ব্যবহারযোগ্য উপকরন এবং সফটওয়্যার উৎপাদন একটি সম্প্রদায়ের লক্ষ লক্ষ মানুষের জীবন বাঁচাতে, বৈজ্ঞানিক সত্যতা বৃদ্ধি এবং ৯০ শতাংশ খরচ কমাতে পারে।সবার মধ্যে সমন্বয় সাধনই হলো ২০৩০ এজেন্ডাকে বাস্তবায়িত করার একমাত্র পন্থাঃ সবার জন্য সাস্থ্য. আমরা উন্নয়নশীল,দায়িত্ববান এবং ঐক্যবদ্ধ সমাজ গড়তে উদ্ভাবনীয় মডেলের বাইরেও ৯ টি বিকল্প প্রদান করে থাকি। আমরা বার্ধক্য,জননীতি,গুনমান ব্যবস্থাপনা এবং ক্রিপ্টোকারেন্সি বিষয়েও পরামর্শ দিয়ে থাকি

आमजन-स्वामित्व के रूप में स्वास्थ्य प्रौद्योगिकी: विश्वसनीय, अनुकूल एवं किफ़ायती

निवेशों में वृद्धि होने के बावजूद, अभी तक 10 में से 6 व्यक्ति के पास स्वास्थ्य सेवाओं की पहुँच नहीं है, न ही वे देखभाल के प्रति कर्तव्य का पालन करते हैं। एल्कोहॉल आधारित हाथ सफाई और विकीमेड ने यह दिखाया है कि किस प्रकार से ‘मुक्त पुनरुत्पादनीय उपकरण’ और सॉफ्टवेयर के निर्माण से लाखों लोगों की जान बचायी जा सकती है, वैज्ञानिक प्रमाणिकता में वृद्धि की जा सकती है और लागत को 90% तक कम किया जा सकता है। एजेंडा 2030- ‘सभी के लिए स्वास्थ्य’ को समय से क्रियान्वयन के लिए सहयोगात्मक देखरेख एकमात्र विकल्प है। जिम्मेदार एवं सशक्त समाज के निर्माण हेतु हम नवाचार मॉडल के अतिरिक्त नौ प्रमुख विकल्पों को प्रस्तुत करते हैं: हम बुजुर्गों, सार्वजनिक नीतियों, गुणवत्तापूर्ण प्रणाली एवं क्रिप्टोकरेंसी पर भी चर्चा करते हैं

Технологии здравоохранения для всех: надежные, доступные, адаптивные

Несмотря на рост инвестиций в сферу здравоохранения, 6 из 10 человек все еще не имеют возможности получать медицинское лечение или же не соблюдают его. Антисептики на спиртовой основе и WikiMed являются примерами того, как сообщества, совместно разрабатывающие технические и программные средства открытого доступа, могут сохранить миллионы жизней, гарантировать научную честность и снизить расходы на 90%. Здравоохранение, ориентированное на сотрудничество, - это единственный способ реализовать Повестку дня 2030: «Доступное здравоохранение для каждого». Мы представляем 9 альтернативных вариантов к уже имеющимся моделям для построения ответственного и солидарного общества. Кроме того мы рассматриваем вопросы старения населения, социальной политики, системы контроля качества и криптовалюты

A tecnologia de saúde como comuns: confiável, acessível, adaptável

6 em cada 10 humanos ainda não têm acesso aos cuidados, ou não aderem a eles, apesar do aumento dos investimentos. Rub e WikiMed à base de álcool ilustram como a criação de equipamentos e softwares reproduzíveis gratuitamente com as comunidades pode: salvar milhões de vidas, aumentar a integridade, cortar custos em 90%. O cuidado orientado pela cooperação é a única maneira de cumprir a agenda 2030 a tempo: saúde para todos. Apresentamos nove alternativas para o modelo dominante de inovação excluindo proprietário, impulsionar o desenvolvimento para uma sociedade responsável e solidária. Também discutimos envelhecimento, políticas públicas, sistemas de qualidade e criptomoedas