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HOME CARE DEVICES DESIGN

HOME CARE DEVICES DESIGN | Health 4.0 | Scoop.it
Unesco Telemedicine's insight:

Limiting use of home care devices depends of cost and unfunctional design. They are either too complicated to use or bring bulky devices at home.

ZHEN MINIMALISM and mobile easy-to-use devices are of paramount importance in the Health 4.0 environment of anytime-anywhere-anything-anyhow health care and social care follow up. Integrated care transversal units and PERSONAL ROBOTS will help us at any time in the near future.

We have just to design and choose adequate devices.

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Unesco Telemedicine's comment, March 31, 2014 5:43 AM
This is an example of how appartment design for home care telemedicine is an issue today. http://blog.digmed.in/2014/03/29/new-housing-societies-now-provide-virtual-medical-services-in-apartments/#.UzkifFqhFo0.facebook
Unesco Telemedicine's comment, March 31, 2014 5:43 AM
This is the think of Mayo Clinic of design thinking. http://youtu.be/fW1R_6FJ6TQ
Unesco Telemedicine's comment, March 31, 2014 5:47 AM
Design thinking is empatic, prototyping, and essential in healthcare
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Small Data & Personalized Medicine

Small Data & Personalized Medicine | Health 4.0 | Scoop.it
Silver Age and Chronic conditions due to frail & co-morbidity issues require to move from EBM (evidence based medicine) to RLE (real life evidence) and as a consequence from "basket" trials to N-of-1 trials as recently stated ( http://www.nature.com/news/personalized-medicine-time-for-one-person-trials-1.17411 )
Unesco Telemedicine's insight:
The main concern on Silver Age and Chronic conditions is to achieve HRQoL (health related quality of life). The Commission started an open tool MAFEIP (http://is.jrc.ec.europa.eu/pages/TFS/MAFEIP.html ) to evaluate AHA (Active Healthy Aging). Those trials require an holistic vision for evaluation that incorporate all type of integrated surrounding data (weather, food, cooking, water, social...) mixed with small personal data obtain with forgettable or forgetting wearables non-intrusive for users particularly those in the silver ages. And require the human touch of Guardian health angels available for support and intervention in charge of controlling Small Data.
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Health Apps to everyone

Health Apps to everyone | Health 4.0 | Scoop.it
The Apple Researchkit and the Carekit (www.apple.com/researchkit) allowed to display all kind of trials and user's specific surveillance some of them listed here (https://www.linkedin.com/pulse/health-small-data-what-do-unesco-telemedicine?).
Unesco Telemedicine's insight:
But still is not solve where the data goes and who is the data owner. This is HSD (Health Small Data) and should belong to the patient or the user in general, should not be used without owner permission and in any case for the owner's benefit. Any other conditions require a serious contract for SLA (Service Level Agreement ) on which data use, storage and manipulations should clearly stated.
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Real-time metabolites measurement.

Real-time metabolites measurement. | Health 4.0 | Scoop.it

As today published in Nature there will be a sensor array for multiplexed in situ perspiration analysis, which simultaneously and selectively measures sweat metabolites (such as glucose and lactate) and electrolytes (such as sodium and potassium ions), as well as the skin temperature (to calibrate the response of the sensors).

Unesco Telemedicine's insight:

The accurate measurements of the device assure a new development of metabolites detection in sweat, that is an ultrafiltrate of the blood and therefore could be used for permanent measurement in real time.

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From Quantified Self to Personalized Medicine

From Quantified Self to Personalized Medicine | Health 4.0 | Scoop.it
The University of Washington Computer Science and Engineering Distinguished Lecture series recently welcomed Calit2 luminary Larry Smarr to speak on a very

Via fjms
Unesco Telemedicine's insight:

H2O has make similar effort trying to consider the Deep Learning and the Health Brain to evaluate the QS for each individual and find pMedicine for their problems.

http://catai.net/blog/2015/06/h2o-covers-the-new-5-trends-in-healthcare/

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EAROMICS

EAROMICS | Health 4.0 | Scoop.it

We mention EAROMICS as one of the non-intrusive tech that will help Small Health Data Collection from individuals in an easy way

http://www.slideshare.net/OFRoca/earomics-2015

Unesco Telemedicine's insight:

And BIOSTAMPS an ad-hoc technique fashionable that could help on Small Health Data collection for patients benefits. Including the use of 3D printing to prepare even microfluidic solutions. (http://www.cambridgeconsultants.com/media/press-releases/diagnostics-demand)

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WIRELESS SKIN SENSORS

WIRELESS SKIN SENSORS | Health 4.0 | Scoop.it

As Empatica (https://www.empatica.com/es/index ) showed with its E4 watch and ambrace,  techniques of EDA= ElectricDermal acquisition; GSR = Galvanic skin response and PPG= Photopletismography are the future sensors in Healthcare. The differences between optical and electrical sensors can be studied in http://content.neurosky.com/download-the-comparison-guide-electrical-ecg-vs.-light-based-ppg-biosensors-in-wearable-devices

Unesco Telemedicine's insight:

Simple and versatile solutions improved with new technologies such as the use of graphene detectors in nanosensors and rubber bands is the future of the IoT in Healthcare.

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LEAST DRIVEN VITALS

LEAST DRIVEN VITALS | Health 4.0 | Scoop.it

During this year the number of devices that have choosen the ear to detect and transmit vital signs and blood components such glucosae have been exponentially growing, becoming smarter, Wireless and miniaturized.

Unesco Telemedicine's insight:

Ear lobe and ear outer channel will be the essential positions for non-intrusive devices capable of detecting pO2, pCO2, heart-beat, ECG, Temperature, Alimentary habits... etc.

The EAROMICS have started.

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AVATARS AS e-PHAs

AVATARS AS e-PHAs | Health 4.0 | Scoop.it

http://sense.ly/ has developed the virtual nurse, and therefore has created an e-PHA called Molly that provides follow-up care to patients, focusing mostly on those that have chronic diseases as we had proposed. As we initially insisted  the platform uses gesture capture based on Microsoft’s Kinect as well as a Nuance-powered speech recognition engine. The CEO Adam Odessky consider that this is build for low income people and it seams that Molly speak spanish because she is specialized in the Latin people. In S.Francisco will be part of launchpad accelerator http://mobihealthnews.com/36258/accelerator-launchpad-picks-five-digital-health-startups/

Unesco Telemedicine's insight:

We are very glad seeing that our visión is in fact share for other people. And we agree that this lower substantially the cost of Healthcare. Nevertheless, several premises make our proposal different. (1) It is based on intelli-agents capable to evaluate patient data and answer specifically to their requirements. (2) It is based on the Fog and on small data adquisition without interference with the patients. (3) She is not left alone, e-PHAs are directly supervised by PHAs that directly interact with people and patients.

In summary is better integrated in Health 4.0 and IoE.

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e-PHAs RECOGNIZE YOUR FACE EMOTIONS

e-PHAs RECOGNIZE YOUR FACE EMOTIONS | Health 4.0 | Scoop.it

RealSense camera (http://youtu.be/NuPuRRU4pCM?list=FLYqx4QRaalvhIiQBvIp9F7Q ) allow to determine facial recognitions of the emotions and to guide you Personal Robots with your hands (http://youtu.be/ApyGY6j6Jo8?list=FLYqx4QRaalvhIiQBvIp9F7Q ) as with the Thymio robot (https://aseba.wikidot.com/ )

Unesco Telemedicine's insight:

Therefore providing that solutions are not too expensive, robots will enter the real-world life of users and help them to mantain health tracking and activities.

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HUMANIZATION IN NURSES HANDS

HUMANIZATION IN NURSES HANDS | Health 4.0 | Scoop.it

From "Burn out" situation of medical doctor unable accept IT innovations  (http://www.kevinmd.com/blog/2014/08/epidemic-physician-burnout-heartbreaking.html ) and therefore unable to feel compasión on a dayly overloading work. No introduction of telemedicine in medical training. Lack of knowledge of Health 4.0 and IoE (internet of everything).  Towards the fact that patients are better treated as a persons on the hands of high level trained nurses as it is the case of midwifes capable to be empatic and to give advises for the every-day life, not just prescribe multiple and complex pills. (http://www.kevinmd.com/blog/2014/07/stop-calling-nurse-practitioners-mid-level-providers.html )

Unesco Telemedicine's insight:

This is the reason why PHAs (personal health assistances) should be high level trained nurses capable to understand and help in everyday life from habits, to diet, or to medication, being capable to understand and prevent complications and psicological problems.

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GLOBAL HEALTH BRAIN (GHB)

GLOBAL HEALTH BRAIN (GHB) | Health 4.0 | Scoop.it

CollabRx (http://www.collabrx.com/ ) and CancerRx is providing KoD (knowledge on demand) delivered as a service (SaaS) in the Cloud. An now is providing CancerRx as a mobile App. Similarly to www.Cancerrxgene.org is an academic investigation programm to identify the molecular characteristics of cáncer to predict the response to treatment, or just to know the healthy situations (http://bcove.me/zpycn2f4 )

But examples of system medicine are also found in chronic diseases in order to personalize treatments.

And far from those are the rare diseases which research is very limited due to the limited number of patients

Unesco Telemedicine's insight:

Those advances rarely arrive to patients, that depend on the type of hospital where are treated and the decisions taken by the public health on implementing or not a posible cure for an individual.

http://catai.net/blog/2014/08/global-healthcare-network-capitalism/

http://catai.net/blog/2014/08/dii-do-it-itself/

Applications are comming helping to find the best hospital for the procedure required: https://es.archimedicx.com/  

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GLOBAL HEALTH IS NOT TOURISM OF HEALTH

GLOBAL HEALTH IS NOT TOURISM OF HEALTH | Health 4.0 | Scoop.it

Following the article of tourism of health (http://nuviun.com/content/blog/Could-Medical-Tourism-be-a-Catalyst-for-Global-Interoperability-Success ) we must enter to differenciate Gobal Health from Tourism of Health. We must differenciate Precision Health from Personalized Health. And we must clarify that the need to get The Best Healthcare posible is a matter of EQUITY in our own country and very soon in the Gobal Health Care. PATIENT´S BEYOND BORDERS  should not be a matter of health tourism certified or not certified (http://www.patientsbeyondborders.com/ )( http://www.mtqua.org/2014/03/21/mtqua-launches-certification/ ) will be a matter GOBAL EQUITY @ distance.

Unesco Telemedicine's insight:

We have to re-think our concepts, because according to HUMANIZATION OF HEALTHCARE (H-O-H, H2O) we should direct our patients to the best center capable to treat them, capable to give them better assistance and to follow up and control at distance with the help of local doctors and Healthcare assistants including the essential PHA (personal health assistant).

Think about with: http://youtu.be/HSOhdmV8WsY

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Personalized medicine: Time for one-person trials

Personalized medicine: Time for one-person trials | Health 4.0 | Scoop.it
Precision medicine requires a different type of clinical trial that focuses on individual, not average, responses to therapy, says Nicholas J. Schork.
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Adaptive Changes in eHealth

Adaptive Changes in eHealth | Health 4.0 | Scoop.it
The NHS confederation 2016 have illustrated us with a very good examples of how to achieve a successful adaptive changes in Integrated Health Care by means of digital health. https://youtu.be/fLd4d4003Xs?list=PL7ioE6BkMpJkRl9CG2dnKym-nuSU1WweS

Unesco Telemedicine's insight:
From the relevance of economic incentives and  the roles of  CCIOs = Council of Chief Information Officers integrated by 20-30 doctors & nurses trained in informatics who do the 20% of work allocating clinical work with the IT system. To the fact that due to "productivity paradox" the advantages are not visible in the 1st-2nd year in time. Passing through the relevance that a mixed dashboard of personal-primary & secondary care, to end upon the Education & Training in all levels for an adequate CDS= Clinical Decision Support based on Machine learning & Deep learning. All this done by PHAs (personal health assistants) to humanize the healthcare.
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INDIVIDUALOMA. The dashboard of your pHSD

INDIVIDUALOMA. The dashboard of your pHSD | Health 4.0 | Scoop.it

As published in Brief Bioinform 2016 http://bib.oxfordjournals.org/content/early/2016/02/13/bib.bbv118.full

INDIVIDUALOMA MODEL captures temporal, categorical and continuous data elements about a patient from various biomedical, health care, wellness, social and environmental data streams. Initiatives to capture and integrate health, biomedical, multi-omic and clinical data, using a unified data model would help us to design precise, data-driven CDS and enable precision medicine as part of routine clinical practice in the near future.

Unesco Telemedicine's insight:

This is just the dashboard that display the personal Small Health Data of the individual (pHSD) that should belong to the patient and that the patient should share whenever required.

http://catai.net/blog/2016/02/indivudualome-the-dashboard-of-health-small-data/

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Want to know how many calories are in your food? New chemical scanner tells ... - National Post

Want to know how many calories are in your food? New chemical scanner tells ... - National Post | Health 4.0 | Scoop.it

“National Post Want to know how many calories are in your food? New chemical scanner tells ...”


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Unesco Telemedicine's insight:

Essential for an holistic approach of the user

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Gartner Predicts Our Digital Future - Smarter With Gartner

Gartner Predicts Our Digital Future - Smarter With Gartner | Health 4.0 | Scoop.it
Gartner’s Top 10 Predictions for 2016 and beyond herald what it means to be human in a digital world.
Unesco Telemedicine's insight:

Humanization of Healthcare does fulfill the 10 innovations proposed and rethink user experience.

http://catai.net/blog/2015/08/h2o-rethink-user-experience/

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Star warriors for a Breaktrough in Medicine

Star warriors for a Breaktrough in Medicine | Health 4.0 | Scoop.it

As Butterfly network experiences (https://www.butterflynetinc.com/ ;

https://youtu.be/RpqDdMSbfh8 ) there is a breaktrough moment in Artificial Intelligence with Deep Learning, in semiconductors and nanotechnology to face a real change in Medicine.

Unesco Telemedicine's insight:

Nevertheless our vision is not equal. Does anyone ask Why people are living far from IoT? Because they are doomy. No High intelligence is behind because no Deep Learning is implemented with the data obtained. Unfortunatly, in many initiatives machine learning is based  and applied to Big Data.

Our HUMANIZATION OF HEALTHCARE (H2O) paradigm is the following one: For humans, as much data you get less you see or understand. That is the reason why does not make sense to send IoT data to medical doctors. By contrary, Deep Learning machines like a lot of data and Work better with more data available. It also learn from guidelines and evidence based learning based on generalization, but mainly work for individual and specific problems of a patient or a user. This together with the Fog (or near the edge cloud) is the concept of the Project. (DOI: 10.1109/IIKI.2014.60 )

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Which Way to Go – Agent, Agentless or Hybrid? | ControlUp

Which Way to Go – Agent, Agentless or Hybrid? | ControlUp | Health 4.0 | Scoop.it
In this article we will discuss the advantages and the disadvantages of agent, agentless and hybrid solutions in monitoring.
Unesco Telemedicine's insight:

Extract&Transform-Index&Store-Analyze&Visualize-Custumize&Share is not applied to Health Small Data (HSD) that belong to individuals for their own benefit.

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Non-Intrusive WEARABLES

Non-Intrusive WEARABLES | Health 4.0 | Scoop.it

How to lower the costs of Dependency for Costumers and Insurance companies (http://youtu.be/r6RPIhBGSKY?list=RDCcV1V_7yLIA ) ?. The answer is simple... wearables facilitate connections, activity, control, adherence, prevention, treatment....

Unesco Telemedicine's insight:

But not any wearable that require a lot of patient intervention, we are talking of Non-Intrusive wearables. Simple objects that are capable to check your vitals, your habits, your activity...

A wearables that handle your small data with AI (artificial intelligence) and connect with you PHA (personal health assistant). This will allow to reduce your insurance costs because the insurance company know that you are in better health and preventing decompensation episodes.

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DEMOCRITIZE & BRING HOME GENETICS

DEMOCRITIZE & BRING HOME GENETICS | Health 4.0 | Scoop.it

https://plus.google.com/106145795023392663376/posts/U3rLxz8tD3Z

MinION USB stick from Oxford technology UK is finally in the market. This bring a simple way to analyze through the nanopore technology (https://nanoporetech.com/ ) DNA, RNA and even proteins brining the analysis locally in a PC or at distance in the cloud. Have the ability to sequence long reads (i.e. 80,000 base letters long) and up to 150 million bases in six hours. The device cost is $900. The MinION uses a strand sequencing technique for DNA analysis. The DNA strand is attracted to an enzyme that is part of the electrophysiological fluid. In turn, the enzyme is attracted to a nanopore, in which it lodges. The enzyme is engineered to unzip the double-helix structure of the DNA strand so that one strand is directed back into the fluid, while the other enters the nanopore for sequencing

Unesco Telemedicine's insight:

To our understanding this is personal data that should be processed in the Fog and retourned to the PHAs or the patient to use it for their direct benefits such as: pMedicine (personalized medicine), Global Medicine( trying to search where will be the center of excelence to solve any patient´s problem with the newer techniques using the GHB= global health brain).

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YOUR e-PHA TALK TO YOU

YOUR e-PHA TALK TO YOU | Health 4.0 | Scoop.it

Aurasma (http://on.ted.com/Aurasma )facilitate and democritize the augmented reality. We have been using it to teach pathology to our medical students. Now is time to use it to support Healthcare @ distance.

Unesco Telemedicine's insight:

The intelli-agents that act as Personal Health Assistants can be personalized for you with Augmented Reality. This facilitate the H2O or Humanization of Healthcare.

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ARTIFICIAL INTELLIGENCE in Health 4.0

ARTIFICIAL INTELLIGENCE in Health 4.0 | Health 4.0 | Scoop.it

Auckland University in New Zealand in creating a real artificial intelligence experience the BABY X3 ( http://creat.rs/1whMtq3 ).  By algorithmically simulating the chemical reactions of the human brain— think dopamine release or increased oxytocin levels— and connecting them with sensory digital input, when Baby X learns to imitate a facial expression, for instance, software developers write protocols for the variable time intervals between action and response. Effectively "teaching" the child through code.

Unesco Telemedicine's insight:

Our intelli-agents in the Fog could selfprogramm to attend and advise you, probably in a better way that some humans because they are build and programm just for you. Your e-PHA (Electronic Personal Health Assistant) is dedicated to you, and therefore more effective, more efficient and adapted to your personality and habits.

Not far from the DII (Do-it-itself) self programing.(http://catai.net/blog/2014/08/dii-do-it-itself/ )

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SMALL DATA SOLUTIONS

SMALL DATA SOLUTIONS | Health 4.0 | Scoop.it

Many experts are trying to solve for the benefits of the users the data obtained from a lot of gadgets, non-invasive devices and wearables. Google faces it with Google Fit (http://catai.net/blog/2014/06/google-is-fighting-for-small-data/) and Apple is not strange to those interests and had develloped the Healthkit (https://www.healthkit.com/ )

Unesco Telemedicine's insight:

Our view of usefulness of protected Small Data through Fog Access is our solution to those milestones.

http://catai.net/blog/2014/06/big-data-versus-small-data/

Our health-brokers acting as Personal Health Assistants take care of the users avoiding stress and preventing complications

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LHS IS STOPPED @ HEALTH 4.0

LHS IS STOPPED @ HEALTH 4.0 | Health 4.0 | Scoop.it

Medical training have been based always on LHS (Learning Health System) meaning that you learn of how to handle better your patients and medical situations from your own patients. For some reason the LHS is stopped practicing medicine @distance, due to the fact that this is done discontinously and not integrated in the everyday medical provision. http://youtu.be/sVsnC4ZiEpQ  . For that reason initiatives such  to identify Essential Standards to Enable Learning (ESTEL) have been developped. http://www.learninghealth.org/ .

Unesco Telemedicine's insight:

The only exceptions is "medicine on the sea" or "medicine in the space" or "medicine in the air". As pionneers on bringing the AVIATION MEDICINE (http://www.teide.net/catai/pubs/aviationMedicine.pdf ) we should enforced to assure in our health delivery that LHS is achieved at distance. In this case teachers are not enough prepared therefore should be the students the ones that after receiving the BoK (body of knowledge) of telemedicine (http://www.slideshare.net/OFRoca/sun-pm-6hrferrerroca ), provide the learning. 

The advancement and ethical use of quality health information to promote health and wellness Worldwide is part of the Humanization of Healthcare (H2O)

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