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Salud Publica
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Que hay en salud? Tendencias y nuevas formas de lograr mejoras sanitarias en las comunidades
Curated by
Mariano Fernandez S.
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Nutrition evaluation and intervention in hospitalized pediatric patients is critical, because undernutrition negatively impacts physical and cognitive development, wound healing, immune function, mortality, and quality of life.
Multiple, validated pediatric nutrition screening tools are available, yet no consensus on the ideal tool exists.
Generally, the aims of the nutrition screening process are identification of current nutrition status and determination of a need for further nutrition assessment and intervention.
Children’s Hospital of Philadelphia has developed what it says is the first automated pediatric malnutrition screening tool using EHR data.
In this study the tool was used to analyze anthropometric measurements in the hospital’s Epic EHR—including body mass index, height, length and weight—for inpatients in the pediatric oncology unit at CHOP for a little more than a year, representing about 2,100 hospitalizations.
Researchers used software to take note of changes in the anthropometric measurements to assess each hospitalized patient’s risk of malnutrition. For those pediatric cancer patients determined to be at risk, the automated program categorized their risk as either mild, moderate or severe.
In the study, 47 percent were classified as at mild risk, 24 percent as moderate risk and 29 percent as severe—consistent with clinical experience and other research. In addition, the overall prevalence of malnutrition was determined to be 42 percent for the study period, which was also consistent with previous studies.
“This test study demonstrates the feasibility of using EHR data to create an automated screening tool for malnutrition in pediatric inpatients, Further research is needed to formally assess this screening tool, but it has the potential to identify at-risk patients in the early stages of malnutrition, so we can intervene quickly. In addition, this tool could be implemented to screen all pediatric patients for malnutrition, because it uses data common to all electronic medical records.”
study: https://jandonline.org/article/S2212-2672(18)30974-2/abstract
Via nrip 
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From
elpais
Este paradigma no es un mero brindis al sol. Es una realidad con nombres y apellidos: big data. Ingentes volúmenes de información capaces de registrar nuestra salud al minuto no solo para saber cómo estamos hoy sino para predecir la hoja de ruta que nos hará estar mejor mañana. Oportunidades de gestión sanitaria que pueden salvar cientos de millones de euros a los gobiernos. Las aplicaciones del big data en la salud tienden al infinito e invitan a imaginar un nuevo paradigma para el sector con esta tecnología como fulcro. Via Ignacio Fernández Alberti, Valentina Jaramillo
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En sanidad es necesario un cambio de modelo para obtener resultados diferentes. No basta con la aplicación de las TIC al modelo actual, se necesitan nuevos profesionales que entiendan la transformación necesaria. Via Juan Jesús Baño Egea
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Hace algún tiempo en A un clic anunciamos que se recetarían apps de salud y después hemos constatado que ya hay doctores que lo hacen . En el App Date Health que se celebró anteayer en Espacio Fundación Telefónica, José Fr Via Juan Jesús Baño Egea, ChemaCepeda
ChemaCepeda's curator insight,
May 21, 2015 5:27 PM
Coach, el nuevo rol de los profesionales de salud, frente al paciente activo
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... A recent HIMSS study reveals hospitals that have implemented EMRs can better predict and decrease mortality rates. HIMSS Analytics and Healthgradesrecently released EMR Effectiveness: The Positive Benefit Electronic Medical Record Adoption has on Mortality Rates, a whitepaper analyzing the effects of electronic medical record (EMR) implementation on predicting and decreasing mortality rates. The study set out to specifically answer the following questions: Is there a relationship between the level of adoption of electronic medical records and hospital performance?What aspect of that performance is related most strongly to the adoption?Are there certain clinical areas (defined by the Healthgrades mortality - based cohorts) where this relationship is stronger or weaker?What additional variables, if any are related to the adoption level?
read complete in
Via Ignacio Fernández Alberti, CTIC-FCS-UC
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Muchos imprevistos suceden más frecuente de lo que desearíamos, complicándonos la vida, la de nuestra secretaria y la de nuestros pacientes; sería más fácil si pudiéramos comunicarnos en tiempo real con nuestros pacientes de una forma remota sin tantas complicaciones. ¿No sería fantástico si pudiéramos con nuestro teléfono inteligente (siempre y cuando tengamos conexión a internet móvil) enviar algo y ya? Pues, existe, y se llama Facebook.
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As an experiment, I immersed myself in social media for the past three months. I started this blog, joined Twitter, LinkedIn, Google+, bought a domain name, and posted on Facebook for the first time in years. Even within this short period of time, I reaped tangible benefits: I interacted with top physicians from across the …
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Monitorización de la glucosa sin sangre: muchos han intentado, ninguno ha tenido éxito. Al menos todavía.
No hay duda de por qué la comunidad diabetes querría deshacerse de la lanceta y la rutina diaria de tiras de prueba de un método más barato y más conveniente de monitorear los niveles de azúcar en la sangre.
En su laboratorio en la Universidad de Toledo, profesor de bioingeniería Brent Cameron ha pasado años estudiando maneras de utilizar la luz para medir de forma no invasiva de glucosa en sangre. Compañía de dispositivos médicos Libertad Meditech, que desarrolló un dispositivo médico oftalmológico que permitirá a los profesionales de atención oftalmológica a los pacientes de la pantalla para la diabetes durante los exámenes de rutina , algo de su licencia la tecnología de hace varios años.
Ahora, una startup con sede en Toledo llamada IRISense LLC está en las primeras etapas de la comercialización de de su investigación en la forma de una aplicación para smartphone que predice los niveles de glucosa en la sangre a partir de imágenes del ojo. Via Ignacio Fernández Alberti
Vinuesa vallas y cercados's curator insight,
October 18, 2013 9:59 AM
Ahora, una startup con sede en Toledo llamada IRISense LLC está en las primeras etapas de la comercialización de de su investigación en la forma de una aplicación para smartphone que predice los niveles de glucosa en la sangre a partir de imágenes del ojo. |
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Una nueva estrategia experimental desarrollada por investigadores del Instituto Tecnológico de Massachusetts (MIT), en Cambridge (Estados Unidos), permite a un fármaco contra la artrosis accede
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The Purpose of this study was to synthesize evidence of the effects and potential effect modifiers of different electronic health (eHealth) interventions to help people quit smoking.
Four databases (MEDLINE, PsycINFO, Embase, and The Cochrane Library) were searched in March 2017 using terms that included “smoking cessation”, “eHealth/mHealth” and “electronic technology” to find relevant studies. Meta-analysis and meta-regression analyses were performed.
Similarly, smoking cessation trials using tailored text messages and web-based information and conjunctive nicotine replacement therapy may also increase cessation.
In contrast, little or no benefit for smoking abstinence was found for computer-assisted interventions. The magnitude of effect sizes from mHealth smoking cessation interventions was likely to be greater if the trial was conducted in the USA or Europe and when the intervention included individually tailored text messages. In contrast, high frequency of texts (daily) was less effective than weekly texts.
Conclusion There was consistent evidence that web-based and mHealth smoking cessation interventions may increase abstinence moderately. Methodologic quality of trials and the intervention characteristics (tailored vs untailored) are critical effect modifiers among eHealth smoking cessation interventions, especially for web-based and text messaging trials. Future smoking cessation intervention should take advantages of web-based and mHealth engagement to improve prolonged abstinence.
access the study report at https://www.dovepress.com/which-ehealth-interventions-are-most-effective-for-smoking-cessation-a-peer-reviewed-article-PPA
Via nrip
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From
prezi
El objetivo es hacer el big data pequeño, reduciendo al máximo la complejidad .. acelerando la búsqueda de nuevas dianas terapéuticas y de medicamentos huérfanos en enfermedades raras. ..y también en enfermedades neurodegenerativas y Cáncer. Así mismo, se trata de mejorar el diagnóstico precoz de diferentes tipos de cáncer, y posibilitar la optimización del tratamiento personalizado (medicina de precisión). Dentro de la optimización de fármacos, cobra especial interés la minimización de efectos secundarios (toxicidades) con objeto de evitar sufrimientos innecesarios en los pacientes Además, la plataforma FINISTERRAE contribuirá a la optimización de decisiones médicas y a la valorización del dato hospitalario. Optimización de decisiones médicas. Valorización del dato hospitalario. Via Ignacio Fernández Alberti
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Opinion from JAMA — Wearable Devices as Facilitators, Not Drivers, of Health Behavior Change
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The market for wearable sensors is increasing dramatically. Devices are being designed to help people manage chronic conditions, recover more quickly from injuries, analyze physical and environmental abnormalities that may lead to more serious health issues and detect unhealthy habits before they cause problems, according to Pathfinder Software. A new infographic from Pathfinder Software takes a look at the types of wearables available, how they are used, their wireless capability and other details on this technology. Thank you to Pathfinder Software for an educational Infographic. Also, thank you to the Healthcare Intelligence Network for having this Infographic on their site. Via ET Russell
ChemaCepeda's curator insight,
September 17, 2014 5:02 AM
Parece que los wearables (dispositivos vestibles), es la tecnología de moda ¿cómo chocará esta tecnología con la salud clásica? 
Bouzid Menaa's curator insight,
September 22, 2014 7:28 AM
In collaboration with international renowned scientists, I am developing a new quantitative and qualitative mobile device for bacterial surface detection and diagnostic tool
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According to a survey of thousands of patients in Germany, Singapore, and the United Kingdom, the adoption of digital healthcare services remains low because existing services are either low quality or not meeting patients’ needs. The survey, conducted by consulting firm McKinsey, included responses from at least 1,000 patients in the three countries. “Many healthcare executives believe that, due to the sensitive nature of medical care, patients don’t want to use digital services except in a few specific situations; decision makers often cite data that point to relatively low usage of digital healthcare services,” McKinsey analysts Stefan Biesdorf and Florian Niedermann wrote in a recent blog post. “In fact, the results of our survey reveal something quite different. The reason patients are slow to adopt digital healthcare is primarily because existing services don’t meet their needs or because they are of poor quality.” McKinsey found that more than 75 percent of respondents would like to use some kind of digital health service. Many are interested in “mundane” offerings, the firm wrote. Via rob halkes
rob halkes's curator insight,
July 16, 2014 7:18 AM
Great Survey results, aligning with what experts already thought. Results generated by Germany, Singapore and the UK, but believed to be representative of patients in these advanced markets. See my conclusions upon reading the report here 
Marisa Maiocchi's curator insight,
July 25, 2014 10:32 AM
Los resultados de una encuesta parecen derribar algunos mitos respecto de la "salud móvil" o m-health como "Esta tecnología solo la usan los jóvenes".
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We must embrace change and utilize the digital tools that are now available to provide care to those who so badly need it.
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