Estudio de factibilidad técnica para escalar el acceso a la información de signos vitales integrando herramientas informáticas heterogéneas e IoT, aplicado a un Sistema Central de Monitoreo, CMS / Technical feasibility study to scale the access to vital signs information, integrating heterogeneous informatics tools and IoT, applied in a Central Monitoring System, CMS

El presente estudio de factibilidad técnica realizado por docentes investigadores del Centro Regional MEGATEC Zacatecoluca se centró en desarrollar una investigación descriptiva y aplicada para escalar la comunicación de un Sistema Central de Monitoreo de Pacientes a dispositivos móviles. El objetivo principal del proyecto fue brindar alternativas para escalar y optimizar el acceso a la información de los signos vitales de pacientes, a través de la integración y desarrollo de herramientas informáticas y aplicaciones de terceros, con el software del sistema y componentes informáticos del Sistema Central de Monitoreo. El proyecto integró herramientas, conocimientos, habilidades, experiencias, métodos y procedimientos requeridos para el desarrollo e implementación de un sistema de comunicación interoperable entre aplicaciones heterogéneas. Se utilizaron protocolos y estándares para intercambiar información entre aplicaciones de salud HL7 y FHIR.

This technical feasibility study carried out by research professors from the Centro Regional MEGATEC Zacatecoluca focused on the developing of a descriptive and applied research to scale the communication of a Central Patient Monitoring System to mobile devices. The main objective of the project was to provide alternatives to scale and optimize access to information on the vital signs of patients, through the integration and development of computer tools, and third-party applications with the system software and computer components of the Central System Monitoring. The project integrated tools, knowledge, skills, experiences, methods and procedures required for the development and implementation of an interoperable communication system between heterogeneous applications. Protocols and standards were used to exchange information between HL7 and FHIR health applications.

Saúde Móvel: novas perspectivas para a oferta de serviços em saúde / Mobile health: new perspectives for healthcare provision / Salud Móvil: nuevas perspectivas para la prestación de servicios de salud

OBJETIVO: revisar e discutir as novas perspectivas para a oferta de serviços em saúde decorrentes do desenvolvimento da saúde móvel e dos dispositivos vestíveis inteligentes. MÉTODOS: foi realizada revisão não sistemática da literatura para identificar artigos completos, cujos títulos destacassem o termo 'mHealth' e/ou 'Smart wearable', publicados nos últimos 15 anos. RESULTADOS: foram identificadas 467 publicações em periódicos indexados ao portal da Capes, 75 delas levadas em consideração pela análise; foram consolidadas evidências quanto às novas possibilidades decorrentes da disseminação da saúde móvel, aglutinadas segundo as categorias 'monitoramento de condições de saúde', 'transmissão de informações e análises de dados' e 'diagnóstico e terapêutica'. CONCLUSÃO: os trabalhos revisados sugerem que a oferta de serviços de saúde sofrerá alterações ao longo dos próximos anos, no que tange às categorias analisadas, o que exigirá um esforço de adaptação por parte dos profissionais de saúde, acadêmicos e usuários.

OBJECTIVE: to review and discuss new perspectives for healthcare provision resulting from the development of mobile health and intelligent wearable devices. METHODS: an unsystematic literature review was conducted to identify complete articles published in the last 15 years with titles highlighting the term 'mHealth' and/or 'Smart wearable'. RESULTS: 467 publications were identified in journals indexed on the CAPES portal, of which 75 were considered for analysis; evidence was then consolidated as to new possibilities arising from the spread of mobile health, grouped into the following categories: 'health status monitoring', 'information transmission and data analysis', and 'diagnosis and therapy'. CONCLUSION: the studies reviewed suggest that healthcare provision will change over the coming years with regard to the categories analyzed. This will require adaptation on the part of health professionals, academics and service users.

OBJETIVOS: revisar y discutir las nuevas perspectivas para la prestación de servicios de salud resultantes del desarrollo de la salud móvil (mHealth) y los dispositivos portátiles inteligentes. MÉTODOS: revisión narrativa, no sistemática, de la literatura para identificar artículos completos, cuyos títulos destacasen el termino 'mHealth' y/o 'Smart wearable', publicados en los últimos 15 años. RESULTADOS: se identificaron 467 publicaciones de revistas indexadas por el portal Capes de las cuales 75 fueron consideradas; así se consolidaron las evidencias sobre las nuevas posibilidades que surgen de la propagación de la salud móvil, vinculadas a las categorías 'monitoreo del estado de salud', 'transmisión de información y análisis de datos', y 'diagnóstico y terapéutica'. CONCLUSIÓN: los estudios analizados sugieren que la oferta de servicios de salud va a cambiar en los próximos años, con respecto a las categorías analizadas, lo que requerirá un esfuerzo de adaptación por parte de los profesionales de salud, académicos y usuarios.

Mulit personal computer storage system: the solution of PACS storage / 中华放射学杂志

Objective According to the characteristics of digital medicine and demand of digitized management in hospital, we establish a storage system which is cheap, highly expansible, and reliable. Methods The multi personal computer storage system (MPCSS) was constructed by assembling the hardwares and softwares. The image data were archived from major server to storage PC by using NEUSOFT PACS archiving manage system and backuped on storage PC. We simulated the situation that the data on storage PC was lost and restored the data. We also expanded the storage system to enlarge its capacity. Results Average transfer rate from MPCSS was 27 7 Mbit/s (1 byte=8 bit); average cost for this system was 74 RMB/G; six cases in the 187 repeated reading of 100 patients failed. MPCSS can store backup and restore the image data, and can expand the storage size. Conclusion MPCSS is very cheap compared with other high capacity systems or devices. It is feasible and suitable for digital image storage.