An empirical investigation into the altering health perspectives in the internet of health things.

Healthcare is on top of the agenda of all governments in the world as it is related to the well-being of the people. Naturally, this domain has attracted the attention of many researchers globally, who have studied the development of its different phases, including E-Health and the Internet of Health Things (IoHT). In this paper, the difference between the recent concepts of healthcare (E-health, M-Health, S-Health, I-Health, U-Health, and IoHT/IoMT) is analyzed based on the main services, applications, and technologies in each concept. The paper has also studied the latest developments in IoHT, which are linked to existing phases of development. A classification of groups of services and constituents of IoHT, linked to the latest technologies, is also provided. In addition, challenges, and future scope of research in this domain concerning the wellbeing of the people in the face of ongoing COVID-19 and future pandemics are explored.

Assistência obstétrica em maternidade pública: análise comparativa de duas coortes / Atención obstétrica en maternidad pública: análisis comparativo de dos cohortes / Obstetric care in public maternity hospitals: comparative analysis of two cohort studies

RESUMO Objetivo: comparar a assistência ao trabalho de parto e nascimento em duas coortes de uma maternidade pública segundo as recomendações da Organização Mundial da Saúde. Método: estudo quantitativo transversal aninhado a duas coortes, 2013 e 2017. Coleta de dados em prontuários e entrevistas com puérperas. Análise estatística, aplicou-se o teste de associação do Qui-quadrado, nível de significância de 5% e, para verificar possíveis associações (p≤0,05) e nos resultados com p<0,020, realizou-se regressão logística. Resultados: 662 mulheres participaram do estudo, sendo 432 em 2013 e 230 em 2017. Apenas 15,2% das mulheres haviam realizado visita à maternidade antes do parto e, em 2017, passou para 27% (OR=2,041 IC95% 1,379-3,020). A preferência para o parto normal aumentou em 1,6%, sendo, em 2013, 78,8% e, em 2017, 80,4%. A oferta do banho relaxante aumentou 0,5% em 2017 (63%), dessas parturientes, 66,2% evoluíram para parto normal. O uso de ocitocina para indução do trabalho de parto diminuiu 2,9% (2017). A presença do acompanhante aumentou em 2017 (91,8%) (OddsRatio= 1,861 IC95% 1,083-3,197) (p=0,014). Conclusão: em 2017, observou-se que as recomendações da Organização Mundial da Saúde foram mais utilizadas em comparação ao ano de 2013. Apesar disso, ainda não atenderam à totalidade das práticas amplamente recomendadas.

RESUMEN Objetivo: comparar la asistencia al trabajo de parto y nacimiento en dos cohortes de una maternidad pública según las recomendaciones de la Organización Mundial de la Salud. Método: estudio cuantitativo transversal anidado a dos cohortes, 2013 y 2017. Recolección de datos en registros médicos y entrevistas con puérperas. Análisis estadístico, se aplicó laprueba de asociación del Chi-cuadrado, nivel de significancia del 5% y, para verificar posibles asociaciones (p 0,05) y en los resultados con p<0,020, se realizó regresión logística. Resultados: 662 mujeres participaron del estudio, siendo 432 en 2013 y 230 en 2017. Solo el 15,2% de las mujeres había realizado visita a la maternidad antes del parto y, en 2017, pasó a 27% (OR=2,041 IC95% 1,379-3,020). La preferencia por el parto normal aumentó en un 1,6%, siendo, en 2013, 78,8% y, en 2017, 80,4%. La oferta de baño relajante aumentó un 0,5% en 2017 (63%), de estas parturientas, 66,2% evolucionaron hacia el parto normal. El uso de oxitocina para la inducción del trabajo de parto disminuyó un 2,9% (2017). La presencia del acompañante aumentó en 2017 (91,8%) (OddsRatio= 1,861 IC95% 1,083-3,197) (p=0,014). Conclusión: en 2017, se observó que las recomendaciones de la Organización Mundial de la Salud fueron más utilizadas en comparación con el año 2013. A pesar de ello, todavía no han tenido en cuenta todas las prácticas ampliamente recomendadas.

Abstract Objective: to compare care during labor and birth in two cohortstudies of a public maternity hospital according to the recommendations of the World Health Organization. Method: this is a quantitative cross-sectional study nested in two cohortstudies, 2013 and 2017. The data collection was from medical records and interviews with mothers. Statistical analysis was performed using the Chi-square test of association, with a significance level of 5% and, to verify possible associations (p≤0.05) and logistic regression was performed in the results with p<0.020. Results: In this study, 662 women participated, 432 in 2013 and 230 in 2017. Only 15.2% of women had visited the maternity ward before delivery and, in 2017, it increased to 27% (OR=2.041 95%CI 1.379-3.020). The preference for vaginal delivery increased by 1.6%, being, in 2013, 78.8% and, in 2017, 80.4%. The offer of relaxing baths increased by 0.5% in 2017 (63%), of these parturient women, 66.2% progressed to normal delivery. The use of oxytocin to induce labor decreased by 2.9% (2017). The presence of a companion increased in 2017 (91.8%) (odds ratio= 1.861 95%CI 1.083-3.197) (p=0.014). Conclusion: in 2017, the recommendations of the World Health Organization were more used than in 2013. Despite this, they still did not meet all the widely recommended practices.

Las Tecnologías de la Información y las Comunicaciones: un desafío para la Gestión del Cuidado / Information and communication technologies: a challenge for care management

La tecnología se ha desarrollado vertiginosamente, ocupando todos los campos de la enfermería, desde la provisión de cuidados, educación en salud, la investigación y la administración de los servicios. La Gestión del Cuidado se presenta como un modelo tendiente a otorgar una atención de calidad al usuario, asegurando prestaciones de servicios humanizados, mediante la eficiente utilización de los recursos, respondiendo a los estándares profesionales y a los objetivos de cada institución de salud, descentralización en la toma de decisiones y exigencia de responsabilidad. Se realizó una revisión bibliográfica con el objetivo de sistematizar potencialidades de las Tecnologías de la Información y las Comunicaciones para gestionar cuidados de enfermería en diferentes áreas de atención. El cuidado es un acto comunicativo que requiere de conocimientos científicos tecnológicos y del contexto cultural donde viven, trabajan, se recrean y enferman los sujetos del cuidado, el uso de las Tecnologías de la Información y las Comunicaciones optimiza estos procesos, en el marco de la gestión del conocimiento de enfermería, su importancia en salud son indudables, siendo hoy una herramienta esencial en la entrega de cuidados de salud(AU)

Technology has developed fast, covering all the areas of nursing, from care giving, health education, research and service management. Care management is presented as a model aimed at providing care of high quality to the users, ensuring the provision of humanized services, through the efficient use of resources, responding to professional standards and the goals of each health institution, decentralization in decision-making and demanding of responsibility. A bibliographic review was performed aiming at systematizing the potential of information and communications technologies to manage nursing care in different areas of interest. Care is a communicative act that requires technological and scientific knowledge and the cultural context in which the subjects of care live, work, recreate themselves and get sick. The use of the information and communications technologies optimizes these processes in the context of nursing knowledge management. Its importance to health is undeniable, while it is today an essential tool in health care provision(AU)

Las Tecnologías de la Información y las Comunicaciones: un desafío para la Gestión del Cuidado / Information and communication technologies: a challenge for care management

La tecnología se ha desarrollado vertiginosamente, ocupando todos los campos de la enfermería, desde la provisión de cuidados, educación en salud, la investigación y la administración de los servicios. La Gestión del Cuidado se presenta como un modelo tendiente a otorgar una atención de calidad al usuario, asegurando prestaciones de servicios humanizados, mediante la eficiente utilización de los recursos, respondiendo a los estándares profesionales y a los objetivos de cada institución de salud, descentralización en la toma de decisiones y exigencia de responsabilidad. Se realizó una revisión bibliográfica con el objetivo de sistematizar potencialidades de las Tecnologías de la Información y las Comunicaciones para gestionar cuidados de enfermería en diferentes áreas de atención. El cuidado es un acto comunicativo que requiere de conocimientos científicos tecnológicos y del contexto cultural donde viven, trabajan, se recrean y enferman los sujetos del cuidado, el uso de las Tecnologías de la Información y las Comunicaciones optimiza estos procesos, en el marco de la gestión del conocimiento de enfermería, su importancia en salud son indudables, siendo hoy una herramienta esencial en la entrega de cuidados de salud(AU)

Technology has developed fast, covering all the areas of nursing, from care giving, health education, research and service management. Care management is presented as a model aimed at providing care of high quality to the users, ensuring the provision of humanized services, through the efficient use of resources, responding to professional standards and the goals of each health institution, decentralization in decision-making and demanding of responsibility. A bibliographic review was performed aiming at systematizing the potential of information and communications technologies to manage nursing care in different areas of interest. Care is a communicative act that requires technological and scientific knowledge and the cultural context in which the subjects of care live, work, recreate themselves and get sick. The use of the information and communications technologies optimizes these processes in the context of nursing knowledge management. Its importance to health is undeniable, while it is today an essential tool in health care provision(AU)

A Smartphone Application Supporting Recovery from Heroin Addiction: Perspectives of Patients and Providers in China, Taiwan, and the USA.

Smartphone-based interventions are increasingly used to support self-monitoring, self-management, and treatment and medication compliance in order to improve overall functioning and well-being. In attempting to develop a smartphone application (S-Health) that assists heroin-dependent patients in recovery, a series of focus groups (72 patients, 22 providers) were conducted in China, Taiwan, and the USA to obtain their perspectives on its acceptance and potential adoption. Data were analyzed according to the Diffusion of Innovation (DOI) theory of characteristics important to the adoption of innovation. Important to Relative Advantage, USA participants cited S-Health's potential ability to overcome logistical barriers, while those in China and Taiwan valued its potential to supplement currently limited services. In terms of Compatibility, participants across sites reported recovery needs and goals that such an application could be helpful in supporting; however, its utility during strong craving was questioned in China and Taiwan. Important factors relevant to Complexity included concerns about smartphone access and familiarity, individualization of content, and particularly in China and Taiwan, participants wanted assurance of privacy and security. The study results suggest a general acceptance, but also indicate cultural variations in access to therapeutic and other social support systems, legal repercussions of substance use, societal perceptions of addiction, and the role of family and other social support in recovery. Taking these factors into consideration is likely to increase diffusion as well as effectiveness of these smartphone-based interventions.

Gestão do processo de implementação da política de saúde do homem / Managing the process of implementing men's health policy / Gestión del proceso de implementación de la política de salud del hombre

Objetivo: analisar documentos da Secretaria Municipal de Saúde (SMS) de Cuiabá e as ações dos membros da equipe gestora que orientaram a implementação da Política Nacional de Atenção Integral à Saúde do Homem, tomando como referencial teórico o gênero. Método: estudo de abordagem qualitativa, descritivo, que teve como material empírico os Planos de Trabalho Anual e os Relatórios de Gestão do período de 2009 a 2013 e entrevistas semiestruturadas realizadas com 13 membros da equipe gestora da SMS. Foi implementada a análise de política como ferramenta metodológica e empregada a análise temática. Resultados: os resultados demonstram repetição das ações propostas ao longo do período estudado, sugerindo a incompreensão do que seja necessário para o processo. Conclusão: os recursos financeiros foram apontados como responsáveis pela insuficiência das ações que devem estar voltadas não só para o aumento da oferta de serviços, mas também para a ressignificação da masculinidade.

Objective: taking gender as its theoretical frame of reference, this study examined Cuiabá Municipal Health Department documents and actions of its management team members who guided implementation of the national comprehensive men's care policy. Method: it is a qualitative, descriptive research. The empirical study material were the department's annual work plans and management reports from 2009 to 2013, and semi-structured interviews of 13 management team members. Policy analysis was applied as a methodological tool, and thematic analysis was performed. Results: the results showed repetition of actions proposed over the period, suggesting a lack of understanding of what is needed for the process. Conclusion: funding was indicated as responsible for the insufficiency of actions that should be directed not only to increasing service supply, but also to re-signifying masculinity.

Objetivo: analizar documentos del Servicio Municipal de Salud (SMS) de Cuiabá y las acciones de los miembros del equipo de gestión que orientaron la implantación de la Política Nacional de Atención Integral a la Salud del Hombre, tomando el género como un marco teórico. Método: estudio de enfoque cualitativo, descriptivo, que contó, como material empírico, con los Planes de Trabajo Anuales y los Informes de Gestión de 2009 a 2013 y entrevistas semiestructuradas junto a 13 miembros del equipo de gestión de la SMS. Se implementó el análisis de política como una herramienta metodológica y se utilizó el análisis temático. Resultados: la repetición de las acciones propuestas en el período considerado, sugiriendo la falta de comprensión de lo que es necesario para el proceso. Conclusión: los recursos financieros fueron considerados responsables por la insuficiencia de las acciones que deben volcarse no sólo hacia el aumento de la oferta de servicios, sino también a la resignificación de la masculinidad.