Enfermeras: Intranet y usabilidad / Nurses: Intranet and usability

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Tendencias temporales de los patrones de búsqueda sobre Servicios de Atención de Salud a Domicilio antes y después del COVID-19 / Temporal trends in Home Care Services search patterns before and after COVID-19

Objetivo: Analizar las tendencias temporales de los patrones de búsqueda de información, sobre los Servicios de Atención de Salud a Domicilio a través de Google Trends antes y después de la aparición del COVID-19. Método: Estudio ecológico y correlacional. Los datos se obtuvieron de la consulta directa en la herramienta «Google Trends». Término de búsqueda: “Servicio de asistencia sanitaria domiciliaria”. Fecha de consulta 01-09-2021. Resultados: El máximo de búsquedas se alcanzó en enero de 2020, coincidiendo con el inicio de la pandemia del COVID-19. Durante el período pre-COVID se observó una estacionalidad en el interés de la población (ADF: - 0.49; *p > 0.05) que desapareció con la irrupción del COVID-19 (ADF: -8.55; p < 0.05). La comparación de las medianas mostró diferencias estadísticamente significativas antes y después del COVID (KW: 31.15; *** p-valor < 0.001). Conclusiones: Se ha demostrado que la aparición del COVID-19 ha supuesto un hito significativo respecto al interés de la población general sobre los Servicios de Atención de Salud a Domicilio.(AU)

Objetive: To analyze the temporal trends of the information search patterns on Home Care Services through Google Trends before and after the appearance of COVID-19. Method: Ecological and correlational study. The data were obtained from direct queries in the «Google Trends» tool. Search term: “Home Care Services.” Date of consultation 01-09-2021. Results: The maximum number of searches was reached in January 2020, coinciding with the start of the COVID-19 pandemic. During the pre-COVID period, a seasonality was observed in the interest of the population (ADF: - 0.49; * p> 0.05) that disappeared with the emergence of COVID-19 (ADF: -8.55; p < 0.05). The compari-son of the medians showed statistically significant differences before and after COVID (KW: 31.15; *** p-value < 0.001). Conclusions: It has been shown that the appearance of COVID-19 has been a significant milestone regarding the general population’s interest in Home Care Services.(AU)

The Emergence of Risk Communication Networks and the Development of Citizen Health-Related Behaviors during the COVID-19 Pandemic: Social Selection and Contagion Processes.

Amid the novel coronavirus pandemic, a variety of public health strategies have been implemented by governments worldwide. However, the fact that strict government mandates focus on physical distancing does not mean that social connectedness for voluntary risk communication among citizens should be sacrificed. Furthermore, we lack an understanding of citizens' behaviors regarding the voluntary adoption of public health measures and the control of mental wellbeing in the age of physical distancing. Key variables in the response to the global pandemic are the emergence of risk deliberation networks, voluntary compliance with government guidelines, and the restoration of citizens' subjective health. However, little is known about how citizens' health-related behaviors coevolve with social connections for sharing information and discussing urgent pandemic issues. The findings show that selection and social influence mechanisms coexist by affecting each citizen's health-related behaviors and community-led risk discourses in the face of the urgent health crisis.

Leveraging LoRaWAN Technology for Precision Agriculture in Greenhouses.

The technology development in wireless sensor network (WSN) offers a sustainable solution towards precision agriculture (PA) in greenhouses. It helps to effectively use the agricultural resources and management tools and monitors different parameters to attain better quality yield and production. WSN makes use of Low-Power Wide-Area Networks (LPWANs), a wireless technology to transmit data over long distances with minimal power consumption. LoRaWAN is one of the most successful LPWAN technologies despite its low data rate and because of its low deployment and management costs. Greenhouses are susceptible to different types of interference and diversification, demanding an improved WSN design scheme. In this paper, we contemplate the viable challenges for PA in greenhouses and propose the successive steps essential for effectual WSN deployment and facilitation. We performed a real-time, end-to-end deployment of a LoRaWAN-based sensor network in a greenhouse of the 'Proefcentrum Hoogstraten' research center in Belgium. We have designed a dashboard for better visualization and analysis of the data, analyzed the power consumption for the LoRaWAN communication, and tried three different enclosure types (commercial, simple box and airflow box, respectively). We validated the implications of real-word challenges on the end-to-end deployment and air circulation for the correct sensor readings. We found that temperature and humidity have a larger impact on the sensor readings inside the greenhouse than we initially thought, which we successfully solved through the airflow box design.

The Times they Are a-Changin' - Healthcare 4.0 Is Coming!

The Industrial Revolution brought new economics and new epidemic patterns to the people, which formed the healthcare 1.0 that focused on public health solutions. The emergence of large production concept and technology brought healthcare to 2.0. Bigger hospitals and better medical education were established, and doctors were trained for specialty for better treatment quality. The size of computer shrunk. This allowed fast development of computer-based devices and information technology, leading the healthcare to 3.0. The initiation of smart medicine nowadays announces the arrival of healthcare 4.0 with new brain and new hands. It is an era of big revision of previous technologies, one of which is artificial intelligence which will lead humans to a new world that emphasizes more on advanced and continuous learnings.

Internet of Things in Marine Environment Monitoring: A Review.

Marine environment monitoring has attracted more and more attention due to the growing concern about climate change. During the past couple of decades, advanced information and communication technologies have been applied to the development of various marine environment monitoring systems. Among others, the Internet of Things (IoT) has been playing an important role in this area. This paper presents a review of the application of the Internet of Things in the field of marine environment monitoring. New technologies including advanced Big Data analytics and their applications in this area are briefly reviewed. It also discusses key research challenges and opportunities in this area, including the potential application of IoT and Big Data in marine environment protection.

Computerization of primary health care in Brazil: the network of actors.

OBJECTIVE: To analyze the network of human and non-human actors involved in the computerization of primary health care in the Brazilian federal government. METHOD: A qualitative study that used as a theoretical reference the actor-network theory and as a methodological reference the cartography of controversies. Data analysis was carried out using Gephi software, and through the extraction of reports, informed by the actor-network theory. RESULTS: We found a network of 288 connections among 33 actors, composed mainly of nonhuman influencers of computerization. These actors are distributed throughout 3 inter-related communities, and manage the network by defining obligations, penalties, conflicts and intentionalities, thus influencing the success of the intended computerization. FINAL CONSIDERATIONS: The network of actors at the federal level generates situations that, in many cases, hamper the successful implementation of a nationwide computerization strategy.

Computerization of primary health care in Brazil: the network of actors / Informatización de la atención primaria a la salud en Brasil: la red de actores / Informatização da atenção primária à saúde no Brasil: a rede de atores

ABSTRACT Objective: To analyze the network of human and non-human actors involved in the computerization of primary health care in the Brazilian federal government. Method: A qualitative study that used as a theoretical reference the actor-network theory and as a methodological reference the cartography of controversies. Data analysis was carried out using Gephi software, and through the extraction of reports, informed by the actor-network theory. Results: We found a network of 288 connections among 33 actors, composed mainly of nonhuman influencers of computerization. These actors are distributed throughout 3 inter-related communities, and manage the network by defining obligations, penalties, conflicts and intentionalities, thus influencing the success of the intended computerization. Final considerations: The network of actors at the federal level generates situations that, in many cases, hamper the successful implementation of a nationwide computerization strategy.

RESUMEN Objetivo: Analizar la red de actores humanos y no-humanos que están involucrados en la informatización de la atención primaria a la salud en la esfera federal del gobierno brasileño. Método: Estudio cualitativo que ha utilizado como referencial teórico la teoría actor-red y como referencial metodológico la cartografía de controversias. El análisis de los datos se dio por medio del programa Gephi y desde la técnica de extractos de relatos con punto de vista de la teoría actor-red. Resultados: Se ha constatado una red de 288 conexiones entre 33 actores, que está conformada mayoritariamente por no-humanos influyentes de la informatización. Los actores están distribuidos en 3 comunidades, que se relacionan entre sí, agenciando la red desde la definición de las obligatoriedades, las condenas, los conflictos y las intencionalidades, influyendo el éxito de la pretendida informatización. Consideraciones Finales: La red de actores en la esfera federal moviliza situaciones que, en muchos momentos, obstaculizan el éxito de la implantación de una estrategia de la informatización de abarcadura nacional.

RESUMO Objetivo: Analisar a rede de atores humanos e não-humanos envolvidos na informatização da atenção primária à saúde na esfera federal do governo brasileiro. Método: Estudo qualitativo que utilizou como referencial teórico a teoria ator-rede e como referencial metodológico a cartografia de controvérsias. A análise dos dados se deu por meio do software Gephi e a partir da técnica de extratos de relatos com ponto de vista da teoria ator-rede. Resultados: Constatou-se uma rede de 288 ligações entre 33 atores, composta majoritariamente por não-humanos influenciadores da informatização. Os atores estão distribuídos em 3 comunidades, que se relacionam entre si, agenciando a rede a partir da definição de obrigatoriedades, penalidades, conflitos e intencionalidades, influenciando o sucesso da pretendida informatização. Considerações finais: A rede de atores na esfera federal mobiliza situações que, em muitos momentos, obstaculizam o sucesso da implantação de uma estratégia de informatização de abrangência nacional.

'Fit-for-purpose?' - challenges and opportunities for applications of blockchain technology in the future of healthcare.

Blockchain is a shared distributed digital ledger technology that can better facilitate data management, provenance and security, and has the potential to transform healthcare. Importantly, blockchain represents a data architecture, whose application goes far beyond Bitcoin - the cryptocurrency that relies on blockchain and has popularized the technology. In the health sector, blockchain is being aggressively explored by various stakeholders to optimize business processes, lower costs, improve patient outcomes, enhance compliance, and enable better use of healthcare-related data. However, critical in assessing whether blockchain can fulfill the hype of a technology characterized as 'revolutionary' and 'disruptive', is the need to ensure that blockchain design elements consider actual healthcare needs from the diverse perspectives of consumers, patients, providers, and regulators. In addition, answering the real needs of healthcare stakeholders, blockchain approaches must also be responsive to the unique challenges faced in healthcare compared to other sectors of the economy. In this sense, ensuring that a health blockchain is 'fit-for-purpose' is pivotal. This concept forms the basis for this article, where we share views from a multidisciplinary group of practitioners at the forefront of blockchain conceptualization, development, and deployment.

Review of Computational Techniques for Performance Evaluation of RF Localization Inside the Human Body.

Location estimation within the human body by means of wireless signals is becoming popular for a variety of purposes, including wireless endoscopy using camera pills. The precision of wireless ranging in any medium is contingent upon the methodology employed. Two of the most popular wireless tracking methods are received signal strength (RSS) and time of arrival (TOA). The scope of this study is an assessment of the precision of TOA- and RSS-based ranging in the proximity of anthropomorphic tissue by means of simulation software designed to mimic signal transmission in the human body environment. Software simulations of wireless signals traveling within a human body are exceptionally challenging and require extensive computational resources. We created a rudimentary, MATLAB script using the finite-difference time-domain (FDTD) method to simulate the signal transmission inside and outside a human body and correlated the simulation outcomes of this script with the high-end commercial finite-element method (FEM) tool, ANSYS HFSS. First, we demonstrated that the FDTD modeling produces similar outcomes. Next, we employed the script to emulate the RSS and TOA of the wide bandwidth radio transmission within the human body for wireless ranging and estimated the accuracy of each technology. The precision of both methods was also evaluated with the Cramer-Rao lower bound (CRLB), which is frequently used to estimate the ranging methodologies and the effect of human tissue and its motion.

Alfonso de la Peña Pineda y el Intercambio urológico por correspondencia / Alfonso de la Peña Pineda and the Urology exchange by correspondence

Introducción: Los hermanos Alfonso y Emilio de la Peña Pineda propusieron en 1943 crear un sistema de comunicación por correspondencia como en Norteamérica, idea bien aceptada por los urólogos españoles, y que llevó por título Intercambio urológico por correspondencia. Material y métodos: Lectura minuciosa y análisis pormenorizado del contenido de 1944 a 1953, con un promedio de 3 páginas tamaño folio de cada ejemplar. Resultado: Se enviaron 105 números que contienen 234 comunicaciones urológicas, firmadas por 67 urólogos españoles, 2 portugueses y un cirujano general, 39 son traducciones de la publicación similar norteamericana. La temática corresponde a casos personales curiosos o raros, sobre situaciones o problemas de la enfermedad urológica más habitual en la época, de los que únicamente destacan una veintena de artículos. En general el contenido es de poca utilidad e interés, motivo por el que decreció paulatinamente la colasiiboración hasta desaparecer. Conclusión: La propuesta fue respondida mayoritariamente por quienes mantenían relación con la cátedra de Urología de la Facultad de Medicina de Madrid, dirigida por Alfonso de la Peña. La temática cifrada en casos clínicos personales, faltos de interés en su mayoría, llevó a disminuir paulatinamente la aportación de comunicaciones hasta su cese. Sobresalen únicamente unos pocos artículos. El mayor valor del trabajo lo constituye recoger y analizar el contenido de la que sea muy probablemente la única colección completa existente, ya que al no ser editada por imprenta y ser su distribución solo como correspondencia no se ha encontrado en las bibliotecas públicas

Introduction: In 1943, the brothers Alfonso and Emilio de la Peña Pineda proposed creating a communication system by correspondence as in North America, an idea welcomed by Spanish urologists, a system that was named the Urology Exchange by Correspondence. Material and methods: A thorough reading and detailed analysis was conducted of content from 1944 to 1953, with an average of 3 pages of folio size of each copy. Result: A total of 105 issues containing 234 urological presentations were sent, signed by 67 Spanish urologists, 2 Portuguese urologists and 1 general surgeon. Thirty-nine of these presentations were translations of a similar U.S. publication. The subject matter corresponded to curious or rare personal cases, concerning conditions or problems of the most common urological diseases in that era, of which only 20 of those articles stand out. In general, the content is of little use and interest, which prompted the gradual decline in the collaboration until it disappeared. Conclusion: The proposal was answered mostly by those who had a professional relationship with the chair of Urology of the Faculty of Medicine of Madrid directed by Alfonso de la Peña. The subject matter of the personal case studies, most of which lacked importance, lead to the gradual decline in the contribution of presentations until its eventual end. Only a few articles stand out. The study's major value consists of collecting and analysing the content of what is highly likely the only complete collection in existence, given that it was not edited for printing and was distributed only as correspondence and cannot therefore be found in public libraries

Aplicación del Responsive Web Design en la creación e implementación del sitio Web del Centro de Histoterapia Placentaria / Application of Responsive Web Design in the creation and implementation of the website of the Placental Histotherapy Center

La diversidad de dispositivos conectados a Internet ha conllevado en la actualidad a un cambio en la concepción del diseño Web. La navegación, utilizando dispositivos de diferentes resoluciones y tamaños de pantalla, ha modificado de manera radical la experiencia del usuario. El sitio Web del Centro de Histoterapia Placentaria de Cuba creado en el año 2000 y modificado en varias ocasiones, según las tendencias del diseño no está ajeno a esta realidad. El objetivo general de este trabajo es crear e implementar un nuevo diseño del sitio, aplicando la filosofía de Responsive Web Design. Su empleo garantiza la visibilidad del sitio en cualquier dispositivo; ya sea, Smartphone, tableta, computadoras o smart TV. El diseño estuvo basado en el patrón Modelo-Vista-Controlador; en la Vista se concibieron dos interfaces, una para el usuario y otra para el administrador del sitio. El nuevo diseño soluciona el problema de la visibilidad en la gama de dispositivos móviles, permite un mejor posicionamiento del sitio en los buscadores y crea las bases para incorporar nuevos servicios como el Comercio Electrónico(AU)

The diversity of devices connected to the Internet has changed the conception of Web design. The navigation, using devices of different resolutions and screen sizes has radically modified the user experience. The Website of the Placental Histotherapy Center of Cuba, created in 2000 and modified several times according to design trends, is not far of this reality. The general objective of this work is to create and implement a new site design, applying the philosophy of Responsive Web Design, which allows the visibility from devices, such as: Smartphone, Tablet, computers or smart TV. The design was based on the Model-View-Controller pattern; In Vista, two interfaces were conceived, one for the user and another for the site administrator. The new design solves the problem of visibility in the range of mobile devices, allows a better positioning of the site in the search enginesand creates the bases to incorporate new services such as Electronic Commerce(AU)

[Education and Training in Public Health - Results of the Working Group 9 of the Forum Future Public Health, Berlin 2016]. / Lehre, Fort- und Weiterbildung in Public Health.

The need for a qualified public health workforce can only be met by appropriate provision of a wide spectrum of basic, advanced and continuing education and training programs on public health that meet international standards. At the same time, efforts must be made to offer young academics attractive career opportunities. Training in public health competences must also be provided for allied professionals in health care and for professions with influence on the determinants of health such as urban planning or agricultural science. This report from a working group meeting at the 'Public Health Zukunftsforum 2016' in Berlin presents ideas for the further development of training in public health in Germany.

Managing Psychiatrist-Patient Relationships in the Digital Age: a Summary Review of the Impact of Technology-enabled Care on Clinical Processes and Rapport.

PURPOSE OF REVIEW: Participatory medicine and the availability of commercial technologies have given patients more options to view and track their health information and to communicate with their providers. This shift in the clinical process may be of particular importance in mental healthcare where rapport plays a significant role in the therapeutic process. RECENT FINDINGS: In this review, we examined literature related to the impact of technology on the clinical workflow and patient-provider rapport in the mental health field between January 2014 and June 2017. Thirty three relevant articles, of 226 identified articles, were summarized. The use of technology clinically has evolved from making care more accessible and efficient to leveraging technology to improve care, communication, and patient-provider rapport. Evidence exists demonstrating that information and communication technologies may improve care by better connecting patients and providers and by improving patient-provider rapport, although further research is needed.

[Communication and Networking - Results of the Working Group 8 of the Forum Future Public Health, Berlin 2016]. / Kommunikation und Vernetzung.

Steady changes in society present challenges to constructive cooperation between stakeholders in the diverse PH landscape of Germany through individualism, globalisation, medical progress, digitalisation, etc. Working group 8 therefore suggests that the PH community should build new internal structures, in order to be able to respond jointly to external challenges, facilitate networking amongst the actors and speak with one voice, when needed. The suggestion is to establish an office that has the task to organise further meetings, harmonize written joint statements and moderate the dialogue amongst peers.