Diplomado 2012 / Primer Ciclo de la Maestría 2012
En el año 2012 se desarrolló la Segunda versión del Diplomado en Informática Biomédica en Salud Global, del 09 de Enero al 23 de Marzo.
En el programa contamos con la participación de 8 alumnos en la mención de Informática en Salud los cuales compartieron 11 semanas de modalidad semi-presencial en las áreas más importantes de la Informática Biomédica.
Entre nuestros alumnos tuvimos a profesionales de áreas diversas como Medicina (3), Enfermería (1) Ingeniería (1), Biología (2) y Genética (1). Una de nuestros alumnos, Rosa Elvira nos visitó desde Popayán, Colombia (Universidad del Cauca) para llevar el Diplomado.
Las clases se desarrollaron con éxito durante las siete semanas, con un total de 73 profesores, 57 nacionales y 16 extranjeros (Argentina, Colombia, Chile, Estados Unidos, Inglaterra y México) tanto a nivel presencial como no presencial usando tecnologías de teleconferencia y clases virtuales interactivas.
Como trabajo final del Diplomado, los alumnos presentaron una propuesta de Investigación en Informática Biomédica, las cuales fueron evaluadas por el Comité Científico de QUIPU con profesionales tanto nacionales como extranjeros para recibir financiamiento.
Esta versión del Diplomado 2012 fue parte del primer ciclo de la Maestría en Informática Biomédica en Salud Global donde 3 alumnos continuarán el programa y se unirán 4 del Programa 2011.
Propuesta: SMS against TB
Autor: David Requena
Asesor: Mirko Zimic
Tuberculosis is a major global health problem. Although there is an effective treatment against TB-susceptible available for many decades; it remains as the second leading cause of death from an infectious disease worldwide.
Those patients who don’t finish the treatment are more likely to relapse and die; and there are also more vulnerable to developing multidrug-resistant tuberculosis and spread it. Around 5% to 20% of patients abandon the tuberculosis treatment. For this, is necessary to focus in increase the adherence.
WHO’s Stop TB strategy, in line with the Millennium Development Goals and the Stop TB Partnership targets, has as a key component the expansion an enhancement of a high-quality DOTS (Directly observed short-course) therapy, which will ensures the patients take their medication in the health facility; but it can’t be accomplished if patients do not attend to the health facility or drop off the treatment.
SMS has been used to promote treatment adherence in HIV+ patients and other diseases, reaching high levels of adherence (around 90%) with good opinions and acceptance from the patients involved. In Peru, a qualitative study about SMS reminders shows the good will of HIV-infected people to accept its use.
The aim of this project is perform a pilot study using a cheap and widespread technology as the SMS to send short and discreet reminders to the patients in treatment against drug-susceptible TB, to increase adherence to the treatment.
Propuesta: Wawared: Implementation of Electronic Health Records for “Healthy Child” (CRED)
Autor: Daniel Condor
Asesores: José Pérez-Lu, César Cárcamo
The Electronic Health Record (EHR) is an effective intervention to improve the quality of health care. This innovative method of collecting patient information has been used for quite a long time in the health services, but most recently, has seen widespread dissemination due to technological advances. However, even in countries which already have access to this technology, they do not fully take advantage of the benefits of EHR. However, the evidence found on the actual quality and security benefits of the EHR supports the idea that is not the only presence of EHR to determine the improvement of health delivery, but rather how and to what extent the health professional uses this technology after adoption.
One crucial factor to evaluate is the perceived ease of use, because the degree of usability directly correlates with the proper use and acceptance of an information system, besides being able to measure its acceptance in the middle- and long-term. Currently, project Wawared is implementing an EHR to speed up the time spent in filling out the medical records when pregnant women come to their prenatal control. Wawared reduced the time in filling out the medical record from 30 to 5 minutes. The participants asked to develop the same application for their children. For this reason, Wawared has developed an EHR for the visits of the “healthy child” up to 5 years old (which includes growth monitoring, nutrition, and vaccines), known in Peru as CRED (from Spanish growth and development program).
Our goal is to determine if using an EHR for the CRED visits for the child takes less time than filling papers. Our specific objectives are: 1) Explore whether the time spent filling out the medical record is associated with age, gender, work experience, prior knowledge, usefulness and quality of the information entered; 2) evaluate the application’s acceptability for health professionals; and 3) describe the process of implementing the EHR. We will use a step wedge design, with 4 establishments randomly selected, and where EHR was implemented at random. Then, we will compare the data collection time means between EHR vs. paper, and will find associated factors.
Propuesta: Improving diagnosis of Pneumoconiosis using a new X-RAY Digital Software
Autor: Jaime Carlos Álvarez
Asesores: Antonio Bernabé-Ortiz
The early and accurate diagnosis of occupational diseases is a challenge for programs of occupational health management. This is because it should improve the quality of life of workers and the competitiveness of the productive sector of the country. Pneumoconiosis, defined by the International Labour Organization (ILO) as the "accumulation of dust in the lung and tissue reaction to their presence" is a problem to which the miners and employers are facing as a result of the work.
The ILO issued since 1930, a standard approach for evaluating analog X-ray film PA chest x-ray images using standard reference comparison and classification nomenclature defined that reflect the type, extent and severity of injuries associated with pneumoconiosis. In this standard, the viewing environment of analog radiographs for the diagnosis of pneumoconiosis requires a darkened room, light box and X-ray films taken in accordance with conventional methods.
In contrast, digital x-ray chest PA, seeking to improve the diagnosis, provides the means to manipulate the X-ray images as a variation of the parameters of brightness and contrast, edge enhancement and noise reduction. The reader's ability to vary these parameters complicates ILO efforts to standardize the reading process for both the image and standard image evaluation and the final result, therefore, the use of these tools would likely result in an increase diagnosis of unexpected error. To minimize this variability, NIOSH recommends use of the software that controls NIOSH BViewer © strict parameters for displaying the images of the thorax.
Propuesta: A tool for the care of Diabetes Mellitus Type 2
Autor: Rosa Elvira Álvarez
Asesores: César Cárcamo, José Pérez-Lu
Worldwide Diabetes Mellitus is one of the largest public health threats of the XXI century (1). This disease is increasing significantly in the global population. In 2011, 366 million adults died from Diabetes, and it is expected that this figure will increase to 552 million by 2030 (1) (2). In Colombia and the Region of Cauca it is the fifth leading cause of death (3) (4). The appearance of Information and Communication Technology (ICT) can play an important role in the management and control of this disease in patient populations. This study will achieve the following objectives: 1. Identify the feasibility of using to ICT (cel phones and internet) by patients with Type 2 Diabetes and their healthcare providers to improve the treatment and control of the disease, 2. Describe the level of knowledge that patients with Type 2 Diabetes have about their disease. In turn, this will help to identify the barriers and / or opportunities that patients with Type 2 Diabetes recognize regarding the use of ICT, which can identify the impact these would have on the control of the disease. The methodology involves: 1) Obtaining informed consent, 2) Qualitative assessment through focus groups of patients with Type 2 Diabetes. 3) The quantitative evaluation will be performed using a semi-structured questionnaire for both patients and their healthcare providers, with the goal of obtaining information about the level of ICT knowledge in both groups.
We aim to identify the advantages and disadvantages that patients with Type 2 Diabetes acknowledge in ICT use for the management and control of their disease. In the same way, for the case of using cel phones and SMS to patients, it will also help to identify the contents, wording and frequency of the messages, what type of information could be provided by internet, and how to involve the providers. We hope this project will contribute to the future design and implementation of diabetes education programs to benefit public health in the region and country.