Diplomado 2013 / Primer Ciclo de la Maestría 2013
En el año 2013 se desarrolló la Segunda versión del Diplomado en Informática Biomédica en Salud Global, del 14 de Enero al 16 de Marzo.
En el programa contamos con la participación de 15 alumnos en la mención de Informática en Salud los cuales compartieron 9 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), Estomatología (4), Matemática (1), Estadistica (2), Tecnología Médica (1), Obstetricia (1) e Ingeniería Electrónica (3). Dos de nuestros alumnos nos visitaron de Chile (DUOC-UC) y Ecuador (IESS) para llevar el Diplomado.
Las clases se desarrollaron con éxito durante las nueve 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, el evento se realizó en el Hotel Sol de Oro el día 25 de Marzo.
Esta versión del Diplomado 2013, al igual que la del año pasado, fue parte del primer ciclo de la Maestría en Informática Biomédica en Salud Global donde 5 alumnos continuarán el programa.
Propuesta: Soft-Warmi: Automatic diagnosis for Bacterial Vaginosis
Autora: Alicia Alva
Bacterial vaginosis (BV) is a very common infection among sexually active women and up to 50% of patients may be asymptomatic. The VB becomes a global health problem by the number of infected each year and it is worrying becauseof the complications that arise primarily in pregnant women and the vulnerability that exposes women to ETS amongwhich HIV. BV is an alteration of the normal bacterial vaginal flora. It is diagnosed by the Nugent method with a quantitative score (0-10). This method is based on microscopic observation, where the amount of Lactobacillus quantitated and the presence of pathogenic bacteria such as Gardnerella, Mobiluncus, Bacteroides, Prevotellas, among others. The weak side of diagnosis is the subjectivity of the readings made by the technical staff, the lack of agreement between different readers, and the mismatch between the readings and symptoms. In our country many rural and remote areas do not have a specialist for examination. One goal of the project is to provide access to diagnostic VB automated software, the country's underprivileged. It is proposed to use a website to send the photos, and automatically processed by the algorithm. The flow of information will be: (1) Take sample (vaginal swab), (2) Gram stain (3) scanning the image, (4) Send the photo to the web, and (5) Process and diagnose Results are published in the web page. Our project will optimize and evaluate the software, and implement the website. Thus, we are able to provide a diagnosis accessible, fast and reliable to improve the health of pregnant women.
Propuesta: Tayca Phone: Mobile phone text messaging and brushes to improve oral hygiene status of pregnant women in a poor urban community of Ventanilla-Callao in Peru
Autores: Jorge Manrique & Francisco Orejuela
Through the Mobile Health approach we aim to evaluate the effect of using mobile phones to send text messages as reminders to pregnant women from a marginalized urban community; seeking to determine if these contribute to the improvement of their oral hygiene. The purpose of this study is to use mobile media to control one of the causative agents of oral diseases, thus creating a healthy environment for itself and promoting a favorable environment for the development and growth of the newborn child.
This research focuses on pregnant women as major actor of the family nucleus. Scientific evidence shows that these can be a source of cariogenic bacteria, gingival and periodontal transmission and can be held liable for contamination and infection of their children at an early age. This, coupled with harmful habits of the mother and the presence of lesions or poor oral hygiene, can become a "window" of contagion. Therefore, health promotion and disease prevention become key components to addressing the most prevalent oral diseases. The present study is an analytical study with the design of a randomized study. The study population consists of all pregnant women who are registered with the Micro-Health Network "Peru-Korea", belonging to the Health Network of Callao, and live within the Jurisdiction of the micro- health network during 2013. The sample size to find an absolute reduction of 20% in the oral hygiene index, with a significance level of 0.05 and a power of 80%, anticipating a loss up to 20%, is 88 pregnant women in each arm of the study.
This study will take into account pregnant women who reside within the jurisdiction of the Micro-network "Peru-Korea", which have passed the first consult in the health facility and dental service, whose controls are included in the Integral Health Insurance, that have a cell phone of their own and operating, who refer knowing the use of text messages.
Propuesta: Effectiveness of the use of mhealth scheme for compliance HBV vaccination in health providers
Autores: Jenny Parillo & Hanny Gonzales
Hepatitis B is a liver infection deadly, charged annually an estimated 600,000 lives, according to figures from the World Health Organization (WHO), is caused by the hepatitis B virus (HBV) and, to date today, is considered the most serious type of viral hepatitis.
According to WHO reports, Hepatitis B is a major public health problem worldwide since about 2000 million people are infected with Hepatitis B infection was more common in young people and adults but there is another group at risk are health sector workers, some of whom do not complete their immunization schedule for different reasons and do not realize they are daily exposed to suffer an accident with a biological fluid contaminated hence institutions health should seek ways to increase the number of employees vaccinated. There are previous studies demonstrating the effectiveness of text messaging on adherence to treatment for diabetes, HIV, then we want to demonstrate the effectiveness of Mhealth in compliance with the vaccination schedule using m-health, also whether decreased the percentage of infected hepatitis B compared with health workers who did not receive the SMS.
Propuesta: KusyRed: Validation of text messages for pregnant women with depression in Ventanilla – Callao
Autores: Flor Campos & Bertha Escalante & José Pérez-Lu
Depression in pregnancy should be a public health priority because of its impact on infant health. Studies show an association between perinatal depression and child growth and development. Although there are effective interventions to combat this disease, they require human resources and funds that are often lacking at the primary care level. Some of these costs can be reduced, however, with the use of information technology. KusyRed is a project being implemented with this aim (Qusi means happiness in Quechua; Red means network in Spanish).
The project seeks to address depression in pregnancy as part of routine prenatal care, in part through the use of text messaging to support more intensive therapies. The objective of the current proposal is to validate the content of text messages to be sent to pregnant women with depression. Messages will include: appointment reminders, motivational content, and reinforcement of treatment provided in clinic. We propose to use focus groups of pregnant women, as well as in-depth interviews with health personnel, to validate the messages. These interviews and focus groups will be recorded and participants will provide informed consent. Our data analysis will use the methodology of content analysis.
Depression during pregnancy affects child development. Prenatal depression predisposes an infant to prematurity, low birthweight, short stature and disruption in psychomotor development. Interventions that can detect and treat depression in pregnancy not only help prevent postpartum depression, but also promote healthy infant development.
Propuesta: PARACAS: Implementation of Telemedicine Intervention for the Neurosurgery Service in the Maria Auxiliadora Hospital in Lima- Peru
Autora: Maria Salas
The demand for emergency transfer of patients with traumatic brain injuries from traffic accidents or cerebral hemorrhages in the Maria Auxiliadora Hospital (HMA) in Lima-Perú from their health network hospitals that do not have neurosurgical services is overwhelming. The HMA does not receive all transfers by saturation of the reception capacity that leads to an inevitable morbidity or inappropriate transfers by non-experts. The frequency of transfer to the HMA is an unresolved average of 12 patients per month. Thus, the project aim is to develop a web-based platform for remote diagnostics in the neurosurgery department of HMA and one health network called Rezola Canete Hospital (RCH).
We will implement this telemedicine intervention using webcast query, data, images and real-time conferences for patients requiring neurosurgical attention especially for patients with real need of hospital transfer. We aim to contribute to in situ treatment with permanent remote assistance of experts to reduce morbidity and mortality. In addition, we will promote to use the capacity of local hospitals to lower social costs and services.
We will conduct this study using a quasi-experimental design. We will measure the mortality before and after the telemedicine intervention in the HMA and RCH. The specific aims for this project are: 1. To develop a web-based prototype platform for remote diagnostics in the neurosurgery department of HMA and RCH; and 2. To evaluate the effects of the telemedicine intervention in the neurosurgery service in terms of mortality in both hospitals.
Propuesta: RadarIT: Using SMS to increase treatment of contacts of patients with Sexually Transmitted Infections
Autor: Miguel Egoavil
Sexually Transmitted Infections (STIs) are a major cause of global acute illness, infertility, disability and death. Curable STIs are not only a concern due to the discomfort that occurs after acute infection. Both symptomatic and asymptomatic infections can lead to serious complications with severe consequences for individuals, their partners and the community.
The aim of the project is to evaluate if sending text messages to mobile phones increases the treatment of contacts of patients with Sexually Transmitted Infections through a randomized trial intervention.
The effectiveness of text messages for STI notifications has yet to be explored. Currently in Peru, the only way to notify potentially infected individuals is by using cards which the patient gives to his/her sexual partners.
We will use a randomized trial intervention to measure the impact of these text messages. The patients will be randomized to either an intervention or a control group. The control group will receive the cards that health providers give to them and the intervention group also receives these cards and the text messages.
Potential risks for participants of the study are the text message would be read by another person, and this person would relate the message with Sexually Transmitted Infections. This result could bring stigmatization and discrimination and that someone of the researchers or collaborators uses the information inappropriately, affecting the participants of the study.
The World Health Organization estimates that there are 448 million new cases of curable Sexual Transmitted Infections every year. Once diagnosed, it is crucial for the patient to contact all sexual partners in order to inform them to seek STI screening. However, in Peru, the notification rate of these sexual partners is as low as 9%. Social stigma and the inability to locate partners play a large role in contributing to these low rates.
Propuesta: Current Usage of Smart Phones as mHealth Tools by Intrahospitalary Health Workers
Autor: Omar Villacorta
To identify the degree of acceptance and usage of smart phones as mHealth Tools by health personal in hospitals from Lima, Peru. The main objective is to determinate the prevalence of possession of smart phones by health personal, indicating the positive and negative factors that determinate the decision of having this kind of cellphones. The second part of the study will include a basic review of the principal usage of the terminals focusing in two aspects: communication between health personal and information access.
The methodology selected to conduct the project includes a cross-sectional study on doctors and nurses from 4 general hospitals from Lima, Peru. The instrument required will be a survey created in collaboration with experts from University Cayetano Heredia. The survey will consist of two parts. The first part will focus on the type of cellphone that the participant owns as well as the reasons for having a smart phone or not having one. The second part will explore current usage of the device. The communications item will inquire about frequency of usage of the device, the most frequent destination of the communications and the preferred communication method (e.g. direct call, text messaging or specialized app). The information access item will inquire about the frequency of usage of the device to obtain new information related to health or diagnosis assistance. The time employed to access this information will be retrieved. Finally, there will be a question about the preferred health applications that the participant uses.
The importance of current mobile technologies in health services has been proved several times in industrialized countries. Literature about this topic in developing countries is scarce. This study wants to contribute in the acceptance of new technologies inside the Peruvian health system. According to the results, new studies could be developed in order to increase the options for accessing new technologies.
Propuesta: Intervention with SMS and Social Network for Oral Anticoagulant Treatment
Autor: Pedro Vidal (Chile)
In studies on the knowledge gained on oral anticoagulant therapy (TACO) and adherence of family in the treatment have shown that there is ignorance, that patients understand and are able to perform self-care. In Chile, anticoagulant therapy has high importance for its use in health centers. These facilities have created special procedures that directly support the patient. You need to be truly effective treatment, and this requires the patient to take their medication and follow the instructions strictly medical.
Health personnel are required to inform patients and family that adherence to oral anticoagulant therapy is directly related to the commitment to follow the indications, because otherwise, leads to distortions in the response to treatment.
Therefore it is understood that involve close relatives in the care of patients in TACO has demonstrated effectiveness as there are demonstrations in studies on diseases with outpatient treatment.
There will be a randomized study with a group of patients undergoing an intervention and a control group. The study includes patients in TACO and family who own cell phones and / or Smartphones. The study was carried out in an establishment that controls their patients on a regular basis, but has also established procedures manuals applicable to everyone involved in the management of patients in TACO, including both health personnel and the patient and their family.
It will use social networks like Facebook and mobile SMS service. Text messages will be sent to the patient and family, and create a social group on Facebook by the health institution. This is expected to improve adherence to oral anticoagulation according as has been indicated by the doctor.
Propuesta: Building an Electronic Family Heath Record with the end user
Autor: Rammy Harnisth (Ecuador)
To facilitate the growth and enhancement of outpatient care provided by the family doctor through the Ecuadorian health care system which takes into account the clinical history of patients including both intramural and extramural care, accessed through a web page in such a way that it allows the display of information such as your registration via personal computers, laptops, Smartphones, or tablets.
Providing better care to patients as a result of the medical community having accessible information online, without running the risk of lost hard copy documentation do to negligence by patient or medical staff? , monitoring and controlling the process of information recovery as part of primary health care, and forming a basis in which to improve the quality of information as well as the functionality of this technological tool.
This application will be developed with PHP programming language and MySQL for the database which are open source, as to provide significant savings in the operational costs of the Ecuadorian Ambulatory Care Unit; others welcome the policy of using free software driven by the Presidency of Ecuador.
To assess the viability of a system that provides primary care health information built with the participation of end-users.