Deborah Rhodes: A tool that detects 3 times more breast tumors, and why not available

31 03 2011

Deborah Rhodes is an expert in the management of the risk of breast cancer. Working with a team of physicists, the Dra. Rhodes has developed a new tool for the detection of tumors that is three times more effective than traditional mammograms in women with dense breast tissue; a gamma camera that can see the tumors that fail to be perceived with a mammogram. This machine is now being tested by the director of the Executive program of the Mayo Clinic health (Minnesota).

The consequences for the survival of patients are interesting. Then have not have heard of it?? Rhodes shared the story that lies behind the creation of the tool and the political and economic fabric that prevents its dissemination.

Deborah Rhodes: A tool that detects 3 times more breast tumors, and why not available

Mammography is still able to detect early onset of breast cancer even in one of every four women of 40 a 49. And women with mammary tissue dense are four to six times more likely to develop cancer than others. Deborah Rhodes and his colleagues of the Mayo Clinic they think they have found an effective way to evaluate these high risk patients: molecular imaging.

Rhodes has collaborated with a nuclear physicist and different radiologists for the development of a dual head gamma camera, that you can capture small tumors in dense tissue. The new technique, He completed (not replace) mammography, allows to detect a mass of two-fifths of an inch (2,5 cm) diameter. Molecular imaging of the chest requires that patients inject a radioactive medication, but it is much more comfortable than mammography and is expected to cost just a little more.

TED.com [en línea] New York (USA): TETed.com31 March 2011[REF. January of 2011] Available on Internet:

http://www.Ted.com/talks/lang/Spa/deborah_rhodes.html



“The challenge is to know how to keep the portfolio of health services”

28 03 2011

Santiago Martin is partner of Everis from 2004 and for six months it is responsible for the new division of health. This consultant, very active in implementation of eHealth and digital stories, It has opted for the health sector in Spain. It also has as mission lead the process of internationalization.

Question. What is the future of health care in Spain??

Response. The investment that has taken place in the portfolio of services is very broad, that has placed us in a level of excellent health measured in terms of GDP. Now a reflection on the model of how to provide the services. In the current situation, the sustainability of the system, process innovation and technology will have a relevant role. I do not see that there will be a drastic reduction in the portfolio of services, because it is basically a fundamental pillar of the country, alongside education. Yes going to have is a rationalization of investments in innovation.

P. Far will reach that rethinking??

R. It will look how the model can be sustainable with welfare variations. You have to know what role will play the private sector. And there will also be a requirement and an identification of the technology components that really add value to the health.

P. The incorporation of technology threatens the sustainability of the system??

R. There has been a very significant addition in medical technology and in ICT (the information and communication technologies), that has led us to the level of quality that we have. It is impossible that there is such disbursement in the coming years, because private and public budgets will not allow. This will lead to new models of private participation in the provision of public services. In addition, It will be much more exquisite in the selection of projects.

P. But it is now precisely when there is more technology.

R. It is going to be selective. For example, all the autonomous communities have made an effort in the digital medical records. And to different degrees of penetration, almost all are automated to the 100%. The base is already made. Future technologies will be focused to solve a specific health problem or to make the system more sustainable.

P. What reforms need the health care system??

R. For me a very important reform is greater integration between public health and private, allow the sustainability. Depending on the autonomous community, the level of separation between what is the insurer of the health benefit and what the lender, varies. I think that there will be a general trend to that part of the assistance go towards private provision. That does not violate the principle of the universality of the health. There will simply be a gap between what is the financier, the insurer and the provider itself.

P. What are the trends in health technology advances in the future??

R. There are areas that will dramatically advance. All linked to chronic processes will have a level of intense development in the coming years, you are already consuming a very important part of the resources. Also the communication channels, content and services, between health care providers and the public. So given the real power of decision to the citizen. And may the third area of high-volume integration between levels of care and operators, that is the primary and specialty are understood each other, or different autonomous networks to share information, and also between public and private services.

The great challenge of truth, knowing the economic situation in which we are, It is to know how we are able to maintain the current portfolio of services incorporating the technology necessary to maintain that without increased funding capabilities and services portfolio. With more money is unbearable.

P. There is integration between the networks of the autonomies??

R. They are starting to exchange information. It is still at an early stage. The first communities are already integrating. It is of vital importance. No sense duplicating tests, sustainability is not guaranteed.

P. How see Everis from developments in the health sector??

R. Health and education are probably the areas where there has been less trimming. But the rates of investment in recent years, two-digit, they were quite relevant. Now is it going to cause a freeze or a reduction in minimum. Public and private leaders will have to prioritize on what you want to spend new investments.

Cincodias.com [en línea] Madrid (Spain):dailymail .com,March 28, 2011[REF. 24 March of 2011] Available on Internet:

http://www.cincodias.com/articulo/paginas/reto-saber-mantener-cartera-servicios-sanitarios/20110324cdscyspag_3/



Digital environments for innovation in health

24 03 2011

It seems the operating room in any of the hospitals that make up the Basque health network, However, is a research and innovation laboratory located in the facilities of VICOMTech-IK4, in the Donostia Miramon technological park.

This research centre yesterday presented two new spaces in which will continue its work for the innovation in the field of digital medicine. The first simulates a hospital with its own first generation integrated operating room led to the design of technological products and the second, a home equipped with advanced technology that aims to reproduce the natural user interaction.

The two new environments will enable to use ICT (Information and communication technologies) to develop an extended health care system, Advanced and intelligent. The lab enables research in an environment more relaxed and experimental with respect to which can offer a real hospital or a House already inhabited by people, so to validate new technologies until they are transferred to the reality.

VicomTech technicians work, yesterday, in the next-generation integrated operating room. (Photo: Rubén plaza)

DIGITAL HOME This room consists of a living room that could belong to any conventional housing, but it is equipped with different technologies of advanced interaction will allow users (they are mainly aimed at people older or chronic patients) manage your health efficiently and safely.

Touch screens, web cams, sensors or voice navigation systems will enable users to carry out rehabilitation exercises, receive medical consultations without leaving home or inform at all times their movements to third parties.

The director-general of VICOMTech-IK4, Julian Florez, He expressed that this part of the lab will serve to “validate” new technologies. “Be honest, We can think that the widespread presence of these new technologies in the Basque homes become a reality within ten years”, noted.

HOSPITAL AND OPERATING ROOM The second area opened by VICOMTech-IK4, the creation of a digital hospital extended the professional-oriented, It relates to its work in research and innovation in the health sector, that works with Biodonostia. At a first glance, nothing seems to indicate that we are faced with a virtual hospital, except the dummy which is lying on the couch of the operating room. However, as says Florez, “It's a place of surgery training”.

These advances will enable health professionals to work in the diagnosis, at the pre-operation stage, in the intra-operativa, in the rehabilitation and tele through the implementation of innovative technologies.

This project has an investment that exceeds two million euros, funded, in part, by the Ministry of science and innovation, which has been negotiated by the Basque nationalist group and is included in the General State budget for the year 2010. Innovation in advanced tools for everyday clinical practice will benefit a wide range of people among them: medical professionals, people who need medical follow-up, older people who wish to remain in their homes, people with limitations, health centers and hospitals, SMEs will benefit from the equipment production and centres of reference in health research.

The director-general of VICOMTech wanted to enhance the “merit” that in the realization of this project have been persons of advanced age. “We have noted with curiosity their reactions to new technologies, much of the success that we can achieve is yours”, indicated.

In addition, Florez, asked about the difficulty of integrating these technologies in people of a certain age, pointed out that “are people who have to adapt to the technology, but the technology that has to do it. Non-invasive technology is”.

noticiasdeguipuzkoa.com [en línea] Donostia (Spain): nonoticiasdeguipuzkoa.comarch 24, 2011[REF. 23 March of 2011] Available on Internet:

http://www.noticiasdegipuzkoa.com/2011/03/23/sociedad/euskadi/entornos-digitales-para-innovar-en-sanidad



The success of TuDiabetes.org and Estudiabetes.org in the U.S.

21 03 2011

At the end of the year 2002, Manny Hernandez, engineer of Venezuelan origin and resident in United States, He was diagnosed with diabetes type 1. Such diagnostic led a strong change in the life of Manuel, alteration of routines, drugs… In the year 2005 He started using an insulin pump. To learn more about the handling of the device joined a group of patients of Orlando who used them. This meeting was a very rewarding experience in which learned much from the hand of other patients experts on the use of the pump.

That meeting of patients was that inspired him to create a group on the social networking sites. In 2007 decided to take the step: the network is based on the platform Ning, that allows users to create their own social networks without the need to invest in infrastructure (i.e. servers).

TuDiabetes born with the objective of “be a space on the web where the members we help one another, We educate us and share the steps that you must take every day to stay healthy living with this serious illness”. Currently the network has grown enormously, to have more than 6.000 users in the Spanish version (EsTuDiabetes.org) and 12.000 in the English.

The social network members can participate in forums or create their own blogs. In addition, they have the ability to share videos, photos and invitations to events, among others. The network is self-managed by a multitude of volunteers who are responsible for moderating forums, to welcome new users develop applications and even integrate the platform with other channels (Facebook, Twitter).

One of the most interesting features of TuDiabetes is the promotion of creativity. For example, its members have developed awareness through artistic competitions using materials for diabetes control. These initiatives are part of the Diabetes Hands Foundation, created from the social network to raise awareness among the general population. An example is the campaign Word In Your Hand in which patients were photos of the Palm of your hand, You should write a word that exprera feelings living with diabetes.

From a technological point of view, the main novelty of this social network is its integration with other platforms, largely due to the availability of open libraries that allow you to create applications. Thanks to this platform is out of sync with YouTube, Facebook, Flickr and may in the future be integrated with stories of personal health (PHR, In English), such as Google Health e Indivo Health.

diariomedico.com [en línea] Madrid (Spain): didiariomedico.comspan class ="tr_" id="tr_0" data-token="wqAgTGEgbnVldmEgc2FuaWRhZCB5IGxvcyBudWV2b3MgcGFjaWVudGVzIGVuIGxhIFdlYg,," data-source="">  La nueva sanidad y los nuevos pacientes en la Web 2.0. [REF. 21 March of 2011] Available on internet (PDF document): The new health and new patients on the Web 2.0.



HCSMEU, health talks 2.0

17 03 2011

Healthcare Social Media in Europe (HCSMEU), #hcsmeu in Twitter, It is a community made up of people who rely on social media to improve health in Europe.

This community was created in August of 2009 by the Swiss Silja Chouquet, owner of an agency specializing in social media (whydot GmbH), and English Andrew Spong, editorial director of Nexus (of the PSL Group). He joined the trust that both dipositan in social media, you understand that they are and will be the engine of change towards a health better.

Like this, because, Chouquet, Spong and other members of the community share the conviction that social media have the potential to increase the focus of medical research, improve the quality and delivery of care; and they also facilitate the education of the patient and their empowerment. Today HCSMEU consists of healthcare professionals, e-Pacientes, representatives of pharmaceutical companies, providers of health services and medical communication agencies, among others. Its objective is, precisely, walk towards the numbered challenges.

HCSMEU, introduction

The Spanish representation of HCSMEU is called HcsmeuES (Health Care Social Media Europe Chapter Spain). Its members meet weekly in Twitter to exchange ideas and knowledge related to health 2.0. From the 14 April of the 2010 These meetings are held the Tuesday's 16 at 17 h under the hashtag # hcsmeuES. All conversations, that it already above the quarantine, they are transcribed and published here. In addition HcsmeuES It has launched a project called wikisanidad, bringing together health online resources 2.0 in Spanish.

The next few days 1 and 2 April HcsmeuES It will have its first non-virtual meeting in Barcelona. Registrations are now closed, But anyway here the programme of activities, see.



Not innovate would accelerate the extinction of the human race

14 03 2011

“Sometimes cure, often relieve and comfort always”. Alejandro Jadad, founder of the Center for Global innovation at the Toronto General Hospital eHealth (Canada), it evokes the old and wise thinking about the essential purpose of medicine. He aims to achieve this by squeezing all the potential offered by new information technologies and communication. Now more than ever, advancements are physically and virtually present. It's give the proper twist to put them at the service of health. Because, at the end, and after the, that is what: live longer and feel better without destroying the economy.

Question.- Tablets, smart phones, Internet, social networks… How can you help to our health?

Response.- There are many possibilities. We can distinguish, at least, between three non-traditional types of eHealth depending on the environment: industrial or institutional, social or community and glocal (global and local). The first is developing very well in the India.

P.- New technologies in the India? How is that they pose it possible with the cost?

(R).- Form that is declining cost of the technology has allowed so-called contrary via innovation. Many poor countries are becoming hotbeds of creativity. There are examples that illustrate how can lead to efficiency in the India.They have agreed that hospitals should behave as factories, with a clear division of labour and with devices that optimize the flow of patients and medical acts. As resources are not wasted, is more profitable. They are offering the ideal trio: more coverage, with better outcomes and lower price. Some are adding a fourth element: good hotel service, to avoid that you are deshumanice attention.

P.- Many more computers, robots and other technologies involved in health care, more likely to dehumanize?

(R).- Yes, and it should not be so. Humans are great creating tools that can offer great benefits but also usually ending up with a bad use of the same. In the majority of cases turn them into weapons of self-destruction very soon.

P.- And how you can avoid?

(R).- That's the social function of eHealth. New technologies to mobilize the family and the community to relieve and comfort to patients. That is essential, mostly because we have gained in life expectancy. Now the Spaniards can live more than 80 years. However, This increase has not been reflected in a higher quality of life.

P.- It is what happens to the chronically ill…

(R).- Yes, It is as if we were suffering the curse of Titono, a character from mythology to whom Jupiter made immortal but did not prevent it got and that it would suffer the diseases of age. In Spain, at least the 60% the resources of the health system used for chronic patients, with diabetes, dementia or arthritis, they suffer but they can not be cured. Unfortunately, most of the training programmes for health professionals continue focusing on the diagnosis and cure of diseases.

P.- Can social networks be a good help?

(R).- Our studies in Canada indicate that the two most important reasons for the use of tools like Facebook, Tuenti and Twitter is the exchange of information and advice on symptom control or management of the side effects of medications.

P.- Telemonitoring is a highly recommended alternative in these cases.

(R).- It is much more than virtual consultations. Us, for example, We are training to young people so that they can help these people more dependent. We have created a social network of support and navigation of the health system (Youth4Health) with that leads to medical or social services. In another initiative, we intend to enable patients to, especially to younger. It is the case of Bant, an application for the iPhone that allows diabetics to monitor with a smart mobile phone.

P.- And what is this third use of eHealth before listing?

(R).- The glocal? It comes from joining the words global and local. Basically, It is to take advantage of the potential of the internet and new devices to join forces. It's helping our community to benefit from the best resources available in the global scope. In the same way, innovations created at the local level can be shared with other regions of the world.

P.- And who depends on to tune all of these gears?

(R).- From all of us. Even so, It is as if we were in a process of denial. We must become humanodos, human nodes committed to work together to transform not only the health care system, but also work and learning. Also, our coexistence with the rest of the planet is basic. If we don't innovate we will accelerate the extinction of the human race.

P.- Not have the feeling that this avalanche of technology is difficult to assume and?, in the background, you end up resorting to traditional methods?

(R).- It is true, We don't just make the jump. I've been 20 years dedicated to the eHealth. I started in 1991, in United Kingdom, communicating with patients by e-mail, making virtual consultations. However, in the two decades he doesn't amaze me howWe have not finished take real advantage of what it can offer us even a technology as old as the landline. It is still a long way to go and there is a high risk to miss the opportunities that are now providing, for example, social networks.

P.- The potential is in the hand of experts but also from citizens?

(R).- Exact. Together with the support of the tools we have, and which are invented, We must do everything in our power to achieve a long and happy life, no regrets, for us and for many generations that I hope will follow us.

elMundo.es [en línea] Madrid (Spain): elelMundo.es14 de marzo de 2011, [REF. 14 March of 2011] Available on Internet:

http://www.elmundo.es/elmundosalud/2011/03/14/tecnologiamedica/1300089750.html



Anthony Atala: Printing a human kidney

10 03 2011

Anthony Atala

Director of the Wake Forest Institute for Regenerative Medicine

Anthony Atala is the director of the Wake Forest Institute for regenerative medicine, where his work focuses on the growth and regeneration of tissues and organs. Your engineering team is developing the experimental technology that can “print” necessary human tissue.

In 2007, Atala and a team of researchers of the Harvard University They showed that the cells mother can be harvested from the amniotic fluid of pregnant women. This and other advances in the development of intelligent biomaterials and tissue manufacturing technology promises to revolutionize the practice of medicine.

Anthony Atala: Printing a human kidney [March TEDconference 2011]

The surgeon Anthony Atala demonstrated in an experiment in initial phase as, someday, you could solve the problem of donor organ: a 3D printer that uses living cells trasplantables in the output of a kidney. Using similar technology, the young patient of Dr. You atala, Lucas Massella, received a designed bladder makes 10 years.

Anthony Atala question: “Can be grow organs of the same patient instead of transplanting them??” His laboratory in the Wake Forest regenerative medicine Institute He's doing just that.

Ted.com [en línea] New York (USA): ted.com, 10 de marzo de 2011, [REF. 8 March of 2011] Available on Internet:

http://www.Ted.com/talks/anthony_atala_printing_a_human_kidney.html



Dr GENÉ: Urge a reform of the health care model

7 03 2011

Dr. Joan Gene Badia

Editor of the Forum Clinic

Doctor of medicine and specialist in family and community medicine


The feeling that the current health care model does not answer the new needs of the citizens is now majority. The World Health Organization1 indicates that the primary attention is today more necessary than ever. You don't understand it as the healthcare field in that family doctors practice, but it considered that it is health policy which must inspire the health reforms. It is the only one capable of curbing the growing medicalization and sub-specialization that promotes the health care industry both in its provision of services and pharmaceutical side. The current scheme based on the sale of products and services that creates the same system is unsustainable, even for the American health care system. This observation has been one of the engines of the health care reform proposed by President Obama.

Chronic diseases have become the real epidemic of the 21st century. Especially in countries such as Catalonia to next Japan or Italy will become short in the most aged in the world. The chronicity explains the 80% of expenditure on health. A small proportion of the population, It collects several chronic diseases, It uses most of health care resources. A patient who presented five chronic disease consumes fifteen times more than a person of the same age group that does not have any2.This comorbidity, It focuses on the ageing population, It is also accompanied by dependency. Once again we see the artificiality of separate health care and the social. We face to the challenge of offering a truly comprehensive service to the person that meets all your needs social and health.

The fragmented hospital systems need to be reformed and the area of primary health care has to ensure that the system offers this comprehensive care person-centered. Professionals and patients should lead this change to resist an important part of the politicians and the healthcare industry.

Bibliography

  1. World Organization of health. the world health report 2008: the PHC more necessary than ever. World Health Organization. Geneva 2008
  2. Bodenheimer T, Berry-Millet R. Follow the money: controlling expendiitures by improving care for patients needing costly services. New Engl J Med 2009: 361(16):1521-3


150 years of MIT. Epicenter of innovation

3 03 2011

Said Jules Verne that «»everything that a person can dream others may make it reality». Great deal of the geniuses, both engineers and scientists, they get to materialize those dreams are investigating or have trained at the Massachusetts Institute of technology (MIT), an educational institution that from ago 150 years has been the cradle of an unusual amount of talents in branches as molecular biology, Physics, Chemistry, Mathematics, economy, Aeronautics and cybernetics.

"MENS ET MANUS"
"Minds and hands". So reads the slogan of the world's most innovative educational institution, in whose classrooms personalities have been formed as the Apollo astronaut 11 Buzz Aldrin, second human being to set foot on the Moon; as the physicist Richard Feynman-Nobel prizes; the founder of the Richard Stallman free software movement; and the inventor of the e-mail, Ray Tomlinson.ElMIT has been a pioneer in many aspects. Without going further, the first crew who lived on the international space station (ISS) included a student of the MIT call William M. Shepherd. And the first experiment carried out aboard the international space station also departed the MIT. It was called MACE II, and its aim was to find out how they move and vibrate the objects in space.

In the field of biomedicine, the Professor of biomedical engineering of the MIT Robert Langer has been one of the first to promote the concepts of 'tissue engineering' and 'regenerative medicine'. In addition, in the facilities of the MIT they are ahead in biomechatronics, the science that combines Robotics with biology, creating an external exoskeleton for human, placed in the legs, helps soldiers, firefighters and other professionals to transport heavy equipment without overloading the back. And all without need to use motor.

Energy (and its efficiency) they are also very present here. In 2008, the MIT It was news after achieving a liquid battery inspired by the process of photosynthesis in plants that allows you to permanently store solar energy. In its laboratories the promising 'witricity' is born (electricity without wires). Engineers have also been of the MIT who have developed recently a network design that could make Internet work of 100 a 1.000 times faster that currently using optical sensors. And Graphene chips, you are ten times faster than silicon chips. Until the first games, and even the first 'hackers', They emerged in this Institute.

Massachusetts Institute of Technology – MIT Campus Tour

OPEN AND INNOVATIVE
What the recipe for the innovation model of the? MIT? According to the experts, There are three key ingredients: It is an open business model, other countries and student exchanges, It has managed to create an innovative ecosystem that favours the ideas are transformed into profitable business, and power that will generate the maximum of possible ideas, to increase the chances of success and talent management as well. Make mistakes, They claim from the MIT, part inescapable innovate.

One of the key figures of the MIT is Hal Abelson, promoter of the movement of knowledge open and co-founder of the Creative Commons initiative to reduce legal barriers to creativity. In April of 2001 participated in the start up of theOpen CourseWare (OCW), a pioneering initiative in internet to make accessible freely and universal teaching materials used by this institution. Currently the OCW of the MIT offers 2.300 courses, and in the last decade it has been used by millions of students.

CREATIVITY
Some of the most surprising inventions of recent decades have seen the light in the MIT Media Lab, the mythical multimedia technologies laboratory founded by Nicholas Negropronte. It is the case of Sixth Sense, a gadget that adds a sixth sense to our perception using a camera and a projector connected to a mobile phone. Or the first 'invisible' computer mouse (Mouseless). Or the Treehouse that builds itself from seeds placed in strategic locations.

Mitchel Resnick directs one of the most original laboratories of the MIT Media Lab. Baptized Lifelong Kindergarten (Kindergarten of life), It is intended to put into practice the theories of learning why a person develops the most pure creativity, with an imagination without limits and almost without interference or prejudices, between the 4 and the 11 years of age. With his laboratory, Resnick aims to assist people of all ages to «become creative thinkers», «It is essential to achieve greater satisfaction in their personal life and success in the future». That Yes, returning to think like children.

One of the flagship initiatives of the MIT is the so-calledCenter for Collective Intelligence, a multidisciplinary Center that leverages the knowledge of different research units of the MIT in business management, artificial intelligence, new technologies or neuroscience to try to get the maximum out of the so-called 'collective intelligence’. The question that inspired the work of their researchers is: do we connect people and computers that are collectively smarter than the people have never been?, the groups and computers acting individually? «Our Collaboratorium is», at the same time, a species of Wikipedia for controversial topics, «a SIMS game about the future of the planet and a system of e-democracy», explain its creators. «The social conversation about the most critical global issues can be overcome too emotional and simplistic Yes/No voting scheme between a very low number of alternatives». This model can lead to collective decisions based on evidence and logical reasoning on very complex issues», added. And they plan to put it to the test with a controversial issue: climate change.

Heraldo.es [en línea] Zaragoza (Spain): heHeraldo.es de marzo de 2011, [REF. 1 March of 2011] Available on Internet: