The use of virtual reality in rehabilitation of injured spinal cord

29 08 2013

An article on the use of virtual reality in rehabilitation of injured spinal cord best scientific publication of 2012

Biomechanics and technical supports of the national paraplegics Hospital team has been awarded the prize for the best scientific paper, published in the magazine Rehabilitation (Madr) during the year 2012, which evaluates the effectiveness of virtual reality in rehabilitation of patients with spinal cord injury.

 

 

The scientific article, recognized at the last Congress of the Spanish society of rehabilitation (SERMEF) held in Salamanca, refers specifically to the clinical experience on the use of the system called TOyRA, a device consisting of inertial sensors that capture the movement of the patient, playing them in the form of avatar on a monitor and can be measured objectively different variables.

 

According to the head of Biomechanics and technical AIDS, Angel Gil, “the main conclusion of the study is that the system of rehabilitation TOyRA It is presented as an optimal therapeutic tool. According to data can offer better functional results than the realization of traditional methods in the treatment of motor deficits of the upper limbs in injured spinal cord”.

 

With the recognition of rehabilitation (Madr), TOyRA get its third award for his contribution to the improvement of the quality of life of the injured spinal cord. Previously the magazine Actualidad Económica chose TOyRa as one ‘ the 100 best ideas of the year 2008′ and Computing magazine, weekly specialising in information technology, awarded in the category “R & d”.

 

TOyRA is the result of a project born from the collaboration of the Rafael del Pino Foundation, the company Indra and the National Hospital for paraplegics, Center managed by the Government of Castilla la Mancha.

 

Access to the full article.

 

 

Infomedula.org [en línea] Toledo (ESP): infomedula.org, 29 de agosto de 2013 [REF. 23 in August of 2013] Available on Internet:http://www.infomedula.org/ index.php?option = com_content&view = article&ID=991:un-Articulo-sobre-el-USO-de-la-realidad-virtual-en-rehabilitacion-de-lesionados-medulares-Mejor-publicacion-Cientifica-de-2012-&CATID = 35% 3Ahospital&lang = is



Tejidos inteligentes capaces de liberar fármacos

26 08 2013

A 'spin-off' of the UGR creates 'smart' tissues capable of administering drugs by themselves

NanoMyP (Nanomaterials and polymers SL) It offers nanomaterials with 'à la carte' properties that enable other companies save costs and shortening industrial processes.

 

María del Carmen Redondo, Ángel Valero, Antonio Luis Medina y Juan Díaz en las instalaciones de nanoMyP

Maria of the Carmen Redondo, Angel Valero, Antonio Luis Medina and Juan Díaz in nanoMyP facilities

 

'Smart' tissues release drugs in the place and the right time, measure the pH and oxygen from the water at the same time or shorten and cheapen industrial processes through the application of nanotechnology: It is the field in which is moved for more than one year nanoMyP, a 'spin-off' of the University of Granada which arose as a result of the progress made in the field of nanotechnology and the development of sensors for the research group ' environmental analytical Control, Biochemist and food ' of the Granada academic institution, advises the Foundation see .

Those responsible, Maria of the Carmen Redondo, Antonio Luis Medina, Ángel Valero and Jorge F. Fernandez, They explain that the line of business of the company, located in the Parque Tecnológico de Ciencias de la Salud (PTS) Granada, It passes through supplying materials highly technological research groups and r & d departments of companies that incorporate nanotechnology in its activity. These materials are known as 'intelligent' by experiencing a change of an observable property to the action of an external stimulus, that is to say, they have an application and work on their own.

In this sense, nanoMyP develops intelligent fabrics, subsequently they have multiple applications. "Our work is designing both the nano and polymeric microparticles and intelligent fabrics with properties 'à la carte' to apply to every need", explains Angel Valero, Director of production and Marketing of the firm. Like this, tissues may be impervious to water, that you do not sweat, It released drugs, that you incorporate intelligent molecules for biocatalytic production of antibiotics as processes, etc.

So far, in any case, most of the applications focus on the sector of biotechnology and Biomedicine. In this respect, one of the more distinct applications of this technology is the development of micro-particles charged with a drug that is injected into the body so that they adhere to a cell and produce an effect in it using the aforementioned drug release.

NanoMyP works in parallel in the development of 'intelligent' fabrics for dermatological treatment. According to detailed Angel Valero, the process is based on Photodynamic therapy, why when it is radiated light to the tissue and, Thanks to the action of a molecule immobilized on the fabric, Singlet oxygen is released, It is strongly oxidizing and destroys anything close, Gets finished in minutes with a wart, scars resulting from acne or manifestations of psoriasis. "You put the fabric, applies light and in a few minutes removed the damage', Adds. This line of research, currently under development, It would open a new field of work for the company.

Another application of tissues is the change in color depending on the pH and the oxygen of the water. "If it is applied in a pool, for example, You can know the value of pH simply watching the color of a small piece of our fabric formed by coaxial fibres that is in continuous contact with water", the Director of production and Marketing of the firm.

Among the advantages of nanotechnology, Valero stressed the increase of the efficiency and saving space and cost. In this way, customers are companies, research centres and research groups from universities who want to apply nanotechnology in their work, nanostructured materials have a greater surface area, What increases the efficiency of processes, It does need least amount of material to do the same work and reduces costs. "The current stands for pregnancy tests, for example, they are not very sensitive, they are not nanostructured. Nanotechnology allows us to increase up to a million times the area, What increases the sensitivity of these kits and its effectiveness", exemplifies.

In this respect, the firm is already working on a line to improve industrial processes using immobilized biocatalytic molecules, as the enzymes. In this way, If in the industry tend to follow several steps of synthesis, that require to use a large volume of solvents and reagents, the use of enzymes allows you to move from the home to the last step of the process directly, saving steps and costs, all this with a small amount of enzymes and without losing them in the solution.

 

Robots against eye diseases

Among the future projects, nanoMyP works in the development of a line already initiated at the University stage of its partners, in collaboration with the Eidgenössische Technische Hochschule (ETH) Zurich. The project aims to the creation of a microrobot which can move on the inside of the human body. The ETH has already developed the robot and control system for, for example, You can enter in the eyeball and be controlled from outside by the ophthalmologist, in order to determine the concentration of oxygen due to the 'second skin' of the robot, responsibility of nanoMyP. Through the pupil and with the use of a light, the material responds to the present oxygen concentration and the ophthalmologist can get easily indicative of diseases such as glaucoma and diabetic retinopathy and check if the patient responds favourably to treatment or are in what state. A project for which the Granada company seeks a Business Alliance.

 

Contact: 
Jorge F. Fernández Sánchez, General Director of polymers and nanomaterials, SL E-mail:jfernandez@nanomyp.com
Phone: 958 63 71 14
Web: www.nanomyp.com

 

 

Biotic.ugr.es [en línea] Granada (ESP): biotic.ugr.es, 26 in August of 2013 [REF. 13 in December of 2012] Available on Internet:http://biotic.ugr.es/pages/tablon/*/noticias-cientificas/2012/12/12/una-aspin-offa-de-la-ugr-crea-tejidos-ainteligentesa-capaces-de-administrar-farmacos-por-si-mismos



Biomarker Predicts Heart Attack Risk Based on Response to Aspirin Therapy

22 08 2013

DURHAM, N.C. — Aspirin has been widely used for more than 50 years as a common, inexpensive blood thinner for patients with heart disease and stroke, but doctors have little understanding of how it works and why some people benefit and others don’t.

Now researchers at Duke Medicine have solved some of the mysteries related to the use of this century-old drug, and developed a blood-based test of gene activity that has been shown to accurately identify who will respond to the therapy.

 

The new gene expression profile not only measures the effectiveness of aspirin, but also serves as a strong predictor of patients who are at risk for heart attack, according to a study appearing July 3, 2013, in the online edition of the Journal of the American College of Cardiology.

 

 

“We recognized the concept of aspirin resistance among a population of patients who have cardiac events or stroke,” said senior author Geoffrey S. Ginsburg, M.D., PhD, director of genomic medicine at Duke’s Institute for Genome Sciences & Policy and executive director of the Center for Personalized Medicine. “We give the same dose to all patients, but maybe some patients need a larger dose of aspirin, or maybe they need to try a different therapy entirely. We need better tools to monitor patients and adjust their care accordingly, and the findings from our study move us in that direction.”

 

The Duke researchers enlisted three groups of participants – two of healthy volunteers and one comprised of patients with heart disease seen in outpatient cardiology practices.

The healthy volunteers were given a dosage of 325 mg of aspirin daily for up to a month; the heart disease patients had been prescribed a low dose of aspirin as part of their treatment. Blood was then analyzed for the impact of aspirin on RNA expression and the function of platelets, which are the blood cells involved in clotting.

The RNA microarray profiling after aspirin administration revealed a set of 60 co-expressed genes that the researchers call the “aspirin response signature,” which consistently correlated with an insufficient platelet response to aspirin therapy among the healthy subjects as well as the heart disease patients.

The researchers also examined the aspirin response signature in another group of patients who had undergone cardiac catheterizations. They found the signature was also effective in identifying those patients who eventually suffered a heart attack or died.

“The aspirin response signature can determine who is at risk for heart attack and death,” said Deepak Voora, M.D., assistant professor of medicine at Duke and lead author of the study. “There is something about the biology of platelets that determines how well we respond to aspirin and we can now capture that with a genomic signature in blood.”

 

Ginsburg said the research is progressing to recreate the findings in other populations, and to develop a standardized testing system that could one day move the analysis into daily practice.

“Nearly 60 million people take aspirin regularly to reduce their chances of heart attack and death, but it doesn’t work for everyone,” said Rochelle Long, Ph.D., of the National Institutes of Health’s National Institute of General Medical Sciences, which partly supported the study. “By monitoring gene activity patterns these investigators uncovered a ‘signature’ linked to inadequate responsiveness. This work may eventually lead to a simple blood test to identify those who do not benefit from aspirin, enabling them to seek other therapeutic options.”

In addition to Ginsburg and Voora, study authors include Derek Cyr; Joseph Lucas; Jen-Tsan Chi; Jennifer Dungan; Timothy A. McCaffrey; Richard Katz; L. Kristin Newby; William E. Kraus; Richard C. Becker; and Thomas L. Ortel.

The study received funding from the Duke Institute for Genome Sciences & Policy; the National Institutes of Health (T32HL007101 to DV); the National Center for Research Resources (UL1RR024128); the National Institutes of General Medical Sciences (RC1GM091083); the Centers for Disease Control and Prevention (5U01DD000014); and the David H. Murdock Research Institute.

By Duke Medicine News and Communications

 

dukehealth.org [en línea] Durham, NC (USA): dukehealth.org, 22 in August of 2013 [REF. 03 in July of 2013] Available on Internet:http://www.dukehealth.org/health_library/news/biomarker-predicts-heart-attack-risk-based-on-response-to-aspirin-therapy



LA IDENTIFICACIÓN, UN REQUISITO PREVIO A LA HISTORIA DE SALUD ELECTRÓNICA

19 08 2013

 

The new case history

Computerised or electronic medical history, that means incorporating information and communication technologies (ICT) at the core of the health activity, It has as a consequence that the history ceases to be a record of the information generated in the relationship between a professional and a patient or a health centre, to be part of an integrated clinical information system. The health of a citizen information should include, at least, pro information- assignor of the following systems:

-Data Bases of the health insurance card.

-Current medical records, Anyone who is the place in which they originated.

-Departmental clinical systems, as laboratories and diagnostic imaging services.

-Programs for health promotion and disease prevention.

-Health centres-agreed or other health services.

-Occupational health contingencies.

-Electronic prescription system.

-Supplementary health benefits.

-Clinical decision support systems.

 

New medical history includes all the information a citizen health, with independence of where and when it has been generated. In addition, This clinical system must be part of the appropriate health service information system, getting along with the economic financial management systems, strategic planning and management control.

So all these systems interact and Exchange each other information on people, It is essential that these people are identified uniquely.

 

Identification systems

Some of the systems for identification of persons in our country are the Civil Registry, the national document of identity, and the document of affiliation to Social Security. All of them lack the precision required clinical information system, or they do not identify all susceptible persons to be attended in the health system. These difficulties caused at end of the Decade of the eighties and beginning of the 1990s Spanish health services to initiate the identification of users and assigned a health card.

 

The health insurance card

The exchange of electronic information requires the assurance of the identity of the patient, the health professional who produces that information and of the Central sanita- River where the care takes place. Personal identification numbers that national character are used, and for administrative applications, fiscal and health in the Scandinavian countries and Luxembourg. National or regional codes are used, use restricted to the health sector, in Ireland, Portugal, Italy, Canada, Germany and Spain. Britain has a project of identification with a number of the national health service (NHS). The Netherlands have a national identity number, but not health. Belgium has an ID national but other than that used for other uses. France used the social security number as an identifier in the health sector, to which is added a key two-digit whose use outside the scope of social protection is very restricted.

 

In our health care system the assignment of codes of personal identification by health services began at the time of card issuance which was made following four objectives:

-Create a database which register the affiliation of all citizens with right to public health care.

-Uniquely identify users of the health system.

-Accredit personally the right to benefits.

-To provide health centers database to facilitate the management of the same.

 

Information that is stamped on the card is not standardized, or that contained in the magnetic stripe, nor that of the different databases of the issuing bodies.

When started the health card issuance, warning one major concern by the creation of the database and the accreditation of benefits, that the problems of identification of persons. These priorities were with- logical sequence of the needs of planning and management which had at that time. Until then health services did not have information fide- worthy of the number and characteristics of the population who should attend. The priority in the accreditation of benefits was due to the will differentiate itself from the Social Security Administration, until then this procedure.

The usefulness of the health card as a tool for identification of users has been in evidence with clinical information systems development, especially to relate different systems, as the history of PHC with the specialized or both, with departmental systems.

He considered the card as a tool for accreditation of benefits, It does that in some health services will condition the identification to the accreditation function, identifying only those who are entitled to benefits of the public system. This makes certain groups of people who have access to the health care system in other ways, encounter difficulties for identification.

 

Identification codes

The process of automation of any real-world system is an exercise in abstraction, in which we try to synthesize those basic entities that, in our opinion, they participate in the system that we are developing. In a second level of abstraction, comes time to capture those entities that we defined earlier in a database. These entities are then converted into tables, with its attributes and relationships among them. To make this system work, are required to comply with certain rules which include the normalization process.

A fundamental aspect of standardization is that it requires primary keys, What are the value of an attribute that identifies univocally to each element of the entity, that in the case of the health care system is the patient. One of the rules of normalization is that the key can not rely on the values of the attributes of the element that identifies. The first health cards of our health system opted, breach of this rule, related names identification keys, sex and date of birth of the persons identified. How changes can occur in any of these attributes, is required to assign a new code, so the problem of a person with more than one code occurs.

The above is considered the best option is the generation of sequential numbers.

 

Areas of assignment of identifiers

There must be an entity responsible for assigning identifiers codes, do it in a short period of time and to ensure that there are no people with more than one identifier. The Canadian system provides for the assignment of the ID code for each province or territory. The English NHS provided a unique number. The Canadian system and the Australian are planning that the identifier is for exclusive use by the health system.

It seems that the right thing for our health care system is that each autonomous community assigned that number and be of exclusive use to the health system, While it can be used by other instances.

 

Access to clinical information

To access clinical information corresponding to a person their unambiguous identification is required, locate that information and meet the requirements of security and confidentiality, It dealt in another section. The identification of the person and the location of your clinical information not available problem when it is being served within the scope in which you have been assigned an identification code, but when this circumstance does not occur, required standards for the exchange of information and directories which allow the location of the existing information.

 

New utilities for the health insurance card

Some trends of use of the health card are as follows:

-Automation of tasks without added value.

-Secure and confidential access to clinical information network.

-Storage of clinical information of the holder.

 

These new utilities require a new technological standard, data and security:

-Comply with security procedures which are indicated in the corresponding section.

-To establish standards for the exchange of information.

-Chip cards.

 

Summary of: Of the clinical history to the history of electronic health (Overview). Javier butcher Giménez de Azcárate

 

conganat.org [en línea] Ciudad Real (ESP): conganat.org, 19 in August of 2013 [REF. 2003 ] Available on Internet:http://www.conganat.org/ seis/informes/2003/PDF/capitulo1.pdf



Hepatic Elastography

15 08 2013

It is a scanning techniquenovel, bloodless, simple and quick, which allows to improve diagnostics and evolutionary track of thehepatic fibrosis.

Fibrosis is an essential component of those diseaseschronic liverIt produces long-term complications, as thecirrhosis. In this way, know the degree of fibrosis help toestablish the prognosishepatic disease.

So far, liver biopsy was the only method to get to know the degree of fibrosis. Unlike the biopsy, elastography has no any side effect or risk to the patient: the ordeal just 15 minutes, does not require anesthesia and is painless.

For the realization of this technique using a device similar to a microphone which is supported under the ribs on the right side of the chest, where there is the liver surface. This device emits a vibrating wave whose transmission is via ultrasound. This gives aestimation of hepatic elasticity, It is related to the degree of fibrosis: a lower elasticity, increased fibrosis.

The risk of having a sample error is lower than in liver biopsy, as isstudying a volume of liver tissue 100 times. However, both are considered complementary techniques, because biopsy provides additional information about inflammatory activity and other histological data of importance in the diagnosis.

 

Cun.es [en línea] Navarra (ESP): Cun.es, 15 in August of 2013 [REF. ] Available on Internet:http://www.cun.es/la-clinica/servicios-medicos/departamento/hepatologia/elastografia-hepatica



First study of the ICT expenditure in health in Spain

12 08 2013

The Spanish society of Health Informatics and ComputerWorld preparing a special publication from the results of the six index of health expenditure in Spain and estimations of the most important actors in this segment of the market.

 

Expenditure on information and communication technologies in public health in Spain in 2012 It amounted to 704 million euros, which means that only the 1,25% spending mass public health is dedicated to ICT.

This is only one of the data that are collected in the six index 2012 that just made the Spanish society of Health Informatics and in which participated directly responsible for ICT in the 17 Autonomous communities, defining the framework of the study and providing data from their respective communities.

The six index 2012 It is a report in Spain on the ICT in health expenditure directed by themselves responsible for ICT of the CCAA and collecting form objective real sector data.

This has been possible thanks to the participation of the six as a promoter of the index has guaranteed at all times the independence of the study and the anonymity of the information, presenting only aggregate national data and data weighted by number of protected population.

The study collects data from technological platforms, Security, Pharmacy,telemedicine and ICT management.

Among others, the six index 2012 reflects that the 18% expenditure on ICT in the health sector is dedicated to information systems and data communications-average spending amounts to 142.540 EUR per each 100.000 inhabitants of protected population.

In terms of systems, the application of Telepaliativos is the initiative of teleconsultation with greater presence in the national territory, found in 10 of the 17 Autonomous communities.

Also, the study also prioritizes the projects of greatest interest in the short term for the autonomous communities. Between the 9 projects submitted to the vote, of e-prescribing and/or interoperability has been the greatest impact has, followed by the care to chronically ill with socio-health approach.

The methodology used for the index is based on a survey to the autonomous communities responsible for ICT, using a questionnaire that included a set of indicators for each of the categories of the study.

The indicators were chosen to cover the most important aspects of expenditure and development in the sector as much as possible.

 

The Index 6 born with character of continuity in the future and aims to collect the most significant annual data from the ICT sector in the health and evolution of the same,allowing public institutions and businesses know the situation of the sector in a more detail.

For the publication of the six index 2012 the six and ComputerWorld preparing a special publication that will be available in September.

 

 

Computerworld.es [en línea] Madrid (ESP): Computerworld.es, 12 in August of 2013 [REF. 09 in July of 2013] Available on Internet:http://www.computerworld.es/sociedad-de-la-informacion/primer-estudio-del-gasto-tic-en-sanidad-en-espana



European project Pallas: Diabetes online tracking

8 08 2013

A total of 7.000 diabetics will participate in a European project to design a tracking of their pathology

 

 

 

 

 

 

A total of 7.000 people with diabetes in the provinces of Cádiz, Cordoba, Granada and Sevilla will participate in a European project to design a system for tracking their disease online, through the use of new technologies and that it wants to improve the quality of life and avoid complications of diabetes.

Andalusia is the region that leads this initiative, called project ‘PALANTE‘ (PAtients Leading and mANaging their healthcare through EHealth), It is co-financed by the programme for competitiveness and innovation of the European Commission and it is coordinated from the community of Andalusia.

This initiative, that it be held in six countries, It aims to promote the active role of users in its health care and improve access to the history of digital health of citizens. In particular, in Andalusia the project will focus on the development of an online monitoring system for people with diabetes.

Diabetes mellitus is a health problem that suffers from around the 15 percent of the population can signify the emergence of serious health problems such as blindness, end-stage renal failure, amputations of limbs and cardiovascular disease. These complications are associated, frequently, to risk factors such as obesity, hypertension and Dyslipidemia.

In total, will be 7.000 people with diabetes in the provinces of Cádiz, Cordoba, Granada and Sevilla will participate in this project, that has started in March and will have a duration of 18 months, as reported Monday the Andalusian health administration.

In the province of Seville done already the presentation of the project to professionals who will be piloting and have offered numbers of participants which amounted to 1.370 persons belonging. By regions, they correspond to the Osuna 142, Aljarafe 216, Seville-North 202, Sur Seville 290 and 519 in the city of Seville.

The presentation of the project to professionals was included in a European project PALANTE description, the description of the pilot study in Andalusia and its framing within the framework of the PIDMA (Plan Andaluz de Diabetes Mellitus in Andalusia), the experience of the first district to use the system (the Cadiz Bay District) and a tour of the main features that have been developed.

 

PALLAS PROJECT, THROUGH CLICK HEALTH

The project ' Pallas’ It aims to design a system of tracking of these risk factors through a specific version of click health, the tool that allows citizens to access clinical information and which can be consulted through the Office Virtual of the system Andalusian public health by making use of the digital certificate. This specific version allows users to enter the results of controls that make themselves at home.

In particular, patients will be updated, According to periodicity established for each case, the indices of blood pressure, blood glucose levels, body mass index (calculated on the basis of weight and height) and abdominal perimeter measures.

To facilitate measurements of each of the controlled parameters, the Ministry of health and Social Welfare will be distributed among the participants of the community a total of 3.000 glucometers and 400 blood pressure monitors. The delivery of measurements can be made manually or by connecting both the meter and the monitor directly to the computer to make a machine-readable.

In this sense, the information will be collected in the history of the patient's health, so both patients and practitioners may have a control of the different measurements and, in the event that any of the levels charged is abnormal, the system puts an alert click health professional Panel so that it can act quickly and accurately. Although, This system does not work as alert to the need for an emergency assistance, Since in those cases the patients should follow the usual channels.

In addition, This specific version of click health incorporates a messaging system that allows users to maintain contact with the professionals serving them. It is a communication system delayed allowing users to raise non-urgent questions that subsequently will be resolved by the professional reference.

The project ' Pallas’ with the participation of 10 countries and pilots will take place in regions of six of them. Each region has focused its actions on a different user profile. In the case of Spain, Andalusia are present (monitoring and control online for diabetic patients) and the Basque country (patients with respiratory diseases - asthma and COPD).

Also, they involved the Italian region of Lombardy (patients with chronic heart failure), Turkey (Patients with ankylosing spondylitis), the region South-East of Norway (patients with chronic diseases -diabetes and heart disease-), the region of Styria in Austria (exposure to x-ray), the Czech Republic (the access to the vaccine schedule and citation through health history), which adds two additional experiences: France (access of patients to the folder of personal health) and Denmark (management by patients of your personal health information).

 

 

Europapress.es [en línea] Madrid (ESP): europapress.es, 08 in August of 2013 [REF. 08 in July of 2013] Available on Internet:http://www.europapress.es/Andalucia/Sevilla-00357/Noticia-total-7000-diabeticos-participaran-proyecto-Europeo-disenar-Seguimiento-online-patologia-20130708140702.html



Dr Monteagudo: "Ambient Assisted Living" technologies and their social implications

5 08 2013

Dr. Jose L. Monteagudo

joseluismonteagudopea@gmail.com

 

Ambient Assisted Living (AAL) It refers to the use of information and communications technology-based systems (ICT) so people, especially in the older, they can live better, healthier and more secure in your preferred environment.

Over the last decade national and European r & d programmes have stimulated the development of innovative applications based on ICT for AAL. Particularly noteworthy European AAL Joint Program [http://www.aal-europe.eu], supported by 23 countries and the European Commission. This program has funded more than 150 projects in the period of 2008 a 2013. These projects have been directed to the support of seniors in areas such as the prevention and management of chronic conditions, social interaction, independence, mobility, the self-management in the activities of daily living and work or not paid.

 

Fig.1. Portada del catalogo de Proyectos del Programa Conjunto Europeo de Ambient Assisted Living (AAL)

Fig. 1. Cover of the catalogue of projects of the program set European of Ambient Assisted Living (AAL)

Research activities range from practical aspects of using Wearable Sensors for people to design of integrated health and social care services. The results include a large number of pilot experiences that have focused mainly on verifying prototypes and technical architectures. However, a pending issue is to get the dissemination of the results of r & d in order to make possible the access generalized to products and AAL systems deployment for the population in general of new services more tailored to the needs of the population, more efficient and more sustainable. To tackle this situation, in 2011 was launched on the initiative of the European Innovation Partnership on Active and Healthy Ageing (EIP-AHA) [https://webgate.ec.europa.eu/eipaha/]. With this initiative, you try to save existing barriers to innovation throughout the chain of provision of health and social services through an interdisciplinary and intersectoral approach. The main objective is to increase 2 years of healthy life (HLY) European citizens in 2020.  HLY is a measure of functional health of people in Europe used to characterize a population beyond simple life expectancy statistics. chronic diseases, the fragility and disability tend to be most prevalent at an advanced age in such a way that a population with longer life expectancy may not be more healthy for this reason.

 

The EIP-AHA strategic implementation Plan has received the accession of 261 projects supported by groups of different types of stakeholders in the public and private. in addition identified 54 "regions and municipalities as ' reference sites" for Exchange of good practices and share knowledge and experience in actions for active and healthy ageing. in this collaborative framework, the Carlos III Health Institute participates in the action group B3 on "integrated chronic disease care, at the regional level, including remote monitoring"by project PITES (Platform for innovation in telemedicine and e-health). In particular this project focuses on security, the empowerment of patients, the support to the decision making by physicians and interoperability interoperability of devices and systems AAL (or better their absence) It is a major obstacle to the widespread diffusion because it increases costs and reduces the effectiveness of the systems impantados.

Beyond the sphere of devices, one of the biggest concerns is the interoperability of the data with the electronic health record and other information systems related to the health of persons under care. Also the increasing need for organisational interoperability is emerging, the ability of different organizations and professionals to exchange information and to collaborate on complex shared processes.

 

Fig. 2  Desarrollo de robots asistentes de las personas mayores en su vida cotidiana (Ref. Proyecto DOMEO  www.aal-domeo.eu)

Fig. 2 Development of Assistant robots of the elderly in their daily life (REF. Dome project www.aal-domeo.eu)

AAL technologies involve the creation of new worlds for old people.

Certainly, one of the most important forces driving human activity is the desire to optimize the health status and the improvement of quality of life. Individuals looking to achieve this for themselves, their family and communities that are part. intends that the AAL technologies will serve to help individuals live more years with more quality of life. I.e. more HLYs. However, it is difficult to assess the real impact of the AAL technologies in society and the implications of living in the digital world 'intelligent' environments. It is necessary to understand the complex relationship between technology and society particularly the implications of deployments large scale covering populations of millions of users. It should be noted that technologies do not create the transformation of society if same. They are designed, implemented and used by persons in their social contexts, Economic and technological. In addition, frequently, technologies have unintended consequences that combine to have relevant impacts not envisioned by the creators of technology. In line with this the challenge of the evaluation of the systems complex Sociotechnological carried out a future with AAL technologies in our daily lives, good for our parents or ourselves.



Adults with eating disorders have poorer prognosis if they suffer from hyperactivity

1 08 2013

A study with 191 patients revealed that the symptoms of hyperactivity and attention deficit disorder hyperactivity (ADHD) are associated with a greater impulsivity and severity and probably a worse prognosis in patients with eating disorders.

El investigador Fernando Fernández-Aranda

The researcher Fernando Fernández-Aranda

ADHD is little studied in adults and, Although several studies have described associations between this disorder and unusual food behaviors, associations between ADHD and eating disorders in adults have not had described so far.

The results of the study conducted by researchers from the Psychiatry and Mental Health at the Institute of biomedical research of Bellvitge group (IDIBELL) in the unit of disorders of the conduct food of the University Hospital of Bellvitge, and the service of Psychiatry of the Hospital Universitario Vall d ’ Hebron have been published in the online edition of the journal BMC Psychiatry.

 

 

Impulsivity and eating disorders

Symptoms associated with ADHD as impulsivity hyperactivity are very present in patients with eating disorders who participated in the study, but not in all, as explained by Fernando Fernández-Aranda, Head of the unit of disorders of the conduct food of the University Hospital of Bellvitge and researcher at the IDIBELL. These disorders “We found them mostly in patients with more impulsive personality traits: patients with bulimia, disorders of binge eating, and also in patients with eating disorders not specified. On the other hand, anorexic patients more restrictive and more control do not have associated symptoms”.

This research has allowed to develop a model that could be useful in the clinic to detect early risk factors that could lead to an eating disorder.

The symptoms of ADHD are positively associated with age and more impulsive personality traits. That is how much more impulsivity and older, increased risk of developing an eating disorder. They are also associated to a greater severity of the disorder.

On the other hand, impulsivity ADHD symptoms are associated with a low homing, a character trait that implies being able to plan and achieve objectives in the medium and long term. “So that patients with symptoms of ADHD also have worse prognosis because it is more difficult to be able to follow a treatment”, explained Fernandez-aranda.

Reward system

According to Fernandez-aranda, This model will be useful not only in the clinic but also to the research of the brain circuits that regulate the system of reward and that are similar in several behavioral disorders such as eating disorders, the pathological gambling or other behavioral addictions.

More information

Bulimia. Disorder of eating behavior that affects primarily women between 18 and 30 concerned about its image years. They usually begin a diet to lose weight but lose control soon and start binge eating episodes (compulsive eating) several times a day. Once they have suffered this loss of control, they look for ways to make up for it: the 80% you vomit and others made excessive exercise or restrict food during a time. The process is repeated until you reach seven or eight episodes of atracon-vomito a day.

Binge eating disorder. The 90-95% patients suffering from this eating disorder are obese that they use food as an escape valve. Before emotional problems, they lose control and eat compulsively. They do not enjoy food as others obese.

Anorexia. Disorder of eating behavior that appears especially in women of between 14 and 30 years characterized by an excessive preoccupation with image and a distortion of the own personal image. The affected following a strict diet to lose weight to lose the 15% his normal weight and are afraid to gain weight. The 40% are restrictive and the rest combines binge eating and vomiting.

 

Idibell.cat [en línea] Barcelona (ESP): idibell.cat, 01 in August of 2013 [REF. 10 in July of 2013] Available on Internet:http://www.idibell.cat/modul/noticias/es/588/los-adultos-con-trastornos-alimentarios-tienen-peor-pronostico-si-sufren-hiperactividad