Browsing by Author "Pisa, Ivan Torres"
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- Item[BabyCare: decision support system for primary child care using personal digital assistant].(2010-11-04) Costa, Carmen Lúcia de Bartolo; Pinto, Vladimir Camelo; Cardoso, Orlando Lima; Baba, Marcelo Massakazu; Pisa, Ivan Torres; Palma, Domingos; Sigulem, DanielThe purpose of this work was to develop a digital device referred as BabyCare System for the collection storage and decision support for healthcare professionals and other concerned people in order to assist patients in primary child care in deprived communities This system is based on handheld device technologies to be used locally in basic healthcare units in deprived communities whether assisted or not by the Family Health Program Strategy PSF as well as in ambulatory facilities and hospitals Java was used as programming language Evaluations have been conducted regarding 62 users at S o Paulo city including volunteers from the Pastoral da Crian a an ecumenical institution for children The applied questionnaires resulted in a high level of general acceptance 98 3 the on site training was considered as appropriate 91 9 a perception of routine improvement and decrease in the time of consultation 100 0 and a decrease in the volume of paperwork 96 7 The prototype has proven to be robust and effective for the use in deprived communities with precarious computer and telecommunication infrastructure
- ItemCollaboration Between Medical Professionals: Special Interest Groups in the Brazilian Telemedicine University Network (RUTE).(0000-00-00) de Lima Verde Brito, Thiago Delevidove; Baptista, Roberto Silva; de Lima Lopes, Paulo Roberto; Taylor, Alan; Haddad, Ana Estela; Messina, Luiz Ary; Pisa, Ivan TorresBackground and Introduction In Brazil the Telemedicine University Network RUTE initiative promotes collaboration between university hospitals teaching hospitals health professionals and students using information and communication technology infrastructure to support special interest groups SIGs in health care Health professionals in institutions belonging to RUTE plan a program of video conferences and or web conferences to discuss specific themes This article presents the results of an analysis of collaboration in these SIGs MATERIALS AND METHODS This study uses descriptive statistical analysis and visualization of data contained in management reports provided by RUTE national coordinators for the period between 2007 and 2016 to evaluate the extent of participation in SIGs between institutions associated with RUTE In this data visualization we employ concepts from social network theory RESULTS The analysis identified the most influential institutions as measured by social network theory metrics A small number of institutions were found to have many participating SIGs but most had only a few participating institutions more than 130 institutions have only one participating SIG Over the study period a significant quantitative growth in collaboration occurred increasing from 21 institutions and 92 participating SIGs in 2007 to 380 institutions and 1 912 participating SIGs in 2016 CONCLUSION The growth in collaboration within the network indicates increasing interest and participation in telehealth initiatives in Brazil
- Item[Development of ophthalmologic software for handheld devices].(2006-11-22) Grottone, Gustavo Teixeira; Pisa, Ivan Torres; Grottone, João Carlos; Debs, Fernando; Schor, PauloINTRODUCTION The formulas for calculation of intraocular lenses have evolved since the first theoretical formulas by Fyodorov Among the second generation formulas the SRK I formula has a simple calculation taking into account a calculation that only involved anteroposterior length IOL constant and average keratometry With the evolution of those formulas complexicity increased making the reconfiguration of parameters in special situations impracticable In this way the production and development of software for such a purpose can help surgeons to recalculate those values if needed PURPOSE To idealize develop and test a Brazilian software for calculation of IOL dioptric power for handheld computers METHODS For the development and programming of software for calculation of IOL we used PocketC program OrbWorks Concentrated Software USA We compared the results collected from a gold standard device Ultrascan Alcon Labs with the simulation of 100 fictitious patients using the same IOL parameters The results were grouped for ULTRASCAN data and SOFTWARE data Using SRK T formula the range of those parameters included a keratometry varying between 35 and 55D axial length between 20 and 28 mm IOL constants of 118 7 118 3 and 115 8 RESULTS Using Wilcoxon test it was shown that the groups do not differ p 0 314 We had a variation in the Ultrascan sample between 11 82 and 27 97 In the tested program sample the variation was practically similar 11 83 27 98 The average of the Ultrascan group was 20 93 The software group had a similar average The standard deviation of the samples was also similar 4 53 CONCLUSION The precision of IOL software for handheld devices was similar to that of the standard devices using the SRK T formula The software worked properly was steady without bugs in tested models of operational system
- ItemThe impact of short message service text messages sent as appointment reminders to patients' cell phones at outpatient clinics in São Paulo, Brazil.(2010-02-04) da Costa, Thiago Martini; Salomão, Paulo Lísias; Martha, Amilton Souza; Pisa, Ivan Torres; Sigulem, DanielOBJECTIVE Nonattendance for appointments remains a challenge to health care managers and providers The objective of this article is to present the results of a study on the impact of appointment reminders sent as short message service text messages to patients cell phones on nonattendance rates at outpatient clinics in S o Paulo Brazil DESIGN Data were collected on scheduled appointments in four medical clinics using Clinic Manager or Clinic Web systems that can send automated messages to patients Data on appointment attendance were collected from these systems MEASUREMENTS More than 29 000 appointments were scheduled between July 1 2007 and May 31 2008 and for 7890 of them a text message reminder was sent to the patient s cell phone The rates of nonattendance were compared between those who were sent and those who were not sent a text message as an appointment reminder RESULTS The nonattendance reduction rates for appointments at the four outpatient clinics studied were 0 82 p 590 3 55 p 009 5 75 p 022 and 14 49 p Under 001 CONCLUSION The study results indicate that sending appointment reminders as text messages to patients cell phones is an effective strategy to reduce nonattendance rates When patients attend their appointments the facility providing care and the patients receiving uninterrupted care benefit
- ItemResults of a randomized controlled trial to assess the effects of a mobile SMS-based intervention on treatment adherence in HIV/AIDS-infected Brazilian women and impressions and satisfaction with respect...(2012-03-12) da Costa, Thiago Martini; Barbosa, Bárbara Jaqueline Peres; Gomes e Costa, Durval Alex; Sigulem, Daniel; de Fátima Marin, Heimar; Filho, Adauto Castelo; Pisa, Ivan TorresOBJECTIVE To assess whether a warning system based on mobile SMS messages increases the adherence of HIV infected Brazilian women to antiretroviral drug based treatment regimens and their impressions and satisfaction with respect to incoming messages DESIGN A randomized controlled trial was conducted from May 2009 to April 2010 with HIV infected Brazilian women All participants n 21 had a monthly multidisciplinary attendance each participant was followed over a 4 month period when adherence measures were obtained Participants in the intervention group n 8 received SMS messages 30 min before their last scheduled time for a dose of medicine during the day The messages were sent every Saturday and Sunday and on alternate days during the working week Participants in the control group n 13 did not receive messages MEASUREMENTS Self reported adherence pill counting microelectronic monitors MEMS and an interview about the impressions and satisfaction with respect to incoming messages RESULTS The HIV Alert System HIVAS was developed over 7 months during 2008 and 2009 After the study period self reported adherence indicated that 11 participants 84 62 remained compliant in the control group adherence exceeding 95 whereas all 8 participants in the intervention group 100 00 remained compliant In contrast the counting pills method indicated that the number of compliant participants was 5 38 46 for the control group and 4 50 00 for the intervention group Microelectronic monitoring indicated that 6 participants in the control group 46 15 were adherent during the entire 4 month period compared to 6 participants in the intervention group 75 00 According to the feedback of the 8 participants who completed the research in the intervention group along with the feedback of 3 patients who received SMS for less than 4 months that is did not complete the study 9 81 81 believed that the SMS messages aided them in treatment adherence and 10 90 90 responded that they would like to continue receiving SMS messages CONCLUSION SMS messaging can help Brazilian women living with HIV AIDS to adhere to antiretroviral therapy for a period of at least 4 months In general the results are encouraging because the SMS messages stimulated more participants in the intervention group to be adherent to their treatment and the patients were satisfied with the messages received which were seen as reminders incentives and signs of affection by the health clinic for a marginalized population