Browsing by Author "Sigulem, Daniel"
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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
- Item[Computing in medical practice].(2003-09-24) Wechsler, Rudolf; Anção, Meide S; de Campos, Carlos José Reis; Sigulem, DanielCurrently information technology is part of several aspects of our daily life The objective of this paper is to analyze and discuss the use of information technology in both medical education and or medical practice
- 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