Propuesta de sistema innovador de comunicación digital utilizando IoT para equipo biomédico de monitoreo de pacientes: de interés sector salud pública / Innovative digital communication system proposal using IoT in biomedical equipment for patient monitoring: interest in public health sector

La presente propuesta de diseño busca la interoperabilidad de datos en salud por medio de la integración de un sistema de comunicación a equipos especializados, utilizando las TI (Tecnologías de la Información) y el IoT (Internet de las Cosas) en los equipos biomédicos especializados o monitor que está siendo utilizado actualmente en los centros hospitalarios público a nivel nacional para la medición de signos vitales, con el objetivo de poder brindar una atención sanitaria a pacientes con padecimientos médicos y que necesitan de una constante supervisión y vigilancia. En los centros hospitalarios se cuenta con equipo biomédico especializado que carece de dichas funcionalidades. Esto repercute u obliga al responsable especialista a tener que estar frente al monitor y paciente para poder observar las mediciones o lecturas que presenta un paciente.

This design proposal seeks the interoperability of health data through the integration of a communication system to specialized equipment, using IT (Information Technology) and IoT (Internet of Things) in specialized biomedical equipment or monitor that is currently being used in public hospitals nationwide for the measurement of vital signs, in order to provide health care to patients with medical conditions and who need constant surveillance. Hospitals have specialized biomedical equipment that lacks these functionalities. This forces the responsible specialist to have to be in front of the monitor and the patient to be able to observe the measurements or readings that a patient presents.

Cuidados na atenção primária em saúde: integrando vigilância, clínica e humanização / Primary in health care: integrating surveillance, clinical practice, and humanization

Este trabalho teve origem na integração teórico-práticadas atividades da ênfase Atenção Básica em Saúde Coletiva,da Residência Integrada em Saúde da Escola de SaúdePública, do Rio Grande do Sul, Brasil. A proposta foi realizarum estudo de caso acerca de uma família, do territóriode uma Estratégia de Saúde da Família, discutindo atemática das imunizações, a partir de um contexto real epossível. Utilizou-se como método a proposta do ProjetoTerapêutico Singular, da Política Nacional da Humaniza-ção, do Ministério da Saúde. Os dados foram coletadosentre os meses de novembro e dezembro de 2011. Os resultadosdemonstraram a potência do trabalho na Aten-ção Primária em Saúde pela interseção dos modelos tecno-assistenciaisda vigilância, da clínica e da humanização.Entre os instrumentos de intervenção, a visita domiciliarapresentou-se como um disparador de potencializaçãodas práticas em saúde no território. Por fim, concluiu-seque a atenção desprendida na saúde deve ir aquém dasteceduras da vida, de cada usuário, família e comunidade.Assim, faz-se necessário um trabalho interdisciplinar daequipe de saúde, capaz de articular a rede, seja de serviço,social, e afetiva.

This work originated in the theoretical-practical integrationof activities, with emphasis on Primary Health Care, ofthe Integrated Health Residency at the School of PublicHealth, Rio Grande do Sul State, Brazil. The proposal wasto conduct a case study about a family, covered at a FamilyHealth Strategy unit, discussing the topic of immunizationsbased on a real and possible context. The method usedwas the Singular Therapeutic Project proposal, from theNational Policy on Humanization, Ministry of Health,Brazil. The data were collected between November andDecember 2011. Results demonstrated the potential ofPrimary Health Care working through the intersectionof the techno-care models of surveillance, clinicalpractice, and humanization. Among the instrumentsof intervention, home visits appeared as a trigger forenhancement of health practices in the coverage area.It was concluded that the health attention offered mustgo over the symptoms or the clinical, crossing the users?,families? and community?s ways of life. Thus the needfor an interdisciplinary health team able to connect theservice, social, and affective networks.

Responding to measles outbreak: closing the immunity gap in children of Timor-Leste

Background: An outbreak of measles was reported in Timor-Leste during 2011. A concertedresponse at national level utilized this opportunity to improve measles immunization coveragerates.Methods: Health Management Information System and Surveillance System data were utilized todescribe the outbreak. Attack rates and case fatality rates (CFR) were calculated using standardmethods. Evaluation surveys were used to access immunization coverage. Proceedings of weeklymeetings of the National Committee for Control of Disease Outbreaks were reviewed.Results: A total of 739 cases and 8 deaths were reported to the Surveillance Unit. Most (>82%)of the measles cases were reported from Dili and Ermera districts. The attack rate was 1.3 per1000 population and CFR was 1.1%. The response was coordinated by the National Committee forControl of Disease Outbreaks, which included case management, active and passive surveillance,communication and measles immunization among six-month to 14-year old children. Immunizationactivity targeted 495 000 children, i.e. almost one-half of the Timor-Leste population and achievedhigh coverage (85%).Conclusions: The outbreak highlighted gaps in the immunity against measles. The NationalCommittee for Control of Disease Outbreaks ensured a coordinated response which led to preventionof deaths from measles due to early case management with vitamin A supplementation, and highmeasles immunization coverage

Vigilancia de la resistencia de levaduras a antifúngicos / Surveillane of antifungal drugs resistance in yeasts

Las infecciones fúngicas invasoras han aumentado en forma explosiva en los últimos 20 años. Desde la década de los 90 se ha observado un cambio continuo en el patrón etiológico de estas micosis, donde las especies del género candida son los principales agentes. Además, en los últimos años se evidencia cada vez con mayor frecuencia, el aislamiento de levaduras menos sensibles o resistentes a los antifúngicos. El objetivo de la presente publicación es revisar los antecedentes de resistencia en levaduras, tanto en el exterior como en nuestro medio y enfatizar la necesidad de mantener una red de vigilancia de resistencia