MACVIA-ARIA Sentinel NetworK for allergic rhinitis (MASK-rhinitis): the new generation guideline implementation

Several unmet needs have been identified in allergic rhinitis: identification of the time of onset of the pollen season, optimal control of rhinitis and comorbidities, patient stratification, multidisciplinary team for integrated care pathways, innovation in clinical trials and, above all, patient empowerment. MASK-rhinitis (MACVIA-ARIA Sentinel NetworK for allergic rhinitis) is a simple system centred around the patient which was devised to fill many of these gaps using Information and Communications Technology (ICT) tools and a clinical decision support system (CDSS) based on the most widely used guideline in allergic rhinitis and its asthma comorbidity (ARIA 2015 revision). It is one of the implementation systems of Action Plan B3 of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA). Three tools are used for the electronic monitoring of allergic diseases: a cell phone-based daily visual analogue scale (VAS) assessment of disease control, CARAT (Control of Allergic Rhinitis and Asthma Test) and e-Allergy screening (premedical system of early diagnosis of allergy and asthma based on online tools). These tools are combined with a clinical decision support system (CDSS) and are available in many languages. An e-CRF and an e-learning tool complete MASK. MASK is flexible and other tools can be added. It appears to be an advanced, global and integrated ICT answer for many unmet needs in allergic diseases which will improve policies and standards.

O SIVICC como um sistema dissuasor da ilicitude e de apoio à atividade operacional da GNR

O objeto de estudo da presente investigação é o SIVICC. Sendo o objetivo geral demonstrar o seu desempenho organizacional nos domínios da dissuasão da ilicitude, do apoio à decisão e do suporte à atividade operacional da GNR, procurando adicionar e aprofundar conhecimento teórico e empírico. Em termos de metodologia optámos por uma estratégia de investigação qualitativa e relativamente ao desenho da pesquisa optou-se pela transversal. Os métodos e técnicas utilizadas foram as entrevistas semiestruturadas com a respetiva análise de conteúdo e a análise documental. Como resultado principal destacamos que, com base numa doutrina assente em princípios centrados em rede e no empirismo resultante das entrevistas efetuadas, o SIVICC proporciona superioridade de informação resultando numa consciência situacional partilhada da organização, o que conduz a melhores efeitos operacionais, que contribuem na prossecução da segurança de Portugal e da UE, através de uma efetiva vigilância diária e controlo do mar territorial e zona costeira. Concluímos que o SIVICC promove um apoio importante na tomada de decisão e suporta eficazmente e eficientemente a atividade operacional da GNR, que se vai refletir numa vantagem competitiva sobre o adversário que é persuadido a mudar os seus comportamentos através da dissuasão que o sistema proporciona. Abstract: The study object of this research is the SIVICC. The overall goal is to prove their organizational performance in the areas of deterrence of unlawful, in decision support and in supporting the operational activities of the GNR, attempting to add and deepen theoretical and empirical knowledge. In terms of methodology we chose a qualitative research strategy and for the design of research we chose the transversal. The methods and techniques used were semi-structured interviews with the respective content analysis and document analysis. The main result we highlight, based on a doctrine sustained on principles of centered network operations and a result empiricism of conducted interviews, that the SIVICC provides information superiority resulting in a shared situational awareness of the organization, leading to better operational effects that contribute to the pursuit security in Portugal and in the EU, through effective daily monitoring and control of the territorial sea and coastal zone. We conclude that the SIVICC promotes an important support decision making and supports effectively and efficiently operational activity of the GNR, which will reflect a competitive advantage over the adversary who is persuaded to change their behavior through deterrence that the system provides.