PickingList App: progettazione ed implementazione di un’applicazione mobile per magazzini ospedalieri

Questo documento illustra la progettazione e lo sviluppo di un’applicazione Android in ambito aziendale. L’idea è stata concepita dall’azienda Vettore Rinascimento, la quale richiesta era d’implementare un’applicazione per la gestione di liste di prelievo in magazzini di strutture mediche. Lo scopo è di rendere il lavoro manuale più efficiente e affidabile aumentando così le prestazioni dei dipendenti. La tesi analizza le fasi tipiche di sviluppo di un software ovvero: l’analisi dei requisiti, la progettazione, la realizzazione e il collaudo. Durante ciascuna fase saranno analizzate anche le scelte progettuali e implementative. La discussione non si limiterà al solo sviluppo di un’applicazione mobile: siccome il prodotto sviluppato non sarà un software stand-alone, verrà anche spiegato il funzionamento del server preesistente e dello sviluppo di un’api per caricare e salvare i dati. Si presenterà inoltre il prodotto finale con tutte le sue features, alcune delle più interessanti sono la sua capacità di funzionare sia online che offline, di adattarsi a ogni tipo di magazzino, previa configurazione, e di poter scannerizzare i codici a barre degli articoli da prelevare con la fotocamera del dispositivo.

Middleware per integrazione di dati eterogenei per sistemi SAP su Openshift

Questo lavoro di tesi è incentrato sullo sviluppo di una soluzione applicativa nell'ambito dell'integrazione di sistemi software basati su tecnologie considerate legacy. In particolar modo è stato studiata una soluzione integrativa per il popolare ERP gestionale Sap su piattaforma Cloud OpenShift. La soluzione è articolata su diversi livelli basati sull'architettura proposta da Gartner nell'ambito della Digital Integration Hub. È stata sviluppata tramite tecnologie open source leader nel settore e tecnologie cloud avanzate.

Aumentare la consapevolezza sul benessere digitale: Data Visualization e Sonification in un’applicazione mobile

La tecnologia gioca un ruolo importante nella vita della maggior parte delle persone, ma come possiamo assicurarci che migliori effettivamente la vita piuttosto che distrarci da essa? Con gli smartphone di oggi, i social media e i flussi infiniti di contenuti, molte persone sono pronte a condannare la tecnologia sulla base della loro convinzione che questi prodotti siano dannosi per la salute mentale e il benessere. Ma concentrarsi solo su questi effetti potenzialmente dannosi non ci aiuta a raccogliere tutti i vantaggi che questi strumenti hanno da offrire, gestendo anche i loro rischi. Da qui nasce il digital wellbeing: un termine utilizzato per descrivere l’impatto delle tecnologie e dei servizi digitali sulla salute mentale, fisica, sociale ed emotiva delle persone. Lo scopo di questa tesi è quello di aumentare la consapevolezza sul reale utilizzo dei dispositivi e sulle proprie abitudini salutari attraverso la sonificazione, un processo di traduzione dei dati in suono, a volte in un contesto musicale utilizzato come metodo per superare le barriere della comunicazione scientifica. Questo metodo è particolarmente vantaggioso per la sua capacità di rappresentare i dati scientifici per le persone con disabilità visive, che spesso non sono in grado di interagire con le tradizionali visualizzazioni dei dati. Per raggiungere l'obiettivo della tesi viene preso in esame una solo tipologia di dispositivi, gli iPhone, per la quale verrà creata un'applicazione che riesca ad ottenere i dati sulla salute, sulla forma fisica e di utilizzo dello smartphone.

Integrare gli approcci all'innovazione Data Science e Design Thinking: analisi teorica e applicazione al caso della sanità parmense

Nel panorama aziendale odierno, risulta essere di fondamentale importanza la capacità, da parte di un’azienda o di una società di servizi, di orientare in modo programmatico la propria innovazione in modo tale da poter essere competitivi sul mercato. In molti casi, questo e significa investire una cospicua somma di denaro in progetti che andranno a migliorare aspetti essenziali del prodotto o del servizio e che avranno un importante impatto sulla trasformazione digitale dell’azienda. Lo studio che viene proposto riguarda in particolar modo due approcci che sono tipicamente in antitesi tra loro proprio per il fatto che si basano su due tipologie di dati differenti, i Big Data e i Thick Data. I due approcci sono rispettivamente il Data Science e il Design Thinking. Nel corso dei seguenti capitoli, dopo aver definito gli approcci di Design Thinking e Data Science, verrà definito il concetto di blending e la problematica che ruota attorno all’intersezione dei due metodi di innovazione. Per mettere in evidenza i diversi aspetti che riguardano la tematica, verranno riportati anche casi di aziende che hanno integrato i due approcci nei loro processi di innovazione, ottenendo importanti risultati. In particolar modo verrà riportato il lavoro di ricerca svolto dall’autore riguardo l'esame, la classificazione e l'analisi della letteratura esistente all'intersezione dell'innovazione guidata dai dati e dal pensiero progettuale. Infine viene riportato un caso aziendale che è stato condotto presso la realtà ospedaliero-sanitaria di Parma in cui, a fronte di una problematica relativa al rapporto tra clinici dell’ospedale e clinici del territorio, si è progettato un sistema innovativo attraverso l’utilizzo del Design Thinking. Inoltre, si cercherà di sviluppare un’analisi critica di tipo “what-if” al fine di elaborare un possibile scenario di integrazione di metodi o tecniche provenienti anche dal mondo del Data Science e applicarlo al caso studio in oggetto.

Recognition of human activities through eSteps insoles

Recognition of everyday human activity through mobile personal sensing technology plays a central role in the field of pervasive healthcare. The Bologna-based American company eSteps Inc. addresses the growing motor disability of the lower limbs by offering pre-, during and post-hospitalisation monitoring solutions with biomechanics and telerehabilitation protocol. It has developed a smart, customised and sustainable device to monitor motor activity, fatigue and injury risk for patients and a special app to share data with caregivers and medical specialists. The objective of this study is the development of an Artificial Intelligence model to recognize the activity performed by a person with Multiple Sclerosis or a healthy person through eSteps devices.

Cluster Analysis To Identify Elderly People's Profiles: A Healthcare Strategy Based On Frailty Characteristics.

The new social panorama resulting from aging of the Brazilian population is leading to significant transformations within healthcare. Through the cluster analysis strategy, it was sought to describe the specific care demands of the elderly population, using frailty components. Cross-sectional study based on reviewing medical records, conducted in the geriatric outpatient clinic, Hospital de Clínicas, Universidade Estadual de Campinas (Unicamp). Ninety-eight elderly users of this clinic were evaluated using cluster analysis and instruments for assessing their overall geriatric status and frailty characteristics. The variables that most strongly influenced the formation of clusters were age, functional capacities, cognitive capacity, presence of comorbidities and number of medications used. Three main groups of elderly people could be identified: one with good cognitive and functional performance but with high prevalence of comorbidities (mean age 77.9 years, cognitive impairment in 28.6% and mean of 7.4 comorbidities); a second with more advanced age, greater cognitive impairment and greater dependence (mean age 88.5 years old, cognitive impairment in 84.6% and mean of 7.1 comorbidities); and a third younger group with poor cognitive performance and greater number of comorbidities but functionally independent (mean age 78.5 years old, cognitive impairment in 89.6% and mean of 7.4 comorbidities). These data characterize the profile of this population and can be used as the basis for developing efficient strategies aimed at diminishing functional dependence, poor self-rated health and impaired quality of life.

[lay Agency And Healthcare: Producing Healthcare Maps].

This study aimed to characterize which regulatory logics (other than government regulation) result in healthcare output, using a two-stage qualitative study in two municipalities in the ABCD Paulista region in São Paulo State, Brazil. The first stage included interviews with strategic actors (managers and policymakers) and key health professionals. The second phase collected life histories from 18 individuals with high health-services utilization rates. An analysis of the researchers' involvement in the field allowed a better understanding of the narratives. Four regulatory systems were characterized (governmental, professional, clientelistic, and lay), indicating that regulation is a field in constant dispute, a social production. Users' action produces healthcare maps that reveal the existence of other possible health system arrangements, calling on us to test shared management of healthcare between health teams and users as a promising path to the urgent need to reinvent health.

The Environment Of Professional Practice And Burnout In Nurses In Primary Healthcare.

to assess how nurses perceive autonomy, control over the environment, the professional relationship between nurses and physicians and the organizational support and correlate them with burnout, satisfaction at work, quality of work and the intention to quit work in primary healthcare. cross-sectional and correlation study, using a sample of 198 nurses. The tools used were the Nursing Work Index Revised, Maslach Burnout Inventory and a form to characterize the nurses. To analyze the data, descriptive statistics were applied and Spearman's correlation coefficient was used. the nurses assessed that the environment is partially favorable for: autonomy, professional relationship and organizational support and that the control over this environment is limited. Significant correlations were evidenced between the Nursing Work Index Revised, Maslach Burnout Inventory and the variables: satisfaction at work, quality of care and the intent to quit the job. the nurses' perceptions regarding the environment of practice are correlated with burnout, satisfaction at work, quality of care and the intent to quit the job. This study provides support for the restructuring of work processes in the primary health care environment and for communication among the health service management, human resources and occupational health areas.

Quantification and source identification of atmospheric particulate polycyclic aromatic hydrocarbons and their dry deposition fluxes at three sites in Salvador Basin, Brazil, impacted by mobile and stationary sources

The present work has aimed to determine the 16 US EPA priority PAH atmospheric particulate matter levels present in three sites around Salvador, Bahia: (i) Lapa bus station, strongly impacted by heavy-duty diesel vehicles; (ii) Aratu harbor, impacted by an intense movement of goods, and (iii) Bananeira village on Maré Island, a non vehicle-influenced site with activities such as handcraft work and fisheries. Results indicated that BbF (0.130-6.85 ng m-3) is the PAH with highest concentration in samples from Aratu harbor and Bananeira and CRY (0.075-6.85 ng m-3) presented higher concentrations at Lapa station. PAH sources from studied sites were mainly of anthropogenic origin such as gasoline-fueled light-duty vehicles and diesel-fueled heavy-duty vehicles, discharges in the port, diesel burning from ships, dust ressuspension, indoor soot from cooking, and coal and wood combustion for energy production.

The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study

Background: Determinants of public healthcare expenditures in type 2 diabetics are not well investigated in developing nations and, therefore, it is not clear if higher physical activity decreases healthcare costs. The purpose of this study was to analyze the relationship between physical activity and the expenditures in public healthcare on type 2 diabetes mellitus treatment. Methods: Cross-sectional study carried out in Brazil. A total of 121 type 2 diabetics attended to in two Basic Healthcare Units were evaluated. Public healthcare expenditures in the last year were estimated using a specific standard table. Also evaluated were: socio-demographic variables; chronological age; exogenous insulin use; smoking habits; fasting glucose test; diabetic neuropathy and anthropometric measures. Habitual physical activity was assessed by questionnaire. Results: Age (r = 0.20; p = 0.023), body mass index (r = 0.33; p = 0.001) and waist-to-hip ratio (r = 0.20; p = 0.025) were positively related to expenditures on medication for the treatment of diseases other than diabetes. Insulin use was associated with increased expenditures. Higher physical activity was associated with lower expenditure, provided medication for treatment of diseases other than diabetes (OR = 0.19; p = 0.007) and medical consultations (OR = 0.26; p = 0.029). Conclusions: Type 2 diabetics with higher enrollment in physical activity presented consistently lower healthcare expenditures for the public healthcare system.

Adherence to cervical and breast cancer programs is crucial to improving screening performance

Introduction: Cervical and breast cancer are the most common malignancies among women worldwide. Effective screening can facilitate early detection and dramatically reduce mortality rates. The interface between those screening patients and patients most needing screening is complex, and women in remote areas of rural counties face additional barriers that limit the effectiveness of cancer prevention programs. This study compared various methods to improve compliance with mass screening for breast and cervical cancer among women in a remote, rural region of Brazil. Methods: In 2003, a mobile unit was used to perform 10 156 mammograms and Papanicolaou smear tests for women living in the Barretos County region of Sao Paulo state, Brazil (consisting of 19 neighbouring cities). To reach the women, the following community outreach strategies were used: distribution of flyers and pamphlets; media broadcasts (via radio and car loudspeakers); and community healthcare agents (CHCAs) making home visits. Results: The most useful intervention appeared to be the home visits by healthcare agents or CHCAs. These agents of the Family Health Programme of the Brazilian Ministry of Health reached an average of 45.6% of those screened, with radio advertisements reaching a further 11.9%. The great majority of the screened women were illiterate or had elementary level schooling (80.9%) and were of 'poor' or 'very poor' socioeconomic class (67.2%). Conclusions: Use of a mobile screening unit is a useful strategy in developing countries where local health systems have inadequate facilities for cancer screening in underserved populations. A multimodal approach to community outreach strategies, especially using CHCAs and radio advertisements, can improve the uptake of mass screening in low-income, low-educational background female populations.

Rest energy expenditure is decreased during the acute as compared to the recovery phase of sepsis in newborns

Background: Little is known with respect to the metabolic response and the requirements of infected newborns. Moreover, the nutritional needs and particularly the energy metabolism of newborns with sepsis are controversial matter. In this investigation we aimed to evaluate the rest energy expenditure (REE) of newborns with bacterial sepsis during the acute and the recovery phases. Methods: We studied nineteen neonates (27.3 +/- 17.2 days old) with bacterial sepsis during the acute phase and recovery of their illness. REE was determined by indirect calorimetry and VO(2) and VCO(2) measured by gas chromatography. Results: REE significantly increased from 49.4 +/- 13.1 kcal/kg/day during the acute to 68.3 +/- 10.9 kcal/kg/day during recovery phase of sepsis (P < 0.01). Similarly, VO(2) (7.4 +/- 1.9 vs 10 +/- 1.5 ml/kg/min) and VCO(2) (5.1 +/- 1.7 vs 7.4 +/- 1.5 ml/kg/min) were also increased during the course of the disease (P < 0.01). Conclusion: REE was increased during recovery compared to the sepsis phase. REE of septic newborns should be calculated on individualized basis, bearing in mind their metabolic capabilities.

Use of Medical Subject Headings (MeSH) in Portuguese for categorizing web-based healthcare content

Introduction: Internet users are increasingly using the worldwide web to search for information relating to their health. This situation makes it necessary to create specialized tools capable of supporting users in their searches. Objective: To apply and compare strategies that were developed to investigate the use of the Portuguese version of Medical Subject Headings (MeSH) for constructing an automated classifier for Brazilian Portuguese-language web-based content within or outside of the field of healthcare, focusing on the lay public. Methods: 3658 Brazilian web pages were used to train the classifier and 606 Brazilian web pages were used to validate it. The strategies proposed were constructed using content-based vector methods for text classification, such that Naive Bayes was used for the task of classifying vector patterns with characteristics obtained through the proposed strategies. Results: A strategy named InDeCS was developed specifically to adapt MeSH for the problem that was put forward. This approach achieved better accuracy for this pattern classification task (0.94 sensitivity, specificity and area under the ROC curve). Conclusions: Because of the significant results achieved by InDeCS, this tool has been successfully applied to the Brazilian healthcare search portal known as Busca Saude. Furthermore, it could be shown that MeSH presents important results when used for the task of classifying web-based content focusing on the lay public. It was also possible to show from this study that MeSH was able to map out mutable non-deterministic characteristics of the web. (c) 2010 Elsevier Inc. All rights reserved.