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F Del Pozo

Publications and source records attributed to F Del Pozo.

13 recordsLinked to original sources
PubMed2002

A web-based self-monitoring system for people living with HIV/AIDS.

Available evidence indicates that the internet is becoming the main source for delivering information on the prevention, control and treatment of HIV/AIDS. This paper presents a further step in the use of the internet to meet the new challenge of managing HIV as a chronic illness. It describes a work carried out under the SEAHORSE EU project to build and test a Web-based self-monitoring system for HIV/AIDS patient care. The user interface has been carefully designed to provide a high-level of interaction and therefore improve some of the current limitations of Web applications. The system comprises three modules: (1) a patient self-monitoring personal diary, to create a follow-up patient record; (2) a data analysis and visualisation tool; and (3) a section to allow patients to ask for advising and remote doctor support. One of the crucial system design issues has been the system security and users anonymity features required in this clinical domain. A feasibility pilot has been carried out to test the system in three organisations involved in the research project: the Immune Development Trust (London), the Lambeth, Southwark and Lewisham Health Authority (London) and Apoyo Positivo in Madrid. The preliminary results of the system evaluation show the potential validity and usefulness of the tool for helping people living with HIV/AIDS to promote and manage their health and for providing health professionals with new means for tele-monitoring and tele-caring patients.

Acquired Immunodeficiency Syndrome↗
PubMed2002

Telemedicine as a tool for intensive management of diabetes: the DIABTel experience.

This paper presents the current features of the DIABTel telemedicine system and the evaluation outcomes of its use in clinical routine. This telemedicine system is designed to complement the daily care and intensive management of diabetic patients through telemonitoring and telecare services. The system comprises a patient unit (PU) used by patients in their day-to-day activities and a Medical Workstation used by physicians and nurses at hospitals. Both applications offer tools to collect, manage, view and interpret data and to exchange data and messages. The system was evaluated for usability, telemedical protocols, metabolic control and quality of life. This evaluation consisted in a 6-month cross-over pilot study with ten Type I diabetic patients. The results of the evaluation allowed assessment of the telemedicine protocols in terms of the number of communications/patient (21.6+/-7.7); days between communications (5.4+/-2.66); messages sent by physicians (118 text messages); and data and messages transmitted by patients (3524 blood glucose readings, 1649 day-to-day insulin adjustments, 24 exercise reports, ten diet modifications and 63 text messages). Physicians performed more therapeutic changes during the DIABTel period than in the control period. There was a trend towards HbA1c improvement during DIABTel use with no incidence in the number of hypoglycaemias. This pilot study demonstrates the feasibility of the DIABTel system in clinical routine use and its potential benefits for diabetes care: improving the availability of information necessary for therapy adjustments; offering new physician-patient communication tools; increasing patient empowerment and education; and showing a positive trend towards improving the metabolic control of patients. Further studies are needed to validate these findings and to promote telemedicine as an opportunity to better diabetes care.

Cross-Over Studies↗
PubMed2002

A telemedicine model for integrating point-of-care testing into a distributed health-care environment.

Centralized testing demands costly laboratories, which are inefficient and may provide poor services. Recent advances make it feasible to move clinical testing nearer to patients and the requesting physicians, thus reducing the time to treatment. Internet technologies can be used to create a virtual laboratory information system in a distributed health-care environment. This allows clinical testing to be transferred to a cooperative scheme of several point-of-care testing (POCT) nodes. Two pilot virtual laboratories were established, one in Italy (AUSL Modena) and one in Greece (Athens Medical Centre). They were constructed on a three-layer model to allow both technical and clinical verification. Different POCT devices were connected. The pilot sites produced good preliminary results in relation to user acceptance, efficiency, convenience and costs. Decentralized laboratories can be expected to become cost-effective.

Clinical Laboratory Information Systems↗
PubMed2001

Transmission trials with a support system for the treatment of cardiac arrest outside hospital.

A mobile electrocardiogram (ECG) transmission system was developed which could transmit single-lead ECG data via GSM mobile telephony. Ambulance transmission trials comprised a total of 72 communications, of which 94% were successful. The system was able to redial up to a predetermined number of times until the GSM call was re-established (during the trials this value was set to five). The average number of GSM call tries was 1.3 per connection. The mean time required to establish a connection was 45 s; the minimum was 34 s, when only one attempt was needed to establish a GSM call. The average duration of ECG transmission between communication breakdowns was 5 min 12 s. When a link breakdown occurred, the user had to wait for an average of only 42 s to continue monitoring the signal.

Electrocardiography↗
PubMed2001

Modelling home televisiting services using systems dynamic theory.

A quantitative model was developed to study the provision of a home televisiting service. Systems dynamic theory was used to describe the relationships between quality of care, accessibility and cost-effectiveness. Input information was gathered from the telemedicine literature, as well as from over 75 sessions of a televisiting service provided by the Severo Ochoa Hospital to 18 housebound patients from three different medical specialties. The model allowed the Severo Ochoa Hospital to estimate the equipment needed to support increased medical contacts for intensive cardiac and other patients.

Adult↗
PubMed1996

Dynamic circular buffering: a technique for equilibrium gated blood pool imaging.

We have devised a software technique called "dynamic circular buffering" (DCB) with which we create a gated blood pool image sequence of the heart in real time using the best features of LIST and FRAME mode methods of acquisition/processing. The routine is based on the concept of independent "agents" acting on the timing and position data continuously written into the DCB. This approach allows efficient asynchronous operation on PC-type machines and enhanced capability on systems capable of true multiprocessing and multithreading.

Gated Blood-Pool Imaging↗
PubMed1988

Behavior of neurons in the abducens nucleus of the alert cat--III. Axotomized motoneurons.

The effects of peripheral and central VIth nerve axotomy on abducens nucleus synaptic potentials of vestibular origin and the ultrastructure of intracellularly labeled abducens motoneurons were examined in the anesthetized cat. Subsequent experiments explored the activity of identified abducens motoneurons during spontaneous and vestibular induced eye movements in alert cats prepared for chronic recordings of eye movements, single units and field potentials. Following axotomy the typical disynaptic inhibition of abducens motoneurons induced by electrical stimulation of the ipsilateral vestibular nerve either disappeared or was reduced for 5-30 days. Disynaptic activation produced by contralateral VIIIth nerve stimulation was apparently not affected. These changes were accompanied at the ultrastructural level by a decrease of axosomatic pleiomorphic synaptic endings. No changes were observed in either the number or distribution of synaptic endings on proximal and distal dendrites. Although not expected by results obtained in acute experiments, axotomized motoneurons showed a decreased excitability in the behavioral paradigm. Amplitude of the abducens antidromic field potential was significantly reduced 4-6 days following axotomy and frequent failures were observed in the antidromic somadendritic invasion of single motoneurons. Somatic invasion was obtained by the simultaneous presentation of appropriate visual and/or vestibular synaptic activity. Chronic recordings of field potentials showed their amplitude to recover in 30-40 days. The spontaneous and vestibular induced activity of identified axotomized motoneurons during this period of time differed in several aspects from controls. Motoneurons could not maintain tonic activity during eye fixations and they showed short, low frequency, bursts of activity that followed, rather than preceded, on-directed saccades. In some cases axotomized motoneurons fired during horizontal off-directed and vertical saccades. Position and velocity gains of axotomized motoneurons were lower than control values. The effects of central axotomy were always larger and of longer duration than those following peripheral axotomy. Structural and functional properties influenced by axotomy seemed to recover in 2-3 months, but with independent time courses. The present results differ in many aspects from those described after axotomy in spinal and hypoglossal motoneurons. In addition, they point out that behavior or axotomized neurons in chronic preparations are not predictable on the basis of those described in acute experiments.

Abducens Nerve↗
PubMed1987

Bootstrapped potential circadian harbingers if not determinants of cardiovascular risk.

Among 12 endocrine variables in blood from clinically healthy adult women sampled systematically around the clock and the year, discriminant analysis methods have singled out certain hormones in certain seasons as classifiers for a high or low risk of developing diseases associated with a high circadian rhythm-adjusted mean (midline estimating statistic of rhythm, MESOR, M) of blood pressure, i.e., risk of M-hypertension (RMH). Before extending the labor intensive, costly data base, showing circadian changes with RMH, we reanalyzed available data by circadian bootstrapping, complementing earlier circannual bootstrapping. Differences in circadian M for aldosterone in all four seasons and for TSH in spring and summer (the only seasons checked), but not for the cortisol M checked in spring and summer, are validated, as are differences in circadian amplitude for TSH in spring and summer and aldosterone in spring. Identification of classifiers provides cost-effective, time-specified endocrine checks complementing the targeted automatic monitoring of blood pressure as part of a system of chronobioengineering for health maintenance.

Adolescent↗
PubMed1987

Ultradian rhythmometry by adaptive line enhancer.

Widrow's adaptive line enhancer (ALE) was applied to human rectal temperatures at 12-min intervals for 9 days. Changes along the scale of 9 days in circadian pattern suggested the occurrence of infradian variation, resolved by analyses of the entire series by linear-nonlinear rhythmometry. Once the original signal is filtered to extract the circadian component, ultradian components appear. A wide peak with a period of about 100 min, seen each day, may reflect a consistent ultradian component. Other peaks at lower ultradian frequencies (around a period of approximately 8 hr) are unsteady and may correspond to harmonics of the partially extracted circadian oscillation. Ultradian components with periods of approximately 131 and approximately 68 min were also suggested independently by population-mean cosinor summarizing data collected over a total of 158 days. Results show the ability of ALE to detect and reconstruct periodic components in noise and to track their changes in frequency, notably when other methods are also used to assess separately the components and the corresponding uncertainties involved.

Biometry↗
PubMedDate not supplied

[Primary ventricular fibrillation. Clinical features and prognostic significance].

The objective of this study was to evaluate the clinic conditions and the prognosis of patients with primary ventricular fibrillation (PVF) as complication of acute myocardial infarction. We retrospectively analyzed 1,120 patients admitted in Coronary Care Unit within 12 hours of onset of symptoms. PVF (not associated with significative heart failure or shock and occurred within 48 hours of onset of symptoms) occurred in 62 patients (5.53%). The frequency of PVF was highest in patients admitted in the first hours after infarction (p = 0.01) and the inferior localization (p = 0.001). Cigarette smoking was identified as strong independent risk factor for ventricular fibrillation (p = 0.009; relative risk 1.945). A statistically significant excess of pericarditis (p = 0.002), ventricular tachycardia (p = 0.004), atrioventricular block (second-third degree) (p = 0.001) and moderate degree of heart failure (p = 0.003), was found in patients with PVF. The occurrence of PVF was not associated to a significantly higher in hospital mortality rate than that observed in reference group (without ventricular fibrillation) (12.90 vs 14.36%). In the long-term survival at 5 years in patients with PVF, who are discharged alive, was 87.82% vs 80.58% in control group. We conclude: 1. Patients with PVF had more complications rate than among those without it. 2. PVF isn't a marker of increase in hospital death rate. 3. PVF by itself does not indicate an adverse long-term prognosis.

Female↗
PubMedDate not supplied

Circannual bootstrapping complements pattern discrimination in the assessment of endocrine markers for an expansive personality (EP).

The bootstrap distribution of the difference in the circannual mesor of DHEA-S, TSH and LH between healthy adult women of a lowly or highly expansive personality, assessed by scale 9 of an abbreviated Minnesota Multiphasic Personality Inventory, validates the potential classifying role of these hormones, originally singled out by methods of pattern discrimination.

Adult↗