A5038454292- Chronic Obstructive Pulmonary Disease (COPD) Research
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Mobile Health and mHealth Applications
- Delphi Technique in Research
- Interprofessional Education and Collaboration
- Telemedicine and Telehealth Implementation
- Electronic Health Records Systems
- Nursing Diagnosis and Documentation
- Sports injuries and prevention
- Respiratory Support and Mechanisms
- Asthma and respiratory diseases
- Geriatric Care and Nursing Homes
- Atrial Fibrillation Management and Outcomes
- Frailty in Older Adults
- Healthcare Systems and Technology
- Primary Care and Health Outcomes
- Medication Adherence and Compliance
- Antiplatelet Therapy and Cardiovascular Diseases
- Clinical practice guidelines implementation
- Proteoglycans and glycosaminoglycans research
- Cardiac, Anesthesia and Surgical Outcomes
- Context-Aware Activity Recognition Systems
- Sports Performance and Training
Fundació Clínic per a la Recerca Biomèdica
2016-2024
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer
2007-2024
Fundació de Recerca Clínic Barcelona-Institut d’Investigacions Biomèdiques August Pi i Sunyer
2023-2024
Hospital Clínic de Barcelona
2008-2021
Mater Misericordiae University Hospital
2021
Hospital Universitario Puerta de Hierro Majadahonda
2020
Universitat de Barcelona
1992-2019
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias
2015-2018
Fundació Privada Clínic per a La Recerca Biomèdica
2016
Universitat Autònoma de Barcelona
2006-2016
To quantify the relative contributions of convective and peripheral diffusive components O2 transport to increase in leg uptake (VO2leg) at maximum (VO2max) after 9 wk endurance training, 12 sedentary subjects (age 21.8 +/- 3.4 yr, VO2max 36.9 5.9 ml.min-1.kg-1) were studied. VO2max, blood flow (Qleg), arterial femoral venous PO2, thus VO2leg, measured while breathed room air, 15% O2, 12% O2. The sequence three inspirates was balanced. After VO2leg increased each inspired concentration...
Information and telecommunication technologies are called to play a major role in the changes that healthcare systems have face cope with chronic disease. This paper reports telemedicine experience for home care of patients suffering from obstructive pulmonary disease (COPD) an integrated system designed carry out this experience. To determine impact on health, was used during one year (2002) 157 COPD clinical experiment; endpoints were readmissions mortality. Patients intervention group...
The objective of Integrated Care Pathways for Airway Diseases (AIRWAYS-ICPs) is to launch a collaboration develop multi-sectoral care pathways chronic respiratory diseases in European countries and regions.AIRWAYS-ICPs has strategic relevance the Union Health Strategy will add value existing public health knowledge by: 1) proposing common framework diseases, which facilitate comparability trans-national initiatives; 2) informing cost-effective policy development, strengthening particular...
Background Inappropriate use of multiple medicines (inappropriate polypharmacy) is a major challenge in older people with consequences increased prevalence and severity adverse drug reactions interactions, reduced adherence. The aim this study was to determine the levels consensus amongst key stakeholders European Union (EU) relation aspects management polypharmacy people. Methods Forty-six statements were developed on healthcare structures, processes desired outcomes, defined at ≥ 80%...
Despite the severity of ankle syndesmosis injuries, it has been argued that they are relatively poorly detected. This study investigated interrater reliability four orthopaedic tests for injury and assessed their ability to predict extended recovery times have reported as a consequence this injury. Nine physiotherapists, working in random pairings, examined 53 subjects, all receiving treatment at two private clinics. Each subject was tested by physiotherapists who independently performed...
Home Hospitalization has proven efficacy, but its effectiveness and potential as an Integrated Care Service in a real world setting deserves to be explored.
To identify barriers to deployment of four articulated Integrated Care Services supported by Information Technologies in three European sites. The services covered the entire spectrum severity illness. project targeted chronic patients with obstructive pulmonary disease, cardiac failure and/or type II diabetes mellitus.One health care sector Spain (Barcelona) (n = 11.382); six municipalities Norway (Trondheim) 450); and one hospital Greece (Athens) 388).The were: (i) Home-based long-term...
Abstract Background: Chronic obstructive pulmonary disease (COPD) generates a high burden on health care, and hospital admissions represent substantial proportion of the overall costs disease. Integrated care (IC) has shown efficacy to reduce hospitalisations in COPD patients at pilot level. Deployment strategies for IC services require assessment effectiveness system Aims: The aim this study was explore community-based service preventing emergency department (ED) visits stable frail...
Fog Computing recently came up as an extension of cloud computing to facilitate the development IoT services with strong requirements in latency, security while minimizing traffic load network. The stack resources set by putting together fog and premises has been coined Fog-to-Cloud (F2C) computing, positioned innovative paradigm best matching current foreseen demands. This paper emphasizes benefits F2C may bring a particular health area, namely COPD, whose patients' quality life intensely...
Background Multimorbidity and its associated polypharmacy contribute to an increase in adverse drug events, hospitalizations, healthcare spending. This study aimed address: what exists regarding management the European Union (EU); why programs were, or were not, developed; and, how identified initiatives developed, implemented, sustained. Methods Change principles (Kotter) normalization process theory (NPT) informed data collection analysis. Nine case studies conducted eight EU countries:...
Comprehensive assessment of integrated care deployment constitutes a major challenge to ensure quality, sustainability and transferability both healthcare policies services in the transition toward coordinated service delivery scenario. To this end, manuscript articulates four different protocols aiming at assessing large-scale implementation care, which are being developed within umbrella regional project Nextcare (2016-2019), undertaken foster innovation technologically-supported for...
Selecting an ideal antithrombotic therapy for elderly patients with atrial fibrillation (AF) undergoing percutaneous coronary intervention (PCI) can be challenging since they have a higher thromboembolic and bleeding risk than younger patients. The current study aimed to assess the efficacy safety of triple (TT: oral anticoagulation plus dual antiplatelet therapy: aspirin clopidogrel) in ≥75 years age (PCI).
This paper focuses on the technical solutions enabling monitoring of health conditions by means ECG, HR, oxygen saturation, impedance pneumography and activity patterns. The Healthwear service is based Wealthy prototype system. A new design has been made to increase comfort in wearing system during daily patient activities. cloth connected a portable electronic unit (PPU) that acquires elaborates signals from sensors. PPU transmits signal central processing site through use GPRS wireless...
Despite the large impact chronic obstructive pulmonary disease (COPD) that has on population, implementation of new technologies for diagnosis and treatment remains limited. Current practices in ambulatory oxygen therapy used COPD rely fixed doses overlooking diverse activities which patients engage in. To address this challenge, we propose a software architecture aimed at delivering patient-personalized edge-based artificial intelligence (AI)-assisted models are built upon data collected...
The effects of dual antiplatelet therapy (DAPT) and triple (TT: DAPT plus oral anticoagulation) in patients with atrial fibrillation (AF) undergoing percutaneous coronary intervention (PCI) regarding to CHA2DS2-VASc score remain undefined.We compare the effect TT vs. this setting score.In a prospective multicenter registry, 585 (75.2% male, 73.2 ± 8.2 years) AF PCI were followed up during 1 year. Of them, 157 (26.8%) had CHA2DS2-VASc=1, 428 (73.2%) ≥2. was prescribed 51.6% CHA2DS2-VASc=1...
People-centred integrated care is an acknowledged approach to improve the quality and effectiveness of health systems in delivering around people's needs preferences. Nevertheless, more guidance on how effectively design, implement evaluate process people-centred services needed. Under Project INTEGRATE, a framework was developed guide managers assessment, transformation delivery these service innovations.The product synthesis operations, project management literature, relevant analysis four...
The results reported by different studies on telemonitoring in patients with chronic obstructive pulmonary disease (COPD) have been contradictory, without showing clear benefits to date. objective of this study was ascertain whether an early discharge and home hospitalization telehealth program for COPD exacerbation is as effective more efficient than a traditional program. A prospective experimental non-inferiority study, randomized into two groups (telemedicine/control) conducted....
Topical treatment with 1 % sterile sodium hyaluronate solution applied on the tympanic perforation membrane has been suggested as an alternative to surgical in one study only. To further investigate effects of such a treatment, we designed double blind comparing topical administration that 2 methylcellulose (placebo). After degree healing was evaluated and expressed percentage reduction area. The reduced area turned out be significantly different group treated compared placebo group. We...
Cloud computing has been lately extended by fog computing. The main aim of is to shift resources the edge network, hence generating proximate rich infrastructures highly matching common latency and privacy requirements for IoT services. Recently, cloud have merged in a collaborative model referred as Fog-to-Cloud (F2C). F2C's make most out set distributed heterogeneous found at premises, building global stack resources, offered an optimized service performance. F2C paradigm then based on...