Browsing Institut Politècnic d’Innovació i Recerca en Sostenibilitat (INSPIRES) by Author "Abella i Pons, Francesc"
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- ItemRestrictedH-PC: a cloud computing tool for supervising hypertensive patients(Springer Verlag, 2015) Vilaplana Mayoral, Jordi; Solsona Tehàs, Francesc; Abella i Pons, Francesc; Cuadrado, Josep; Teixidó Torrelles, Ivan; Mateo Fornés, Jordi; Rius Torrentó, Josep MariaHypertension or high blood pressure is a condition on the rise. Not only does it affect the elderly but it is also increasingly spreading to younger sectors of the population. Treating it involves exhaustive monitoring of patients. Current health services can be improved to perform this task more effectively. A tool adapted to the particular requirements of hypertension can greatly facilitate monitoring and diagnosis. This paper presents the computer application Hypertension Patient Control (H-PC), which allows patients with hypertension to send their readings through mobile phone Short Message Service (SMS) or e-mail to a cloud computing datacenter. Through a graphic interface, clinicians can keep track of their patients, thus facilitating monitoring. Cloud-based datacenters provide a series of advantages in terms of scalability, maintainability, and massive data processing. However, the ability to guarantee Quality of Service (QoS) is crucial for the commercial success of cloud platforms. A novel and efficient cloud-based platform managing H-PC with QoS is also proposed in this paper
- ItemRestrictedS-PC: An e-treatment application for management of smoke-quitting patients(Elsevier, 2014) Vilaplana Mayoral, Jordi; Solsona Tehàs, Francesc; Abella i Pons, Francesc; Cuadrado, Josep; Alves, Rui; Mateo Fornés, JordiThe main objective ofthis paper is to present a new program thatfacilitates the management of people who want to quit smoking, implemented through an e-treatment software called S-PC (Smoker Patient Control). S-PC is a web-based application that manages groups of patients, provides a bidirectional communication through mobile text messages and e-mails between patients and clinicians and offers advice and control to keep track of the patients and their status. A total of 229 patients were enrolled in the study, randomly divided into two groups, although some variables were tested to ensure that there were no significant differences between the groups that could have an impact on the outcome of the treatment. There were no significant differences between the two groups regarding the ratio/number of males/females, tobacco dependence, co-oximetry, average cigarette consumption, current age and age when smoking started. The first group was made up of 104 patients (45.4% of the total) and followed a treatment that incorporated the S-PC tool, while the second one had 125 patients without the S-PC tool. S-PC was evaluated for its effectiveness at assisting the patients to give up smoking, and its effect on clinician time management. 74% of the S-PC group completed the treatment without relapses and remained abstinent three months after the completion of the treatment, understanding abstinence as being continuous (with no relapses allowed and co-oximetry below 1 ppm) from the day of stopping. In contrast only 45.6% of the No S-PC group completed the treatment without relapses and remained abstinent three months after completion of the treatment. The rate of admittance to the program has doubled in one year and patients went from having to wait for 3 months to be immediately admitted into the program.
- ItemOpen AccessTControl: A mobile app to follow up tobacco-quitting patients(Elsevier, 2017-04) Pifarré Montalà, Marc; Carrera Peruga, Adrián; Vilaplana Mayoral, Jordi; Cuadrado, Josep; Solsona, Sara; Abella i Pons, Francesc; Solsona Tehàs, Francesc; Alves, RuiBackground and Objective Tobacco smoking is a major risk factor for a wide range of respiratory and circulatory diseases in active and passive smokers. Well-designed campaigns are raising awareness to the problem and an increasing number of smokers seeks medical assistance to quit their habit. In this context, there is the need to develop mHealth Apps that assist and manage large smoke quitting programs in efficient and economic ways. Objectives Our main objective is to develop an efficient and free mHealth app that facilitates the management of, and assistance to, people who want to quit smoking. As secondary objectives, our research also aims at estimating the economic effect of deploying that App in the public health system. Methods Using JAVA and XML we develop and deploy a new free mHealth App for Android, called TControl (Tobacco-quitting Control). We deploy the App at the Tobacco Unit of the Santa Maria Hospital in Lleida and determine its stability by following the crashes of the App. We also use a survey to test usability of the app and differences in aptitude for using the App in a sample of 31 patients. Finally, we use mathematical models to estimate the economic effect of deploying TControl in the Catalan public health system. Results TControl keeps track of the smoke-quitting users, tracking their status, interpreting it, and offering advice and psychological support messages. The App also provides a bidirectional communication channel between patients and clinicians via mobile text messages. Additionally, registered patients have the option to interchange experiences with each other by chat. The App was found to be stable and to have high performances during startup and message sending. Our results suggest that age and gender have no statistically significant effect on patient aptitude for using TControl. Finally, we estimate that TControl could reduce costs for the Catalan public health system (CPHS) by up to € 400M in 10 years. Conclusions TControl is a stable and well behaved App, typically operating near optimal performance. It can be used independent of age and gender, and its wide implementation could decrease costs for the public health system.