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Medicine Based Engineering and Informatics to Foster Patient Physician Relationship

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Medicine-Based Informatics and Engineering

Part of the book series: Lecture Notes in Bioengineering ((LNBE))

Abstract

Biomedical Engineering and Medical Informatics can improve patient physician relationship by means of new instruments and software applications designed by interdisciplinary teams. Already in the 1980s with the Perinatal Information System, SIP, and now with the Personalized Perinatal Follow-up System, SEPEPE, the first prescription App, biomedical engineering works towards good quality medicine. SIMIC, another personalized prescription App for cardiac failure patients and DINABANG, a torque/velocity measurement device for the sports field are further examples. Synergy with medicine is not found, on the contrary, in clinical records systems based on a naive translation of industrial information systems with no interdisciplinary design. A disruptive innovation, PRAXIS, captures a physician’s case mix to assist solve his or her future cases based on medical reasoning sequences. Further examples of technology developed from clinical perspectives are ABDOPRE, a servo controlled vacuum bell to treat intra-abdominal hypertension and NEFROVOL a non invasive measure of polycystic kidney volume. Technology transfer is the desired epilogue of research with examples described here: the pulmonary mechanics instrument MECVENT, the hyperbilirrubinaemia reduction lamp BiliLED and the portable lower limb kinetics metre DINABANG. Biomedical Engineering and Medical Informatics converge on a broad interdisciplinary area that could well be identified as Medical Engineering.

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References

  • Alves A, Fonseca T, de Almeida EAF (2015) Differential diagnosis of autosomal dominant polycystic kidney disease. In Li X (ed) Polycystic kidney disease. Codons Publication, Brisbane (AU)

    Google Scholar 

  • Arrua E, Sitrin M, Simini F, Tobal D, Urruty L, Grundel L, Noboa O (2014) NEFROVOL: estimación del volumen renal en base a imágenes ultrasonográficas XXIV Braz. Congr. BME, 2014; paper 384

    Google Scholar 

  • Chagot L, Tobal D, Peirano F, Sarantes R, Ferrari S, Diaz S, Noboa O, Simini F (2018) Clinical kidney volume measurement accuracy using NEFROVOL. In: MeMeA 2018. IEEE international symposium on medical measurements and applications, proceeding, pp 2–7

    Google Scholar 

  • Collen M (1986) Origins of medical informatics. West J Med 145(6):778–785

    Google Scholar 

  • Decia I, Farías A, Szerman D, Grundel L, Briatore D, Piñeyrúa M, Villar A, Simini F (2016) CAMACUA: low cost real time risk alert and location system for healthcare environments. CLAIB 2016. Bucaramanga, Colombia

    Google Scholar 

  • Díaz-Berenguer A (2021) Clinical practice, patient-physician relationship and computers. In: Simini F, Bertemes P (eds) Medicine based informatics and engineering. Springer

    Google Scholar 

  • Duffy F, Gordon G, Whelan G, Cole-Kelly K, Frankel R (2004) Assessing competence in communication and interpersonal skills: the Kalamazoo II report. Acad Med 79(6):495–507

    Article  Google Scholar 

  • Estol P, Piriz H, Basalo S, Simini F, Grela C (1992) Oro-naso-pharyngeal suction at birth: effects on respiratory adaptation of normal term vaginally born infants. J Perinat Med 20(4):297–305

    Article  Google Scholar 

  • Facultad de Información y Comunicación – Universidad de la República, Uruguay “Embrayage video” (the clutch) to describe the technology transfer from Academia to Industry. https://www.youtube.com/watch?v=RtEFQidw5tE. Accessed May 2021

  • Galnares M, Nesmachnow S, Simini F (2021) Instance-based learning following physician reasoning for assistance during medical consultation. Appl Sci 11(13):5886. https://doi.org/10.3390/app11135886, https://www.mdpi.com/2076-3417/11/13/5886

  • Kirkpatrick A, Roberts D, Malbrain M et al (2013) Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome World Society of the Abdominal. Intensive Care Med 39:1190–1206

    Article  Google Scholar 

  • Lee AR, Kim IK, Lee E (2021) Developing a transnational health record framework with level-specific interoperability guidelines based on a related literature review. Healthcare (basel, Switzerland) 9(1):67

    Google Scholar 

  • Liu H, Garrett WE, Moorman CT, Yu B (2012) Injury rate, mechanism, and risk factors of hamstring strain injuries in sports: a review of the literature. J Sport Heal Sci 1(2):92–101

    Article  Google Scholar 

  • Low R (2015) The theory of practice: concept processing white paper. Infor Med Medical Systems, Inc., USA. www.praxisemr.com/white_papers.html

  • MOVI Technology for Life. https://www.movi-ing.com/. Accessed May 2021

  • Núcleo de Ingeniería Biomédica de las Facutades de Medicina e Ingeniería NIB. www.nib.fmed.edu.uy. Accessed May 2021

  • Opar D, Williams M, Shield A (2012) Hamstring strain injuries: factors that lead to injury and re-injury. Sport Med 42(3):209–226

    Article  Google Scholar 

  • Our World in Data. https://ourworldindata.org/child-mortality-in-the-past. Accessed April 2021

  • Pasker V, Huertas C, Sainz S, Santos D, Simini F (2021) PARKIBIP feedback wearable rehabilitation device: market analysis and enhancements. In: IEEE international symposium on medical measurements and applications (MeMeA), Neuchatel, Switzerland

    Google Scholar 

  • Pei Y, Watnick T (2010) Diagnosis and screening of autosomal dominant polycystic kidney disease. Adv Chronic Kidney Dis 17(2):140–152

    Article  Google Scholar 

  • Pracca F, Biestro A, Gorrassi J, David M, Simini F, Cancela M (2011) ABDOPRE: an external device for the reduction of intra-abdominal pressure. Preliminary clinical experience. Rev Bras Ter Intensiva 23(2):238–241

    Google Scholar 

  • Rey G, Alzugaray M, Vico S, Vega C, Simini F (2020) SEPEPE: pregnancy follow-up prescription app. SABI2020, 22 Congreso de Bioingeniería, Piriápolis, Uruguay

    Google Scholar 

  • Rosenbloom S, Denny J, Xu H, Lorenzi N, Stead W, Johnson K (2011) Data from clinical notes: a perspective on the tension between structure and flexible documentation. J Am Med Inform Assoc 18(2):181–186. https://doi.org/10.1136/jamia.2010.007237 (Epub 2011 Jan 12. PMID: 21233086; PMCID: PMC3116264)

  • Santos E, Simini F (2012) Electrical impedance tomography for pulmonary oedema extent monitoring: review and updated design. J Phys Conf Ser 407:012024. https://iopscience.iop.org/issue/1742-6596/407/1

  • Santos D, Massa F, Dominguez J, Morales I, Mattiozzi A, Simini F (Forthcoming) Hamstring torque and velocity open chain measurements in hip extension and knee flexion

    Google Scholar 

  • Santos D et al (2017) DINABANG: explosive force hamstring rehabilitation biomechanics instrument. In: 6th international conference biotechnology bioengineering, vol 23, no 1. Offenburg, Germany, p 47

    Google Scholar 

  • Santos D et al (2019) Posterior thigh isometric force measurement with extended knee. J Sci Res Reports 23(6):1–8

    Google Scholar 

  • Schandy A, Pracca F, Simini F (2020) Treatment of abdominal hypertension: development of an original non-invasive device ABDOPRE. In: González Díaz CA et al (eds) CLAIB 2019, IFMBE proceedings, vol 75, pp 567–574

    Google Scholar 

  • Schwarcz R et al (1983) Simplified perinatal clinical history, Boletín de la Oficina Sanitaria Panamericana (OSP);95(2), ago. https://iris.paho.org/handle/10665.2/17048

  • Silvera G, Chamorro C, Silveira A, Ormaechea G et al (2013) Nivel de conocimiento de la enfermedad en una cohorte de pacientes con insuficiencia cardíaca. Arch Med Intern 35(3):71–75

    Google Scholar 

  • Simini F (1999) Perinatal information system (SIP): a clinical database in Latin America and the Caribbean. Lancet 354:75

    Article  Google Scholar 

  • Simini F (2013) Technology transfer of biomedical equipment in Uruguay: lessons learned. VI Bioengineering Congress “Human Welfare”, Kuşadası, Turkey, 12–15 Nov 2013

    Google Scholar 

  • Simini F (2015) Technology transfer of biomedical equipment: from bedside to academia and to industry to meet clinical needs as detected by research. In: Tutorial IEEE I2MTC Congress Pisa, Italia

    Google Scholar 

  • Simini F, Díaz A, López R, Schwarcz R (1990) Sistema Informático Perinatal. Desarrollo de un instrumento de apoyo a la asistencia perinatal. RBE Rev Bras Eng 7(2):65–80

    Google Scholar 

  • Simini F, Sitrin M, Arrua E, Tobal D, Urruty L, Noboa O (2015) Renal volume estimation by ultrasound parallel scanning for polycystic kidney disease follow-up. IFMBE Proc 51:1273–1278

    Article  Google Scholar 

  • Simini F, Diaz S, Tobal D, Peirano F, Sitrin M, Arrua E, Noboa O (2017) NEFROVOL organ reconstruction method from US scans for 3D printing to better patient-physician relationship: volume measurement accuracy. 1° Congresso IDBN, Bologna, Istituto Ortopedico Rizzoli - Centro di Ricerca Codivilla Putti, 25–26 maggio

    Google Scholar 

  • Simini F, Diaz S, Tobal D, Peirano F, Sitrin M, Arrua E, Noboa O (2018) NEFROVOL organ reconstruction method from US scans for 3D printing to better patient—physician relationship: volume measurement accuracy

    Google Scholar 

  • Simini F, Galnares M, Silvera G, Álvarez-Rocha P, Low R, Ormaechea G (2020) Pattern recognition to automate chronic patients follow-up and to assist outpatient diagnostics. In: Ortiz-Posadas M (ed) Recognition techniques applied to biomedical problems. STEAM-H: science, technology, engineering, agriculture, mathematics & health. Springer, pp 175–195

    Google Scholar 

  • Terada N, Arai Y, Kinukawa N, Terai A (2008) The 10-year natural history of simple renal cysts. Urology 71(1):7–11; discussion 11–2. https://doi.org/10.1016/j.urology.2007.07.075 (PMID: 18242354)

  • Tobal D, Noboa O (2014) Autosomal dominant polycystic kidney disease: the need for a timely diagnosis and treatment. Poliquistosis renal autosómica dominante: necesidad de diagnóstico y tratamiento oportuno. Rev Médica del Uruguay 30(3):184–192

    Google Scholar 

  • Vollmann D, Nägele H, Schauerte P, Wiegand U, Butter C, Zanotto G, Quesada A, Guthmann A, Hill MR, Lamp B (2007) Clinical utility of Intrathoracic impedance monitoring to alert patients with an implanted device of deteriorating chronic heart failure. Eur Heart J 28(15):1835–1840

    Article  Google Scholar 

  • WHO. https://www.who.int/news-room/fact-sheets/detail/millennium-development-goals-(mdgs). Accessed April 2021

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Authors and Affiliations

  1. Universidad de la República, Nucleo de Ingeniería Biomédica, Montevideo, Uruguay

    Franco Simini

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  1. Franco Simini
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Correspondence to Franco Simini .

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  1. Núcleo de Ingeniería Biomédica de las Facultades de Medicina e Ingeniería, Universidad de la República, Montevideo, Uruguay

    Franco Simini

  2. Departamento de Engenharia Elétrica, Universidade do Estado de Santa Catarina, Joinville, Brazil

    Pedro Bertemes-Filho

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Simini, F. (2022). Medicine Based Engineering and Informatics to Foster Patient Physician Relationship. In: Simini, F., Bertemes-Filho, P. (eds) Medicine-Based Informatics and Engineering. Lecture Notes in Bioengineering. Springer, Cham. https://doi.org/10.1007/978-3-030-87845-0_1

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  • DOI: https://doi.org/10.1007/978-3-030-87845-0_1

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  • Print ISBN: 978-3-030-87844-3

  • Online ISBN: 978-3-030-87845-0

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