lundi 15 juin 2015

Les matinées du numérique à Haguenau

L'économie numérique c'est aussi de la pédagogie et de la communication auprès du grand public.
C'est l'objectif des matinées du numérique à Haguenau que vous trouverez ici.

dimanche 24 novembre 2013

Congrès ANTEL : EDUC@DOM

EDUC@DOM : Évaluation de l’efficacité d’un programme de télésurveillance au domicile et de son coût dans la prise en charge de patients diabétiques de type 2 (DT2) recrutés à partir d’un réseau de soins.
S. Schirr-Bonnans2, M.C. Turnin2, J.C. Buisson4, M.C. Chauchard6, J. Martini6, C. Bolzonella-Pene2, P. Martini2, A. Auque2, V. Jauffret2, I. Olivier2, L. Molinier1, N. Costa1, B. Lepage3, Y. Lapeyre5, J.L. Fraysse7, H. Hanaire2
1Département d'Information Médicale 2Diabétologie, Maladies Métaboliques et Nutrition 3Unité de Soutien Méthodologique à la Recherche, CHU de Toulouse 4Laboratoire IRIT, ENSEEIHT 5MEDES (Institut de Médecine Spatiale) 6Réseau de soins DIAMIP 7SADIR, Toulouse, France 
Objet de l’étude : Les nouveaux outils de télémédecine sont susceptibles d’améliorer la prise en charge des maladies chroniques d’un point de vue médical, organisationnel et économique.
Notre étude vise à évaluer une prise en charge par télésurveillance portant sur l’équilibre glycémique et l’hygiène de vie de patients DT2, par rapport à une prise en charge habituelle.
L’objectif principal est de comparer l’efficacité à 1 an de ces deux prises en charge via l’HbA1c.
Les objectifs secondaires sont le maintien de l’efficacité à 2 ans, l’évolution des connaissances, du comportement hygiéno-diététique, de la qualité de vie, des paramètres cliniques et biologiques. Une évaluation médico-économique est prévue (ratio coût-efficacité, modélisation markovienne).
Méthodes : C’est un essai d’intervention comparatif, randomisé, ouvert, multicentrique en deux bras (télésurveillance versus prise en charge habituelle). 282 patients seront recrutés à partir du réseau de soins en Diabétologie Midi-Pyrénées DIAMIP et suivis pendant 24 mois.
Le dispositif de télésurveillance au domicile comprend des logiciels d’éducation thérapeutique sur tablette tactile et des capteurs connectés : lecteur de glycémie, balance et actimètre. Les données issues des capteurs sont envoyées vers un centre serveur sécurisé et sont synthétisées en un rapport de télésurveillance disponible en ligne pour les médecins qui décident de la conduite à tenir.
Résultats obtenus : Les premiers résultats qualitatifs sur des patients-tests ont permis de montrer la faisabilité du dispositif: l’utilisation du dispositif pendant 3 mois les a motivés à améliorer leur hygiène de vie. Le logiciel de nutrition les aide à rendre leurs repas équilibrés, et porter l’actimètre les incite à marcher plus.

Conclusion : Au terme de cette étude, nous espérons que ce dispositif permettra d’obtenir une meilleure hygiène de vie et à moyen et long terme de prévenir les complications du diabète et les coûts associés. Ce dispositif pourrait être étendu à une population diabétique plus importante ou transposée à d’autres pathologies chroniques.

Au congrès de l'ANTEL - Quelle place pour la Mobile-Health?

Quelle place pour la Mobile-Health dans la prise en charge des patients atteints de maladies chroniques ?
J. Car
Director, Global eHealth Unit School of Public Health, Imperial College London, Royaume-Uni 

Health-related expenditures need to stop increasing faster than the GDP. One of the key tenants of an international effort is focus on finding ways for more efficient delivery of care. Reducing cost growth will ease the budgets and pressure to cut. mHealth is ripe of opportunities for not just ‘incredibly exciting’ but also cost-lowering, quality-improving and value-enhancing interventions. Taking diabetes as an exemplar of chronic conditions I will show how medical care, disease prevention and self-care - which is happening in the consumer space - could be elevated to a new level with mHealth; and thus present a real step-change innovation of future health care systems.

mardi 3 septembre 2013

La rentrée du numérique bat son plein ce 3 septembre 2013


  • Le salon IFA 2013 ouvre ses portes demains avec cette année la Galaxy Gear, la montre connectée de Samsung en avance de phase sur celle d'Apple mais pas la première sur le marché. L'IFA s'est déjà de nombreux smartphones, tablettes, PC All-in-One, Pc sous toutes leurs formes et accessoire, Berlin über alles!
  • Google est attendu sur ce nouveau terrain de conquête des smart choses après le rachat révélé d'une start-up spécialisée il y a un déjà
  • Microsoft rachète pour une bouchée de pain les téléphones Nokia marquant la fin d'une époque
  • Android a enregistré plus d'un milliard d'utilisateurs ou en tout cas de smart choses vendues
  • La prochaine version d'Android s'appelle KitKat et porte le numéro 4.4. La mascotte associée est déjà en place sur le campus de Google, une annonce formelle ne saurait tardée
  • Le lendemain du rachat à Vodafone des 45 pour cent des parts qu'il détenait pour 130 milliards de dollars redonne des couleurs aux valeurs du monde des télécoms.

mardi 14 mai 2013

Commission awards prizes to best eHealth SMEs

European Commission Vice-President Neelie Kroes has awarded prizes to eHealth SMEs from Finland, Germany, Italy, Netherlands, Switzerland and United Kingdom as part of eHealth Week 2013 in Dublin, Ireland. The winners of the 2nd EU SME eHealth Competition came up with innovations in areas such as improving cognitive behavioural therapy for mental care, improving physiological monitoring, and people facing emergencie. The competition was jointly organised by TICBioMed and the European Commission and the winners were selected from 15 competition finalists.
Neelie Kroes said: "I want to congratulate all the finalists, and the winners in particular. Your inspiring ideas show us how eHealth tools can help patients take control of their health and support doctors and health and care professionals. You have my support, my admiration and my warmest wishes for every success."
The winners:
"Promises" category:
Sense Observation Systems (The Netherlands) developed "Goalie", a context-aware, personal health assistant to improve cognitive behavioural therapy for mental care
    Biovotion (Switzerland) offers continuous, non-invasive, wearable concepts for accurate physiological monitoring embedded into mHealth.
    BrainControl (Italy) gives disabled people the ability to control objects with their minds.
"Champion" category:
    Medisana AG (Germany): VitaDock, a free, medically-certified app for smartphones and tablets to compare blood pressure, blood glucose, weight and temperature data.
    Vivago (Finland): VivagoGlobal, personal security system calling for help when the patient cannot, offering preventive care and reduced costs
UK Preventive Medicine (UK) offering The Prevention Plan - A Comprehensive Care Co-Production System
Background
There were a total of 212 applications for the competition. Only European SMEs with less than 150 employees and an annual turnover of less than €5.000.000 were eligible to apply.
The six winners were divided into two groups:
    1. "Promise": SMEs with turnover less than 500.000€ (three winners).
    2. "Champion": SMEs with turnover above 500.000€ (three winners).
Winners in each group received:
  1. 1st prize: €1.000 and free tickets for future networking events
  2. 2nd prize: €500 and free tickets for future networking events
  3. 3rd prize: free tickets for future networking events.
The other finalists:
"Promise" category
  1. Cognuse (Estonia) radically improving mental rehabilitation accessibility.
  2. DNAlytics (Belgium): RheumaKit, an early online diagnostic solution for patients with arthritis.
  3. Mood Institute (France): an easy-to-use tool to monitor depression and bipolar disorder.
  4. Saludnova (Spain): home tele-monitoring solutions for multi-pathologic chronic disease patients with real-time detection of alarm situations.
  5. TedCas Medical Systems (Spain): handling of information in hospital environments, developing touch-free natural user interfaces.
  6. WINMedical (Italy): a wireless physiological multi-parameter monitoring system designed for general medical wards and home monitoring.
"Champion" category
  1. C4U Technologies (Denmark): a web-based personal health record and secure messaging system between patient and physician.
  2. Mediconsult (Finland): Medinet service, providing necessary health status data and engaging users through remote self-reporting and treatment.
  3. Medisana AG (Germany): VitaDock, a free, medically-certified app for smartphones and tablets to compare blood pressure, blood glucose, weight and temperature data.
  4. SaludOnNet (Spain): 360º eHealth cloud platform to connect patients, clinics, doctors and health insurance.
eHealth Week
eHealth Week is the largest annual eHealth event in Europe, bringing together industry, academia, government and regional decision-makers from across the EU. EU-funded projects present at the eHealth Week Exhibition include:
  1. epSOS to allow tourists, business travellers, commuters or exchange students to enjoy seamless access to high quality and safe healthcare abroad by providing health professionals with important medical data of patients in an electronic format. Project experts present at the exhibition give demonstrations on how health professionals can exchange medical information over a web-based portal through Europe.
  2. Renewing Health (REgioNs of Europea WorkINg together for HEALTH) aims at implementing, validating and evaluating innovative telemedicine solutions within the management of chronic diseases. The project brings together a consortium of nine European regions, where service solutions are operational for tele-monitoring and treatment of patients suffering from diabetes, chronic obstructive pulmonary and/or cardiovascular diseases. The services give patients a central role in the management of their own diseases: in fine-tuning the choice and dosage of medications, in following and adhering to their treatment, and in helping healthcare professionals to detect early signs of deterioration.
Useful links

vendredi 19 avril 2013

Robot and autistic children

“It’s incredibly exciting, because you can see the power of it on the student’s face,” said Sandra O’Connor, the school’s evaluation team facilitator.
Chip is one of two robots — the second is named Connor — that Aldebaran Robotics recently donated to Moody School. The preschool is one of just three schools worldwide that are part of the Paris-based company’s efforts to understand how this robot model, known as NAO, can best be used with autistic children in classrooms.

The robots have so much personality that staffers refer to each of them as “him” or “our friend,” and never as “it.”Both robots are roughly human-shaped and, with 25 joints, they move fluidly and expressively. When they speak, their gestures emphasize the words and when at rest, their torsos sway ever so slightly, as if they were breathing. They even say “ouch” when they stumble into obstacles.
One of the goals is to teach autistic children social skills — such as eye contact, listening, and responding to others – that they can transfer to interactions with people, Roy said.

“Everything we’re looking at right now in this field is very preliminary,” he said. “Is it ready for large-scale adoption? Not at all.”The science on that point is not yet clear, however, said Brian Scassellati, a Yale University professor of computer science who researches the use of robots with autistic children.
In one activity at the Moody School, Chip asks students to pick a picture of a certain animal from cards Roy has laid in front of them. In another, the robot performs tai chi movements and the children are encouraged to follow along.
“They are learning visually from him; they’ll mimic his movements,” O’Connor said.
The robots can record data from sessions with individual students, allowing teachers and parents to track progress online.
Autism, a brain development disorder that generally involves difficulty with social interactions and communication, has become an increasingly common diagnosis. An estimated 1 in 88 children in the United States has some type of autism, such as autistic disorder, childhood disintegrative disorder, and Asperger’s syndrome. That’s more than 10 times higher than the rate 40 years ago, according to research and advocacy organization Autism Speaks.
Understanding of how to best treat and educate children with some form of autism is still limited, but the use of robots is an emerging — and promising — approach.
“Every time we put a robot with a child with autism, we see the kids get very excited, very motivated, and very engaged,” said Scassellati. “If it really does work, this is a great step forward for us.”
A few years ago, Aldebaran decided to start investigating ways that NAO robots, now used mostly in robotics research and computer science education at the high school and university levels, could be programmed to work with children with various forms of autism, said Olivier Joubert, head of Aldebaran’s autism program.
Chip and Connor came to Moody School after O’Connor watched a November segment on NBC’s “Today Show” about the company’s robots being used with autistic students at a school in England. She wrote to Aldebaran, and to her surprise, Joubert wrote back. The two communicated further, and in December, Joubert visited the school. The next month, O’Connor got an e-mail telling her two robots were on their way, free of charge, from Paris to Haverhill.
The robots are currently priced at about $16,000, though Aldebaran has not yet decided what it will charge for models programmed to work with autistic children, Joubert said.
He said he chose Moody School to be part of the testing phase partially because of its proximity to Aldebaran’s Boston office and the opportunity to help a lower-income community. But mostly, he said, he picked Haverhill because the school and its staff just felt right.
Moody integrates students with disabilities and autistic disorders into classes with typically- developing students. The two robots have been used with, and enjoyed by, all the students for about three weeks, O’Connor said. But the impact on autistic students stands out, she said.
“We have seen changes in the children, in their ability to pay attention” she said. “There isn’t another tool they have reacted to like that.”
Jackie Gallagher’s son, Caydan, was diagnosed as autistic when he was 20 months old. He responds well to visual cues, she said, and was immediately taken with the robot, which is more predictable and less impulsive than other children, or even adults.
“That’s why he really embraces it — he knows what to expect,” Gallagher said.
Staff at the Moody School are in frequent contact with Aldebaran and offer suggestions about how the robots could be improved. They would like them programmed to demonstrate yoga moves, for example, and wonder if some of the sensors can be made more touch-sensitive.

Le DMP : entre introspection et prospective

Voici un retour d'expérience fait par les premiers acteurs du Dossier Médical Personnel en France ainsi que leurs espoirs prospectifs dans un monde (une France) parfait!

https://docs.google.com/file/d/0B0WlAtrAuiluSGFMZWF5VFZCT28/edit?usp=sharing

dimanche 17 mars 2013

Les logiciels de coordination des réseaux de santé

L’équipe d’appui à la coordination des réseaux de santé devra disposer d’un logiciel dont les fonctionnalités répondent aux exigences métier des professionnels qui la composent et connecté selon ces besoins au DMP et à la MSS. Décliné dans une offre logicielle du marché éventuellement fourni en mode SaaS , pouvant être mutualisée pour plusieurs réseaux de santé (adaptation à différentes configurations organisationnelles  territoriales), ou plusieurs types d’organisation de coordination (MAIA, CLIC, plateforme d’appui…)

Ce logiciel métier:

o crée, gère et pilote au quotidien le Plan Personnalisé de Santé, appuyé par un système d’aide à la décision : paramétrage de contraintes de suivi, fonctions d’analyse croisée entre actions planifiées et réalisées, fonctions de recueil journalier des contacts (identification de l’appelant, motif d’appel,..) notification d’événements sur le DMP, alerte sur les non événements , …

o intègre des outils méthodologiques d’évaluation multidimensionnelle des besoins et des problèmes qui prennent en compte les recommandations de pratiques professionnelles et les protocoles de prise en charge (ex. protocoles HAS, ..).

o s’interface avec le Référentiel des Acteurs Santé Social (RASS) et le Répertoire Opérationnel des Ressources (ROR) de la région concernée pour l’identification et l’authentification des professionnels mobilisés dans le cadre d’une prise en charge complexe donnée. Intègre le répertoire de l’offre de service de proximité.

o dispose de fonctions de gestion d’agenda/planning de l’équipe d’appui à la coordination.

o propose des fonctions support de gestion administrative et comptable : gestion des aides à la prise en charge de soins hors nomenclatures ; analyse et production des tableaux de données d’activité.

Source : http://www.sante.gouv.fr/les-reseaux-de-sante.html

samedi 16 mars 2013

Personnes en rééduction thérapeutique et robots au Japon

Une étude japonaise menée pendant deux ans par l'Université de Tsukuba a montré que 90 % des patients qui ne peuvent plus se déplacer de manière autonome, à la suite de lésions de la moelle épinière, ont retrouvé un certain degré de mobilité, après avoir subi un programme de réadaptation à l'aide du "costume robotisé" HAL (Hybrid Assistive Limb), qui est un exosquelette développé conjointement par l'Université de Tsukuba et la société de robotique Cyberdyne.
Les patients ont porté HAL deux fois par semaine, pendant 16 séances, pour des sessions de formation de 20 minutes. A l'issue de cette rééducation, les chercheurs ont constaté une amélioration chez 25 des 27 patients de l'étude. "Nous avons confirmé par ces travaux que l'utilisation de HAL permettait aux patients d'améliorer sensiblement et durablement leurs fonctions motrices et de récupérer une partie de leur autonomie", souligne Kiyoshi Eguchi, qui dirige ces recherches.
A la suite de ces bons résultats, les hôpitaux et les centres de rééducation japonais ont décidé de lancer des essais cliniques étendus chez l'homme pour évaluer les possibilités thérapeutiques de HAL dans la prise en charge des principales pathologies neurodégénératives ou musculaires affectant la mobilité.
Article rédigé par Georges Simmonds pour RT Flash

e-commerce guideline

  1. Schema.org. One of the biggest pitfalls most marketers experience is only focusing on the number of visitors without taking into consideration the number of search impressions. “Click-Through Rate” is the combination of these two elements and is one of the most overlooked metrics when it comes to SEO. Luckily, Google and other major search engines have introduced various protocols and technologies to improve the click-through rate of listings. One of which is theSchema.org initiative which was launched in mid-2011. You might not recognize the name but chances are you’ve seen it in action. When searching for a product, a Schema.org enhanced result will look something like the image below.  This protocol allows search engines to improve their results pages, but more importantly, it gives marketers a powerful tool to improve their click-through rate and capture more traffic. For ecommerce websites, this is a must for all product pages.
  2. Google Authorship. Another useful way to improve organic search visits is with Google’s Authorship initiative. Similar to Schema.org, Google authorship enhances the appearances of blog posts within search results and can drastically improve your click-through rate. This simple addition to your blog is an easy but effective way to capture more traffic than your competitors – even if they outrank you.
  3. Responsive Design. Mobile is the new hot topic, and for good reason. Every year more and more queries are being searched on mobile devices. We looked under the hood of an ecommerce website, Beer Pong Stadium, and according toGoogle Analytics over 57% of the visitors are using a mobile device. Having a mobile friendly website is no longer just important, it’s critical. The best way to make sure your website is mobile friendly is by utilizing responsive design. Responsive design is a fancy way of saying that the website can adapt to various screen sizes. One ecommerce website that does this very well is the snowboard company Burton. The website will “respond” and appear differently to users depending on their device and screen size. Responsive design is a highly effective way to take advantage of your mobile traffic and increase conversions. 
  4. Content Marketing. I’m sure you’ve heard it before, “you need a blog.” But interestingly enough, the vast majority of businesses aren’t leveraging their blog properly. This is where content marketing comes in. Content marketing is about providing value to your audience of customers and potential customers. When done properly, content marketing can increase referral traffic, social media sharing, and backlinks that can increase organic rankings. To succeed at content marketing, having a blog with mediocre content isn’t enough. Every blog post needs to be interesting, entertaining, unique, and engaging. This is where the “quality over quantity” mantra rings true. It’s much better to have one awesome post every week than an average blog post every day. The general rule of thumb is that if your content isn’t worth sharing, it’s not worth publishing
  5. Site Performance. Far too often ecommerce marketers and IT staff overlook the load time of their website. Site performance is important for 2 reasons: (1) fast websites convert better; and (2) slow websites don’t rank well in search engines. In 2006, Amazon announced that for every 100ms in load time there was a 1% decrease in sales. In regards to rankings, in 2010 Google began using site speed as a ranking factor in their search algorithm. Not only can a fast website increase your conversion rate, it can potentially bring you more traffic as well. Now comes the real question, how do I speed up my website? One tool that is great when it comes to analyzing website performance is WebPageTest.org. Once you enter your URL you can quickly see how long it takes your website to load, and more importantly, what you can do to decrease that load time. We recommend aiming for a page load time of 2 seconds, but anything under 2.5 seconds is reasonable.