Investigan una tecnología que curaría la ceguera

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  • El desarrollo científico y tecnológico de las Unidades de Cuidados Intensivos (UCIs) se ha traducido en un incremento de la supervivencia de los pacientes, que en la actualidad se sitúa en más del 90%.
  • Ejemplo de desarrollo es el prototipo de robot que es capaz de estimar el estado de ánimo de aquellos individuos con los que esté interactuando.
  • Otros ejemplos de mejora en la calidad de vida son las apps que ayuda a los discapacitados en el día a día.
  • Uno de los avances más significativos en la materia es una técnica que permite a pacientes totalmente ciegos recuperar parcialmente la vista mediante el implante de una prótesis biónica.

La capacidad de dar respuesta a las necesidades humanas y emocionales de todos los implicados en una UCI y el valor que aporta la tecnología a la tranquilidad del proceso asistencial ha sido el eje del simposio Innovación tecnológica para humanizar las UCIS organizado por Philips, en el marco del LII Congreso Nacional de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (Semicyuc) que se ha celebrado en Madrid del 18 al 21 de junio.

Por otro lado, la Fundación Adecco y Keysight Technologies Spain han presentado por segundo año consecutivo el informe Tecnología y Discapacidad, con el objetivo de analizar el impacto que las nuevas tecnologías están teniendo en la calidad de vida y en la plena inclusión de las personas con diversidad funcional.

[section label=”El desarrollo tecnológico en las UCIs incrementa la supervivencia” anchor=”El desarrollo tecnológico en las UCIs incrementa la supervivencia”]

El desarrollo tecnológico en las UCIs incrementa la supervivencia

En los últimos años el desarrollo científico y tecnológico de las Unidades de Cuidados Intensivos (UCIs) se ha traducido en un incremento de la supervivencia de los pacientes, que en la actualidad se sitúa en más del 90%. En este contexto, los profesionales de las unidades de pacientes críticos han impulsado un proyecto de humanización de la asistencia que involucra a pacientes, familiares y profesionales sanitarios, tal y como se ha expresado en el marco del LII Congreso Nacional de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias.

Es necesario resituar a las personas en el centro del sistema, revisando la atención a los pacientes, a las familias y analizar las necesidades de los profesionales.” El papel protagonista del paciente, como eje central del Sistema Nacional de Salud (SNS), es una estrategia de actuación que ya han adoptado el 60% de las UCIs en España y que se ha traducido en el diseño de procesos, tecnología y protocolos centrados en el paciente que impactan en la calidad asistencial, la seguridad y la eficiencia de la atención sanitaria.

En este entorno, la tecnología se convierte en elemento esencial para el proceso de transformación del sistema sanitario, adaptándolo a las necesidades de los pacientes y no en función de las enfermedades. En opinión del doctor Gabriel Heras, médico adjunto de la Unidad de Cuidados Intensivos del Hospital de Torrejón de Ardoz y creador del proyecto Humanizando los Cuidados Intensivos en la UCI, “el desarrollo de los Servicios de Medicina Intensiva en España ha sido absolutamente relevante en los últimos años, pero es necesario resituar a los pacientes y a las personas en el centro del sistema, revisando la atención a los pacientes, a las familias y analizar las necesidades de los profesionales“.

En este contexto, la tecnología se está revelando como una ayuda al reto de humanizar la sanidad. Las estrategias de humanización de la asistencia y de mejora de la relación entre pacientes, familiares y profesionales se han orientado hacia la implantación de medidas para mejorar el bienestar de todos ellos, protocolos de actuación al final de la vida, flexibilización de horarios de visita, prevención del síndrome post-cuidados intensivos o la existencia de infraestructuras y espacios humanizados. De hecho, según los expertos, uno de los secretos del éxito de la tecnología en el futuro, será invertir en el “lado humano” de la tecnología, en el que de verdad ayuda al paciente y al entorno, y no únicamente en la Inteligencia Artificial con la aspiración de automatizar lo que el hombre ya hace.

En el caso de las UCIs, se están implementando sistemas para la gestión de alarmas que ayudan a reducir la irritación y frustración en el personal sanitario, que atiende una media de 300 alarmas por paciente y día y permite a los pacientes descansar de forma adecuada. Las soluciones IntelliVue Guardian Software o CareEvent de Philips ayudan a mejorar la gestión de alarmas, permiten implementar nuevos modelos de atención, configurar alarmas inteligentes y realizar un escalado y distribución de alarmas adecuados.

En el caso de los episodios de delirio y alucinaciones, confusión o desorientación, presentes en alrededor del 80% de los pacientes ingresados en unidades de cuidados críticos, la compañía tecnológica ha diseñado la solución VitalMinds que consiste en un conjunto de dispositivos, software y procesos, de manera que una correcta gestión de elementos como la luz (respetando el ciclo circadiano) y el sonido (reduciendo los ni veles de ruido en el entorno del paciente), permiten reducir estos episodios.

Todas estas líneas de actuación, en el que ya están inmersas la práctica totalidad de las unidades hospitalarias españolas, pretenden tal y como señala el doctor Heras, “convertir a la UCI en un lugar más amable para los pacientes y rehumanizar la forma de actuación y de pensar en el sistema sanitario“. La estrategia de humanización impulsada por las UCIs desde el año 2014, supone además para este experto “una plataforma para humanizar la atención sanitaria en general que ya se está adoptando en otras especialidades clínicas“.

[section label=”Desarrollan un robot que detecta el estado emocional de las personas” anchor=”Desarrollan un robot que detecta el estado emocional de las personas”]

Desarrollan un robot que detecta el estado emocional de las personas

Un equipo de investigadores del Grupo de Tecnología Informática e Inteligencia Artificial de la Universidad Politécnica de Valencia (UPV), y sus homólogos de la Universidade do Minho (Portugal), han decidido dar un paso más y han desarrollado un prototipo de robot que es capaz de estimar el estado de ánimo de aquellos individuos con los que esté interactuando. Esto permite al sistema robótico enriquecer su conocimiento en relación al entorno que le rodea y mejorar su interacción con los humanos. De esta forma, el mecanismo puede hacer estimaciones de las personas que difieren en mayor grado del estado de ánimo del grupo y tratar de actuar sobre ellas.

El sistema robótico incorpora una serie de elementos que hacen posible su versatilidad, entre los que destacan una pantalla en la que se refleja su estado emocional, unos sensores de radiación infrarroja, una cámara para la identificación de las personas, un sensor Lidar (por sus siglas en inglés Laser Imaging Detection and Ranging) y tres Raspberry Pi, que constituyen el “cerebro” del prototipo.

Este trabajo se enmarca dentro un proyecto internacional centrado en la interacción de los robots con humanos. En esta investigación, el equipo hispano-portugués se centró en la detección de emociones y su consiguiente interpretación por sistemas computacionales.

El resultado de la monitorización de emociones se utiliza de una manera innovadora en la que se pretende identificar uno o varios estados emocionales de un grupo de personas y cómo estos estados se propagan a lo largo del tiempo. El robot interpreta dichos cambios emocionales y los utiliza en su toma de decisiones“, apunta el profesor Julián. Junto al investigador de la Universidad Politécnica de Valencia, completan el equipo los especialistas Carlos Carracosa y Jaime Rincón.

[section label=”Las apps mejoran la calidad de vida de las personas con discapacidad” anchor=”Las apps mejoran la calidad de vida de las personas con discapacidad”]

Las apps mejoran la calidad de vida de las personas con discapacidad

Existen algunas aplicaciones que dan servicios más concretos y se han convertido en aliadas para las personas con discapacidad, permitiéndoles normalizar muchos aspectos de su vida, como comunicarse en igualdad de condiciones a las personas con discapacidades sensoriales, denunciar la violación de un derecho, encontrar un aparcamiento accesible o posibilitar a las familias localizar a una persona con discapacidad intelectual y asegurarse de que está bien.

De acuerdo con un informe realizado por Adecco, basado en una encuesta realizada a 300 personas con diferentes discapacidades. En líneas generales, un 60% de los pacientes con diversidad funcional son usuarios de estas apps específicas. Los que más las emplean son las personas con discapacidad visual (77%), seguidos de los que tienen discapacidad auditiva (73%), física (65%) e intelectual (50%).

Screenshot_6
Fuente: Adecco

Así, para las personas con problemas de visión la reina de las herramientas es Siri, el ayudante inteligente de Apple que echa una mano al usuario con las tareas más habituales como enviar mensajes, hacer llamadas o consultar el tiempo. Otras aplicaciones muy usadas por estos pacientes son VoiceOver, que permite escuchar una descripción de todo lo que aparece en la pantalla; Google Talk Back, un servicio de accesibilidad que ayuda a los usuarios con deficiencias visuales a interactuar con los dispositivos a través de comentarios por voz, audibles y con vibración; Zoom o lupas aumentativas, que aumentan la vista hasta un 1500%; o Lazzus, un asistente que acompaña a las personas con discapacidad visual en sus desplazamientos creando un campo de visión auditivo.

Por otro lado, el 84% declara que su calidad de vida global ha mejorado gracias a las nuevas tecnologías. Por su parte, las personas con discapacidad auditiva eligen para su vida diaria Petralex, un aparato auditivo artificial que funciona por los mismos principios que los dispositivos portables habituales, adaptando el nivel del sonido ambiente a las necesidades del usuario. También frecuentan Pedius, una app que permite a las personas sordas llamar a números fijos y móviles a través de tecnologías de síntesis y reconocimiento vocal; o el servicio de audífonos de Iphone, que se configuran y usan como un dispositivo Bluetooth.

Screenshot_5
Fuente: Adecco

De la misma forma, las personas con discapacidad física suelen usar aplicaciones para localizar lugares de ocio y turismo accesible. Algunos ejemplos son Accesibility o Disabled Park. Y los pacientes con discapacidad intelectual prefieren Pictogramas, una app diseñada para potenciar la comunicación alternativa a través de iconografías y que está recomendada para personas con TEA; o Accesos guiados, que permite a los padres y terapeutas restringir el teléfono a una única app, indicado para que las personas con autismo y otras discapacidades similares puedan centrarse en una única tarea.

Además, destacan en el informe otras app para denunciar violaciones de derechos de las personas con discapacidad, como CERMI Denuncia, que permite plantear quejas, reclamaciones y denuncias por escrito e incluso adjuntado fotografías. O CerQana, que posibilita que las familias localicen a una persona con discapacidad en cualquier momento, asegurándose de que está bien, simplificando y adaptando el smartphone a las necesidades concretas de cada persona.

[section label=”La tecnología podría devolver la visión a personas ciegas” anchor=”La tecnología podría devolver la visión a personas ciegas”]

La tecnología podría devolver la visión a personas ciegas

Devolver la visión a personas ciegas, gracias a las nuevas tecnologías, ya ha dejado de ser una quimera. Es también el empeño del Instituto de Investigación Hospital Universitario La Paz (IdiPAZ) con el nuevo proyecto de investigación que pretende poner en marcha en breve: una técnica que permite a pacientes totalmente ciegos recuperar parcialmente la vista mediante el implante de una prótesis biónica.

Buscamos poder desarrollar este implante artificial de retina. Es un proyecto muy bonito, lógicamente, pero el problema es que su coste es muy elevado”, explicó Félix Armadá, jefe del Servicio de Oftalmología del centro madrileño.

En España ya hay centros privados que han probado la eficacia de la prótesis, igual que en otros países europeos” Cada prótesis cuesta aproximadamente entre 100.000 y 120.000 euros por paciente, apunta. “Para poner en marcha el proyecto e ir hacia adelante nos gustaría probarlo con tres o cuatro personas. Por tanto, harían falta unos 400.000 euros de entrada”. Fondos que el grupo de especialistas va a intentar obtener “captando dinero a través de la colaboración y las donaciones de distintas entidades empresariales”.

Arrancar la investigación supondría que el avance alcanzara a la sanidad pública, comenzando a trabajar en las prótesis mediante un ensayo clínico con pacientes. Poder validad la eficacia, su capacidad, e intentar ofrecérsela a los pacientes es al final de lo que se trata.  A pesar de que la técnica aún no se haya empleado en el sistema público, “no es una entelequia”, insiste el especialista, puesto que ya hay varias empresas que trabajan en ella. Si saliera adelante, se emplearían en primer marco de acción en casos de distrofia de retina, conjunto de enfermedades que causan alteración en la parte externa de la misma. Más concretamente en la retinosis pigmentaria, que afecta a cerca de 25.000 españoles. En un futuro es bastante viable que pueda beneficiar a otros casos de ceguera más comunes.

La retina biónica está equipada con una cámara bioinspirada que imita el funcionamiento de la retina humana. También incluye un implante epi-retinal IRIS II con 150 electrodos, aprobado en Europa en 2016 para su uso con el marcado CE tras un estudio multicéntrico. Diseñado para ser intercambiable, ofrece al paciente también la posibilidad de uso de tecnologías futuras. El implante funciona convirtiendo la luz recibida en una señal eléctrica capaz de estimular las neuronas de la retina. Este dispositivo fue implantado por primera vez a un paciente en el Hospital de Moorsfield en Londres, en noviembre de 2016.

Screenshot_7
Fuente: Salud Digital

ADECCO Y KEYSIGHT TECHNOLOGIES. Tecnología y discapacidad. Julio de 2017 [consultado 26-07-2017]. Disponible en: http://fundacionadecco.org/wp-content/uploads/2016/07/Informe-Tecnolog%C3%ADa-y-Discapacidad.-Fundaci%C3%B3n-Adecco-y-Keysight2017.pdf

SALUD DIGITAL. La innovación tecnológica abraza la humanización en los hospitales. 1 de julio de 2017 [consultado 26-07-2017]. Disponible en: http://consalud.es/saludigital/revista/la-innovacion-tecnologica-abraza-la-humanizacion-en-los-hospitales-620

SALUD DIGITAL. El 60% de las personas con discapacidad usa apps diariamente. 15 de julio de 2017. [consultado 26-07-2017]. Disponible en: http://consalud.es/saludigital/revista/el-60-de-las-personas-con-discapacidad-usa-apps-diariamente-636

SALUD DIGITAL. Una prótesis biónica permitirá ver a personas ciegas ¿Qué es Amazon Pay? 1 de julio de 2017. [consultado 26-07-2017]. Disponible en: http://consalud.es/saludigital/revista/una-protesis-bionica-permitira-ver-a-personas-ciegas–619

SALUD DIGITAL. Diseñan un robot que detecta las emociones de los seres humanos. 15 de julio de 2017 [consultado 26-07-2017]. Disponible en: http://consalud.es/saludigital/revista/disenan-un-robot-que-detecta-las-emociones-de-los-seres-humanos-634

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