Wed, Sep 20, 2017

MobiGuide meets in Pavia

MobiGuide meets in Pavia

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We met in Pavia for the fifth consortium meeting of the MobiGuide project. The University of Pavia hosted us for the four day meeting held form 7-10th October 2013.

The first day included an extended presentation and demonstration of the latest version of the system illustrated by the “Hello Pavia” scenario. Project coordinator Professor Mor Peleg introduced the session by explaining the scenario from the points of view of the patient and the care giver.

This scenario tells the story of a fictional patient, Montse, who has developed diabetes during her pregnancy (known as gestational diabetes or GDM).  She receives her own personalised MobiGuide mobile system to help her follow her prescribed treatment. The endocrinologist enrols Montse into the MobiGuide system and gives her an explanation of how to use of the system and what guidance it will give her.  Together with the endocrinologist Montse sets her personal preferences and contexts. She uses the system over the following weeks and receives reminders, for example about measuring her blood glucose, as well as feedback and reinforcing messages relating to compliance to her diet and medication regime. The guidance she receives is in line with the clinical guideline for treatment of GDM and is adapted to Montse’s preferences and changing contexts. When necessary the endocrinologist receives notifications from the system and can give Montse feedback or alter her therapy and monitoring schedules accordingly.

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Running the Hello Pavia Demonstration

Technical Manager Dr Tom Broens led the development team through a demonstration of the system, using the scenario to illustrate the extended capabilities of the new version of the system and explain the technical progress made since the previous version. The scenario covers the phases of knowledge acquisition and specification (including customisation and personalization of the Computer Interpretable Guideline or CIG), enrollment of the patient into the MG system and a period of usage of the system when the patient receives personalized guidance.

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Explaining patient enrollment to the MobiGuide system

Tom reported that, as well as adding more functionality relating to the GDM case, the technical progress included adding CIG formalization and projection, and customization, personalization and context awareness. Also additional security mechanisms were incorporated and new components for mobile Decision Support System and Quality of Data management had been added. Improvements were also made to the data storage, integration and exchange, links to the EMR and the graphical user interface.

Meetings on the second day were at the industrial park of Polo Tecnologico and featured visits to local companies and sessions where clinicians Dr Mercedes Rigla and Dr Carlo Napolitano gave their views on what the system should provide from the clinicians’ point of view. In the same session patient representative Àngels Pallàs discussed what system features would be useful from a diabetic patient’s point of view, such as advice about what to do in case of hypo or hyper, and help calculating how many units of insulin to take.

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The MobiGuide Clinicians Dr Mercedes Rigla and Dr Carlo Napolitano present at Polo Tecnologico

Deployment manager Dr Daniele Segagni of FSM presented plans for deployment of the MobiGuide pilot system in the two hospitals in Italy and Spain. In the pilot the patients in Italy and Spain will need an interface in their own language; multi-language support was discussed and different solutions for giving recommendations in different languages were presented and discussed. Another topic for discussion was the question of which decisions in the guidelines could be personalized to the individual patient.

In other sessions on days 1 and 2 the MobiGuide team members reported in detail on each of the work packages with discussion of technical issues, open questions and administrative and management issues.

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UPM lead the discussion on multi-language support

The consortium meeting was followed by a technical day when the development team got together to work on implementation issues.

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Implementation in action on the technical day

The meeting attracted press attention – cardiologist Dr Carlo Napolitano of FSM together with Professor Silvana Quaglini and Dr Lucia Sacchi of the University of Pavia gave an interview to Italian newspaper La Provincia Pavese.

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Newspaper article features Dr Carlo Napolitano of FSM together with Professor Silvana Quaglini and Dr Lucia Sacchi of the University of Pavia talking about the MobiGuide project.