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Data-driven health -
Vistemé despacio
que tengo prisa
IV Jornada de Gestión y Evaluación de Medicamentos24 Mayo 2018
Dr. L. Fernandez-Luque
Qatar Computing Research
Institute, Qatar Foundation
Socio fundador de Salumedia.com
Salud Digital y Datos - vintage
Clancey, W. J., & Shortliffe, E. H.
(1984). Readings in medical
artificial intelligence: the first
decade. Addison-Wesley
Longman Publishing Co., Inc..
Kulikowski, C. A. and Weiss, S. M. "Representation of Expert
Knowledge for Consultation: The CASNET and EXPERT Projects."
Chapter 2 in Szolovits, P. (Ed.) Artificial Intelligence in Medicine.
Westview Press, Boulder, Colorado. 1982.
Hoy es el bug bang de los en salud
Hoy es el bug bang de los en salud
https://diyps.org/2016/05/12/how-i-designed-a-diy-closed-loop-artificial-pancreas/
Aprendiendo a vestirse
despacio: Online Health
Buscando contenidos de diabetes online
Fernandez-Luque L, Karlsen R, Melton GB. HealthTrust: A Social Network Approach for Retrieving Online Health Videos. J Med Internet Res. 2012 Jan 31;14(1):e22.
Buscando contenidos de diabetes online
Fernandez-Luque L, Karlsen R, Melton GB. HealthTrust: A Social Network Approach for Retrieving Online Health Videos. J Med Internet Res. 2012 Jan 31;14(1):e22.
Anorexia e Internet
Anorexia e Internet
Yom-Tov E, Fernandez-Luque L, Weber I, Crain SP Pro-Anorexia and Pro-Recovery Photo Sharing: A Tale of Two Warring Tribes J Med Internet Res 2012;14(6):e151
Anorexia e Internet
Figure 4. Network graphs according to four connection types (from top left, clockwise): Contacts, Favorites, Tags, Comments.
242,710 photos from 491 users in Flickr
Yom-Tov E, Fernandez-Luque L, Weber I, Crain SP Pro-Anorexia and Pro-Recovery Photo Sharing: A Tale of Two Warring Tribes J Med Internet Res 2012;14(6):e151
Search Engine - Microsoft
Yom-Tov E, Fernandez-Luque L, Weber I, Crain SP Pro-Anorexia and Pro-Recovery Photo Sharing: A Tale of Two Warring Tribes J Med Internet Res 2012;14(6):e151
Que no hacer en desinformación en Salud
● Estamos ante un oligopolio de búsquedas de
internet
● Tecnológicamente es posible filtrar gran parte de
contenidos dañinos.
● No existen incentivos para que las empresas
tecnológicas filtren contenidos.
● Sellos de calidad, listados de bulos, tienen impacto
reducido pero son necesarios
Ebola Crisis
Ebola Crisis
Author: Peter Muller, winner in the category of general news.
http://elpais.com/elpais/2015/02/12/album/1423738350_821141.html#1423738350_821141_1423740270
World Press Photo 2015
Fake news - rumores
EBODAC
EBODAC - Vaccination
http://blog.geopoll.com/ebola-research-
sierra-leone-liberia
EBODAC - Vaccination
http://blog.geopoll.com/ebola-research-
sierra-leone-liberia
DETECTING RUMORS
Clinical Research Ebola in Ghana
https://www.youtube.com/watch?time_continue=111&v=Kb1HpLvABYQ
Clinical Research Ebola in Ghana
Clinical Research Ebola in Ghana
“A total of 27,460 articles, published
between 1 May and 30 July 2015,
were collected from nine different
newspapers in Ghana”
Que no hacer en desinformación en Salud
● Limitar el debate en prohibir páginas webs.
● Pensar que sólo pasa en internet.
● Simplificar un problema de confianza y educación
en “buenos versus malos”
● Usar tecnología sin antes estudiar el contexto.
● Pensar que la tecnología lo resuelve todo. Barreras
legales para comunicación sobre estudios clínicos
en planificación.
eHealth Sherpa Project:User-centred data-driven solutions for
healthy lifestyle coaching
NOTE: this project is related to QNRF Cluster proposal
Obesidad y Diabetes en Qatar
Qataries and residentes de
más de 20 años (Qatar
Biobank 2016)
● 70% sobrepeso and 50%
obesidad
● 16% of diabetes
prevalencia. (sin contar
pre-diabetes)
360QS - eSalud y Obesidad
Fernandez-Luque, Luis, et al. "Implementing 360°Quantified Self for childhood obesity: feasibility study and experiences from a weight loss camp in Qatar." BMC medical informatics and decision making 17.1 (2017): 37.
360QS - eSalud y Obesidad
• Woman used more the technology (both girls and mothers)
• Adaptation to cultural aspects was crucial (e.g. Ramadam)
• Societal issues also changed across nationalities
Fernandez-Luque, Luis, et al. "Implementing 360°Quantified Self for childhood obesity: feasibility study and experiences from a weight loss camp in Qatar." BMC medical informatics and decision making 17.1 (2017): 37.
360QS - Domir y Actividad Física
Predicting Sleep Quality using Physical Activity (Dataset: 97
adolescents in Qatar)
CNN had the highest specificity and sensitivity, and an overall area under the receiver operating characteristic (ROC) curve (AUC) of 0.9449, which was 46% better as compared with traditional logistic regression (0.6463)
Sathyanarayana, A., Joty, S., Fernandez-Luque, L., Ofli, F., Srivastava, J., Elmagarmid, A., ... & Taheri, S. (2016). Sleep
quality prediction from wearable data using deep learning. JMIR mHealth and uHealth, 4(4).
360QS - Domir y Actividad Física
Predicting Sleep Quality using Physical Activity (Dataset: 97
adolescents in Qatar)
CNN had the highest specificity and sensitivity, and an overall area under the receiver operating characteristic (ROC) curve (AUC) of 0.9449, which was 46% better as compared with traditional logistic regression (0.6463)
Sathyanarayana, A., Joty, S., Fernandez-Luque, L., Ofli, F., Srivastava, J., Elmagarmid, A., ... & Taheri, S. (2016). Sleep
quality prediction from wearable data using deep learning. JMIR mHealth and uHealth, 4(4).
Doha is not London!
https://www.telegraph.co.uk/travel/destinations/europe/united-
kingdom/england/london/articles/london-city-breakguide/
https://nn.wikipedia.org/wiki/Doha-cornichen
Que no hacer en mHealth en Qatar
● No estudiar como diferencias de género afectan al
uso de la tecnología
● Creer ciegamente en “data analytics”, los datos
están siempre sesgados.
● Pensar que “dinero” es equivalente a “capacidad”.
Países emergentes pueden tener recursos
financieros extra, pero tienen necesidades y
capacidad muy diversa.
Mirando al futuro
Catapultando la salud digital
Factores sociales, organizacionales y legales afectan a la
salud digital:
● Necesario trabajar mano a mano con pacientes
(Medicina Participativa)
● Diálogo inter-sectoral y multidisciplinar
● Digital Health Literacy!!! Es la clave y se ha olvidado.
● Necesario reflexionar que queremos y hacerlo
● Implementation Research: no todo se hace en
laboratorios
Gracias!
Luis Fernandez-LuqueQatar Computing Research
@luisluque
https://www.slideshare.net/luis.luque