Publications by authors named "Miguel Vargas-Lombardo"

Background: This study brings innovation oriented to the development of e-health services to improve the performance of healthcare and hospital care in free-living activities.

Objective: This article seeks to propose an innovative mobile software that enables the contextualization of clinical data, while integrating the fundamental functionalities and usability criteria of a mobile health (mhealth) system.

Methods: We examine the utility of a context-sensitive mobile electrocardiogram (ECG) collection system for the detection of cardiovascular diseases for patients in free-living conditions.

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Background: SARS-CoV-2 is an infectious disease caused by the coronavirus that was first reported in December 2019 in China and immediately spread around the world causing a pandemic, which has caused countless deaths and cases in global health. Mental health has not gone untouched by this pandemic; due to the lockdown and the vast amounts of information disseminated, the Panamanian population has begun to feel the collateral effects.

Objective: We propose classifying tweets using a machine learning (ML) and deep learning (DL) approach and pattern search to make recommendations to the emotional and psychological reactions of the Panamanian population.

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Background: A growing number of mobile applications have been designed for the chronic disease patient as the primary user. Mobile health applications for self-care have the potential to help patients living with chronic conditions such as kidney disease, and can be used to manage aspects such as the consumption of substances that are harmful to health. Chronic kidney disease causes significant morbidity throughout Panama, and is also responsible for an increase in cardiovascular disease.

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Background: treating infectious diseases in elderly individuals is difficult; patient referral to emergency services often occurs, since the elderly tend to arrive at consultations with advanced, serious symptoms.

Aim: it was hypothesized that anticipating an infectious disease diagnosis by a few days could significantly improve a patient's well-being and reduce the burden on emergency health system services.

Methods: vital signs from residents were taken daily and transferred to a database in the cloud.

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Mine tailings are a potential source of environmental pollution because they typically contain potentially toxic elements (PTEs) and the residue of chemical compounds used during extraction processes. The Remance gold mine (NW Panama) is a decommissioned mine with mining activity records dating from the 1800s and several periods of abandonment. Very little remediation work has been performed, and waste is exposed to climatic conditions.

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Mining affects the environment, particularly through the persistence of accumulation of tailings materials; this is aggravated under tropical climatic conditions, which favours the release of potentially toxic elements (PTEs) bioavailable to the local flora and fauna and supposing a risk to human health. The Remance gold mine (Panamá), exploited intermittently for more than 100 years, and has remained derelict for over 20 years. Within the area live farmers who carry out subsistence agriculture and livestock activities.

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The derelict Remance gold mine is a possible source of pollution with potentially toxic elements (PTEs). In the study area, diverse mine waste has been left behind and exposed to weather conditions, and poses risks for soil, plants and water bodies, and also for the health of local inhabitants. This study sought to perform an ecological and health risk assessment of derelict gold mining areas with incomplete remediation, including: (i) characterizing the geochemical distribution of PTEs; (ii) assessing ecological risk by estimating the pollution load index (PLI) and potential ecological risk index (RI); (iii) assessing soil health by dehydrogenase activity; and iv) establishing non-carcinogenic (HI) and carcinogenic risks (CR) for local inhabitants.

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A patient suffering from advanced chronic renal disease undergoes several dialysis sessions on different dates. Several clinical parameters are monitored during the different hours of any of these sessions. These parameters, together with the information provided by other parameters of analytical nature, can be very useful to determine the probability that a patient may suffer from hypotension during the session, which should be specially watched since it represents a proven factor of possible mortality.

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Objectives: This research presents the design and development of a software architecture using natural language processing tools and the use of an ontology of knowledge as a knowledge base.

Methods: The software extracts, manages and represents the knowledge of a text in natural language. A corpus of more than 200 medical domain documents from the general medicine and palliative care areas was validated, demonstrating relevant knowledge elements for physicians.

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Introduction: Nowadays in Panama, there is a lot of patient information stored in textual form which cannot be manipulated to manage adequate knowledge. There are multiple resources created to represent knowledge, including specialized glossaries, ontologies, among others. The ontologies are an important part within the scope of the recovery and organization of the information and the semantic web.

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Health indicators express remarkable gaps between health systems at a world-wide level. Countries of the entire world are overflowed by the need of new strategies, methodologies and technologies to better serve the millions of patients, who demand better medical attention. The present archaic and ephemerally systematized systems widen the gap even more than the quality of medical services that should be provided for the millions of diabetic patients.

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Background: In Latin America, public health systems that manage and warrant the health of the population lack mechanisms and technological capabilities that enable them to accept and adopt initiatives focused to guide, look after, and improve the quality of life of millions of patients with diabetes who need attention and special care. However, the proposal presented here for a holistic, interactive, and persuasive model to facilitate self-care of diabetes patients (hiPAPD) is the first proposal in Panama, Central America, and the Caribbean Region to develop and implement information communications technology (ICT) platforms for the care of patients with chronic diseases such as diabetes.

Methods: The process of experimentation was initiated with an agreement with all the staff of the project to comply with the international biomedical studies stipulations, having as reference the Declaration of Helsinki of the World Medical Association (Recommendations to Guide to Doctors in Biomedical Research on People).

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