Proud to be
Honoured to have been selected and invited
Thankful to the special persons who made this possible
Grazie
Having been invited to attend to Third WHO FORUM
This is only an example, because every course is adapted to local scenario and needs
MobileDiagnosis® Course
Introduction, and initial survey
Knowledge and understanding of student motivations
Knowledge of starting skill on diagnostic –medical competence
Knowledge of starting mobile-technological familiarity
INTRODUCTIVE LESSON ARGUMENTS
1.Role and ethic of labtechnicians and in general of healthworkers
Role of healthworkers
Ethic in relationship with other HW and with patients
Doctor Prayer : en example of ethical-clinical application :
See, hear the patient
Love and understand,feel the patient’s concerns
Concept of “Privacy of patients”
Global Health:concepts and hint notions
Movie
- Basic Laboratory , Basic Microscopy and basic Pathology
General Procedure
Laboratory setting
Movie about general laboratory setting and
correct behaviour of healthworkers
Cool Chain
Safety on laboratory procedure
Safety wastle dispatchy
-containers and speciments covering
-hygiene and use of gloves and work coat
-cleaning of work stations
-use of anticoagulant tubes for haematological tests and grouping
-better support for grouping tests
-introduce sample and tube numeration
Numbering the specimens-
introduce shift with number of patients waiting
Laboratory master register
-introduce a master book where record patere to recorder :
all reagent present in laboratory
-amount of test feasibles-expire data
As use a centrifuge–
3.Microscopy:
component of a microscope
setting up of a microscope
focusing the objective
use of diaphragm
ose of different magnification
cleaning and maintenance
Evaluation test
FROM ANALYSIS TO DIAGNOSIS DIAGNOSTIC PATHOLOGY THEORY AND ON JOB LESSONS
- URINANALYSIS
-Pratical Lesson and theory
-How make an urinanalysis in a correct way
-Normal component of urin -chemical and sediment
-abnormal and causes
-Common urinary diseases diagnosis
Diabete(hints)
Nephrosis syndrome(hints)
.Differential diagnosis
Logic Clinic about
Ematuria
Proteinuria
Albuminuria
Pratical exercitation:
Make an urinanalysis of your self and relatives
Make an urinanalysis of an in-patient
At the end of the lessons all students are able to make a urinanalysis in correct way
Evaluation test
Hematuria: different pathogenesis and logic clinical
-Gestosis
Pathogenesis and chemical mechanisms
Simpthoms and concerns
Management and hinds of therapy
Eclampsia
Nephosis Syndrome
Clinical Case- in-patient
Pratical exercitation for management and critical evaluation of
Evaluation test-Role Play Student’Lesson ( A student was called to teach an argument to other collegues)
2- Lesson: -Diarrhoeal Diseases-
Management of several types of diarrhoea-
-with formed or unformed stool
-with blood or without
-with fever
-Approach to patient with diarroea
Survey to patients about sympthoms.
Differential diagnosis and theraphy (hints)
Play Role
Student’s Evaluation Test
3- PARASITOLOGY
-Helminthology-Protozoology
Pratical lessons
Examination of stool speciments for parasites identifiction-Collection
Visual identification
Intestinal protozoa
identification of motile (trophozoites) and Cysts
Giardia lamblia
Amoeba
Helmints
Hookworm
Ascaris
Trichiuris trichiura
Tenia
Identification of Eggs
and adulte helmints
The labtechnicians and healthworkers learned about
importance of Routine and Microscopic examination.
THEORY
Following issues were given emphasis:
-understanding and diagnosis of parasitic disease
differential diagnosis and some hints about therapy
INTESTINAL PARASYTES
Lyfe cycle –
Pathogenetic mechanism and diagnosis of
parasytes:
Helmints
Soil Helmints
Nematode
Ascaris
Pinkworm
Trichiuris
Hookworm
Strongiloides stercoralis
Cestode
Tenia solium
Tenia saginata
Difillobotrium latum
others
LESSON
Fluke
Schistosoma
Fasciola Epatica
-Intestinal protozoa-
giardia lamblia-
amoeba
Route of transmission
Sympthoms
Differential diagnosis,
management and therapy (hints)
Prevention and Community guide-line
Primary Health Care : hints and suggestion to learn
Pratical Exercitation: Make an intestinal parasyte screening of your community
Student’s Evaluation Test
Results:
Students in this course recognized and made diagnosis of common urinary infections and many different parasites,as
giardia lamblia,tenia,ascaris hookworm ad schistosoma
and were able to recognize learned different patological images as showed by computers database images
-Vaginal protozoa-
trichomonas- pentatrich hominis
-Tissue protozoa-
Toxoplasma
-Pregnancy management and concerns
-Blood Protozoa
-MALARIA- CYCLE OF LESSONS
Introduction-transmission
Life Cycle and sympthom correlate to the phases
Incubation periods
Different type of plasmodium
Protection from malaria
Complication of malaria
Clinical Features-
-acute
-crhonical
-severe
-in the children
-in pregnancy
WHO criterial for severe malaria
PRINCIPAL SYMPTHOMS AND THEIR DIFFERENTIAL DIAGNOSIS
-fever
-coma
-anemia
-jaundice and hepatomegaly
-renal impairement
LABORATORY DYAGNOSIS
-GENERAL MANAGEMENT
-Antimalarial chemoterapy
-Leishmania -Cutaneous and Visceral:
Kala-Azar : A particular Emphasis was given to this disease
for Geographical distribution (local high incidence)
-Classification-Type
-Pathogenesis-
-Route of transmission
-Incubation Time
-Sympthoms
-Management
Concerns
-Therapy (hints)
Other Blood protozoa:(hints)
-Trypanosome-
Blood Helmints
Filariasis -hints
Student’s Evaluation Test
GENERAL HEAMATOLOGY
THE BLOOD
Pratical+theory Lesson
Blood test:Why? What’it is?
Collection of blood
Pratical exercitation :
-Collection of blood speciment -principle-matherials and reagents -method
-Blooding time
-Clotting time
preparation of sample to process:
Coagulated sample – why use this ? When?
Uncoagulated sample -Why use this ? When?
Difference betwen coagulated and uncoagulated sample
Plasma:What’s it is?
Serum
Fibrinogen action and clot
Blood tests:pratical lesson
Hemoglobin test pratical and theory -method
-determine hemoglobin at colorimeter
Hematocrit: normal value theory and pratical at laborator -determine hematocrit test with a microhematocrit system
Grouping test
type of blood cells
-Erytrocytes –
normal value and disfunctions-Anemies-
Management and therapy
Grouping
Transfusional adverse reaction : case study
Therapy and management
-Leukocytes-
normal value and disfunctions -differential count-
-Platelet-
normal value and disfunctions-
-Pratic Laboratory Lesson :at Microscope
-count of erytrocytes,leukocytes and platelet
-preparation (pratic lesson )and staining of thin and tick blood film
-grouping
-cross match
Blood test :chemical
pratical :sugar evaluation on laboratory :colorimeter test
Colture- some hints :
-hear swab :procedure of speciment collection , staining and microscopic examination
-Evaluation test
End Course Lessons -challenge and play role about the followings
-Sepsi
-CID
-Shock-
Some disease of Pediatric interest (linked to clinical cases)
-Osteomyelitis
-Arthropode transmitted diseases
-Hemostasys
-Coagulation factors :
-normal condiction – understanding and management of common diseases that needed of coagulation monitoring
-thrombosis and hemorragy-stroke- diff diagnosis
-Fever
-approach to patient with fever-management and laboratory investigations
-fever without localiziting sings –
-differential diagnosis and logic-
Play Role and challenge discussion (interactive)
All argument were treated also with some suggestion for the diagnosis and therapy management
-Evaluation of more common labanalysis mistake :when to alarm?
-final considerations and discussion and closing of the Course
Each argument was treated with theorical and pratical lessons, and before and after each argument student’s evaluation was done
Immediately, starting from the first pratical lesson, during all pratical lessons ,students learn the use of mobile for take image from microscope field and at the end of the course they are capable to make good quality pictures from microscope field with mobile-phone and also to do a good diagnosis at microscope
The lessons of mobile diagnosis,have to be linked with the practical lessons
MobileDiagnosis® Training Course -References and Didactic usefull Books
1.Manual of Basic Techniques for a health Laboratory 2nd edition WHO Geneva
2.Diagnostic Pathology- From laboratory Results to the Diagnosis- Personal Lessons -Unpublished
3.Manson’s Tropical Diseases –Edited by Gordon C.&Alimuddin I.Zumila Twenti-Second Edition –Saunders Elsiever
4.Training Manual on Diagnosis of Intestinal Parasites –based on the WHO
Bench Aids for the Diagnosis of Intestinal Parasites
-Schistosomiasis and Intestinal Parasite Unit-Division of Control of Tropical Diseases
Whorld Realtà Organization-Geneva
5.Bench Aids for the Diagnosis of Intestinal Parasyte World Realtà Organization-Geneva
6.Atlas of Medical Helmintology and Protozoology-World Health Organization-Geneva
7.Bench Aid for the Diagnosis of Filarial Infections –WHO_Geneva
8.Basic Malaria Microscopy World Health Organization-Geneva
9.Atlas of Human Malaria-G:Swirnczzynski-M.Gobbo- Ed.AZ Color
10.Sangue Sicuro in Africa Subsahariana-Manuale per gli Operatori –Negrar – Materiale didattico del Corso di Laboratorio di base per i Paesi Tropicali
11.Safe Blood and Blood Products-Distance Learning Materials-WHO Geneva
12.Blood Transfusion in Remote Areas.MSF-Paris 1999
13.The Clinical Use of blood-handbook-WHO Geneva 2002
14.Tropical Medicine-Oxford Handbook -Third Edition-M.Eddleston-R.Davidson-A:Brent-R:Wilkinson
- Hospital Care for Children- Poket Book of :Guidelines for the management of Common Illnesses with Limited Resources-WHO Geneva http://www.who.int/maternal_child_adolescent/documents/9241546700/en/index.html
16.Disease of Children in the Subtropics and Tropics-P.Stanfield,M.Brueton,M.Chan,M.Parkin,T.Waterston Paget Stanfield -2008 -Jacobs Foundation, Zurich, Switzerland
17: Diarrhoeal Diseases Pdf. Rehydratation Project http://rehydrate.org/
Teaching Medical Students about Diarrhoeal Diseases -Rehydratation Project
Unit 1 – The Epidemiology and Etiology of Diarrhoea
Unit 2 – Pathopysiology of Watery Diarrhoea: Dehydra tion and Rehydration
Unit 3 – Assessing the Diarrhoea Patient
Unit 4 – Treatment of Diarrhoea at Home
Unit 5 – Treatment of Dehydrated Patients
Unit 6 – Dysente ry, Persistent Diarrhoea, and Diarrhoea Associated wit h Other Illnesses
Unit 7 – Diarrhoea and Nutrition
Unit 8 – Prevention of Diarrhoea
18.Diarrhoea:Why children are still dying and what can be done- UNICEF/WHO Report
19.Helping Health Workers Learn –D.Werner ans B.Bower-The Hesperian Foundation
20.Where there is not Doctor-D.Werner ,C.Thumaan,J.Maxwel-Hesperian Foundation
21 .The Seven Most Common NTDs http://www.globalnetwork.org/neglected-tropical-diseases/fact-sheets1.
SYLLABUS
also this is always different, it changes relation to the local needs
I am medical doctor , founder and president of
MobileDiagnosis Not for profit Association
I work using m-phone, visual communication, networking the people,
teaching images sharing and medical and ICT knowledge for the global good
since 9 years .
My work is to improve local work-forces, and neglected, low resource. communities
In 2008 I sent the first image from a microscope field ( to make diagnosis of malaria) for a remote support, with a m-phone and mms
https://diagnosticpathology.biomedcentral.com/articles/10.1186/1746-1596-4-19
in Lampedusa, where I was as medical doctor. to help a refugee from Egypt with malaria-
this way was born MobileDiagnosis
https://www.youtube.com/watch?v=_751FZ7Ta_U
a way to share images with simple m-phone
to receive remote support for solidariety.
In 2010 I founded my Organisation Not for profit MobileDiagnosis, that became
member of Global Health Work Force Alliance ( that promote the development of local work forces)
in 2009 Prof Muhammad Yunus invited me to share and teach my method in rural villages in B’desh. I did. in 2010
2011 WHO pubblished my work on Compendium of Innovative technologies addressed to global concerns.
in 2011 a new method to teach to rural work forces using m-phone
https://diagnosticpathology.biomedcentral.com/articles/10.1186/1746-1596-4-19
in 2011 a new approach to the hard contexts and to rural village
women in Afghanistan
http://online.liebertpub.com/doi/abs/10.1089/tmj.2011.9976?journalCode=tmj
https://www.youtube.com/watch?v=vvRok5QvO60
2014 ( after three years on the field, working and teaching on )
A new methodology to teach by an integrated way to illiterate people
http://link.springer.com/article/10.1007/s12553-013-0073-4
2015 I created MeToo, the App, with a double function:
to help in images identification by comparing,
and educative, designed to the low skilled rural work forces
http://aruba1.uriosweb.com/appidaysistance/landing_appidays/index.php?istanza=10215
2015 I have been invited by Nobel prof Yunus and I presented my works
at Atlanta Global Summit on Health Education and Technology
https://www.youtube.com/watch?v=N4ZiNqFYibQ
The App, thought to low skilled health workers named MeToo®, works thanks two sections
The first section helps the image identification by comparing with galleries of didactic images
The second, works by a interactive page, that provides links, textbook, lessons, manuals, presentations, and image galleries
The App is already published on Apple and Google Play stores, works on iOS and Android , and we are working ( with my team of developer) to share this in a capillary way in the most rural places of the world.
2016 I identified a not falciparum malaria in DRC, ( not described before there )
where I was as medical and teacher. After three years ( 2012-2014 of study on the field) I brought the samples to university Sapienza to study the genetic patterns and they conformed my diagnosis
http://malariajournal.biomedcentral.com/articles/10.1186/s12936-016-1142-8
2016 tried with positive results the -remote sharing-in real time
https://www.youtube.com/watch?v=t_sdpPul3xw
all experiences have been published, the last two are in publishing inside
the chapter on ethics in innovation that will be published by IGI on 2017 4/6
2017, just one month ago, I have been in Geneva upon invitation of WHO to present my work at WHO FORUM ON MEDICAL DEVICES
—
Curriculum Vitae Livia Bellina
Personal Informations: Place and date of birth: Palermo, 25.8.1954 Country of Origin : Italy
General Informations Language
Mother tongue Italian .English spoken and written (basic) .French spoken and written (basic)
Areas of Expertise (Keywords) Rural health care, Diagnostic Pathology ,M‐health , M‐Education, Logic Clinic ,Education Training on the job, Global Health
Social skills and competences Strongly values‐led, inspirational, natural leader. Excellent communicator, naturally prone to network and establish new working and human relationships. Likes to build, and work with teams, motivating his collaborators. Easily adapts to multicultural, intergenerational and diverse social and economical environments. Thanks to attitude and open and communicative behaviour she easily establish a good human relation with patients, as well as students, teams and colleagues, as documented by several letters from Bangladeshi students, and thank to her work and ideative capacity and her strong commitment and personal networks she builds utility networks and often can see and solve local problems with appropriate, frugal , solutions for bridging the technological and educational gap http://www.mobilediagnosis.net Thanks to her strong determination , she manages to keep pace of work very hard to achieve the objectives
Organisational skills and competences
She is an experienced teacher , wirh good experience in hard and rural contexts. Good Experience in networking and communicating with people . With long and passionate experience and engagement in education affairs, she developed good competence in establishing team motivated and working groups, and actively contributes to their growth and development. Is forward looking and enjoys innovation.
Computer skills and competences
Good Knowledge of most popular office‐software applications (in multiple platforms: Windows , Macintosh, Open Source), easiness to get familiar with new packages and tool
Education and Training
After completing Classical Studies in Palermo, Educandato Maria Adelaide
1973‐1979 Degree in Medicine at Medical Faculty , Palermo University
1980‐1983 .Post Graduate Specialization in General Pathology) Medical Faculty of Palermo University
1983‐1984 . PhD ‐Post Graduate Trainin in Immunopharmacology (one year )
2010‐2012 . Master in Medicine of Migration,Marginalization and Poverty –Idente Foundation-‐Caritas –Rome
Short Training Courses
- October, 12-25 Basic Laboratory for Tropical Disease -Don Calabria Hospital Negrar, Verona
- March -June-Advanced Post Graduate Course of Tropical Medicine and International Health Cooperation‐Careggi Hospital- University of Florence
- July 26-August 6 Management of Programmes for Communicable Diseases Control in Sub-Saharianan Africa Foundation MPCDC 2010-Public Health Laboratory Ivo De Carneri Pemba Zanzibar
Affiliation ‐Professional and Scientific Affiliations Medical Association‐Academic
Medical Association, since 1980
Italian Pathologist Association, since 1991
Euripa group until 2008
Anspi 2008
Italian Society of Migration Medicine (SIMM), since 2009
Italian Society of Tropical Medicine (SIMET), since 2009
National Focal Point Work Group “ European AIDS & Mobility Project “ COST Action(European Cooperation In Science and Technology ) since 2010
Pathologist OverBorder 2010
Union from September 2010
Global Health Workforce Alliance -‐GWHFA-‐WHO 2011
Ashoka Changemakers ‐Health Innovation Group 2012
M‐Health Alliance 2013
Members of HIFA2015: Healthcare Information For All by 2015: http://www.hifa2015.org 2013
M health expert in the consultancy network mHELP expert network of m health alliance org. 2013
IET( Institution of Engineer and Technology) 2014
AAHRH Asian Pacific Alliance for Human Resources for Health 2014 http://aaahrh.org/researchers-‐detail.php?id=48
Professional Experience‐ past Academical Experiences and Research involvements
1974-1985 :Academic research and internships
1974-1979 Intern researcher student
1980-1983 Post graduate training in the Institute of General Pathology‐Medical Faculty Palermo University
1980-Fellowship Research granted by CONI for research about Immunological depression in athletes
- Fellowship Research granted by CONI
- March-June Full time Instructor in Laboratory Medicine, Medical University of South Carolina, Charleston, South Carolina (USA)
1981 “Cultore della Materia”(Adjunct Expert Professor) of General Immunology Medical Faculty Palermo University
1982‐ Adjunct Professor of General Immunology at the Microbiology post graduate Training ‐Medical Faculty Palermo University
1983‐ Reseach Doctorate in Immunopharmacology -‐Medical Faculty Palermo University 1983‐Medical Expert at the Dept. of Tissue Immunology – Medical Faculty Palermo University 1983 October,1st -December 31st
Professional Experience –Medicine
1985‐ Pathologist, medical laboratory, National Health Service, ASL 6, Civic Hospital Partinico, Palermo January 1st June 30
1987 until now Medical doctor , Specialist (general pathology) on the Territorial Districts of National Health System‐National Health Service, ASP ( 1991‐ 2010 MD pathologist ,at district of Lampedusa Island )
Professional Experience – Experiences in Developing Countries –Training – Consulences M‐ Health –Global Health-Health Rural Development
2009 (October‐November) Medical Expert Supervisor of Main Lab and Teacher for Laboratory Technicians School – Saint Mary Hospital – Lacor‐Gulu,Uganda. (Corti Foundation International Cooperation project)
2010 (April‐July) Medical Expert and Teacher‐Consultant for the Grameen Kalyan , Mohammad Yunus Foundation , in Dhaka, Bangladesh
2011(February‐May) Medical Expert and Teacher at St.Vincent Hospital Dinajpur‐Bangladesh.
2011 (July ‐ September ) Medical Expert and Supervisor of Medical Laboratory of Childrness –Governative Hospital -Herat Afganistan (MAE Project -AISPO)
2012 Feb‐March : Madagascar Andavadoaka‐ Tulear- Medical Expert –Explorative Mission MobileDiagnosis Association
2012 September‐November –Medical Expert‐Consultant and Teacher -Democratic Republic of Congo‐Tshimbulu – Western Kasai –St François Hospital
2013 February-March, April‐June Coordinator and Expert Consultant at Yunus Center AITBangkok-Thailand 2013 May :Expert teacher in Mae Sot, Kaw Ker Thai, Whang Pha and Refugee Campo of Mae La ‐at Mae Sot SMRU-Oxford-Mahidol Shoklo Malaria Research Unit Mae Sot Thailand
2013-October‐December-Medical Expert‐Consultant and Teacher ‐Democratic Republic of Congo-Tshimbulu-Western Kasai -St François Hospital II Year Course
2014 March, 20 -April,4 : Expert teacher in Mae Sot, Kaw Ker Thai, Whang Pha and Refugee Campo of Mae La -at Mae Sot SMRU‐Oxford‐Mahidol Shoklo Malaria Research Unit Mae Sot Thailand II Year Course
2014- October‐December ‐Medical Expert‐Consultant and Teacher ‐Democratic Republic of Congo-Tshimbulu -Western Kasai -St François Hospital III Year Course
2015 .September Medical expert and teacher –ICT for rural development
India-Assam Dibrugarh and Dhubri districts.Strategical planning in rural community of Brahmaputra Island C-NES Foundation
2015-October Expert medical and teacher –ICT for rural development Nepal ,Kathmandu
Department of Rural Healthcare and Telemedicine Public Health Concern Trust (phect-NEPAL)
2017 February- Medical Expert and teacher in Mae Tao Clinic (Laboratory) Mae Sot Thailand
2017 March Medical and teacher at SMRU ( 6-17 March, teaching in Mae Ker Thai and Wang Pa laboratories
2018- May-June- Medical expert.- Mae Sot Thailand – in collaboration with Burma Border Project and with Help Without Frontiers No Profit Organisations – Refugee Learning Center – Children Screening and Education .
Conferences–Seminars‐Workshops‐and other Scientific Events of the last years
2008 October 3-5 Congress of ANSPI Carloforte Sardinia Italy
2009 -February, 5‐ 7: VII Congress of Migration Medicine (SIMM) Trapani
2009 ‐April 3‐4: Equal Opportunities of Healt:Action to Development a Plan for Action to Teach and Advocate Global Health –International Conference On Global Health ‐Padova
2009 June,4:Meeting of National Focal Point:SaluteeTransculturalità:L’impegno scientifico ed il contributo operativo del National Focal Point Italiano‐Dipartimento malattie infettive,parassitarie ed immunomediate – ISS
2009 ‐September 6-10 6th European Congress of Tropical Medicine and International Health and 1th Mediterranean Conference on Migration and Travel Health‐Verona Italy with a presentation (Hetical and public health concerns based on retrospective analysis of referrals for diagnostic parasitology of immigrants and autochthonous population in Lampedusa island (Italy)‐ Bellina,l:Maugeri,M:Missoni,E:
2009 ‐October 1 st November 28 ‐Visiting Consultant Laboratory Doctor in Saint Mary Hospital,Lacor,..Gulu Uganda for Supervision and Training of Laboratory Technologist,Technicians and Assistent and Teachin to Laboratory Assistent Training Scool
2010 ‐April 20 ‐July 20 MD, teacher and Consultant in Bangladesh, Grameen Kalyan central office -Dhaka and rural health center Comilla and Tangail‐Bhuapur
2010‐ 41st Union World Conference on Lung Health which was held on 11‐15 November 2010 in Berlin, Germany. (Bellina L., Missoni E., Increasing connectivity of isolated health workers in poor countries using locally available technology. The International Journal of Tuberculosis and Lung Disease, 2010, 14, 11 suppl.2, pp. S46-‐S47)
2011‐February‐May Teacher and Consultant in Bangladesh‐Dinajpur St.Vincent Missionary Hospital(PIME Organization)
2011‐July to September Afghanistan‐Herat as Teacher and consultant for laboratory of Pediatric Hospital of Herat‐Afgani Government with AISPO‐ Conference at General Hospital
2011 .7th European Congress on Tropical Medicine & International Health 3‐6 October, 2011. Barcelona- Spain (Bellina,L:Missoni,E:MobileDiagnosis:an appropriate technology for tele microscopy,an effective tool for training European Journal TM & IH vol 16,Supplement 1,October 2011,pag 88 http://www.blackwellpublishing.com/tmi)
2012-September Conference in Tshimbulu for CA of St François Hospital 2012 –November, 3 Conference in Kinshasa, for Country COE board
2012-September –November : two months MobileDiagnosis Course I level hosted in St Francois Hospital, Tshimbulu 2012-‐November , 9 : III edizione del Convegno “le Malattie Infettive del Migrante e del Viaggiatore” Ferrara 9 Novembre 2013-‐ May : one week MobileDiagnosis Course in Mae Sot Wang Pha, Mae La – (hosted by SHOKLO unit Mae Sot -‐SMRU -Oxford‐Mahidol University )
2013-June Florence Careggi, main lesson ( Master in Tropical Medicine and Global Realtà Florence University) about MobileDiagnosis: Dalla telepatologia alla educazione‐dalla emergenza ad un nuovo sistema educativo
2013 October‐December : two months MobileDiagnosis Course I and II level in DRC,Thsimbulu, hosted by St Francois Hospital
2014‐March‐April : MobileDiagnosis Course- Iand II level-three week – in Thailand, hosted by SMRU-Oxford‐Mahidol University
2014 ‐June Florence Careggi main lesson at the Master (II year) about : Tecnologia appropriata e nuove metodologie di comunicazione per i paesi a risorse limitate : m health e MobileDiagnosis – June, 25-‐ Medical University of Careggi ‐ Course of Perfectionament / Master in Tropical Medicine and Cooperation
2014 September 17 London ‐Appropriate Healthcare Technologies for Low Resource Settings: use of m-Technology in Rural Health Care and Education. Appropriate Healthcare Technologies for Low Resource Settings – AHT2014-‐IET The 8th International Conference -‐ Promoting access to healthcare through technology 17 -18 September 2014 | 15Hatfields, London, UK
2014‐October 3 –DesioMilano- MobileDiagnosisProject :Educating, Connecting,Networking in the IV International IITM Conference TelemediCare 2014
2015-February ,17-Roma, MobileDiagnosis® Comunicazione visiva e tecnologia “frugale” Educare Connettere Mettere in Rete . MobileDiagnosis : portare nei villaggi dei paesi in via di sviluppo educazione e accesso alla salute. Fatti, non parole. XIII CONVEGNO dell’Italian National Focal Point Infectious Diseases and Migrant .“Salute e Migrazione: nuovi scenari internazionali e nazionali”
2015- 27 Febbraio: Milano- “MobileDiagnosis, tecnologia mobile per Educare, connettere, mettere in rete”. Ospedale Niguarda – istituto Internazionale di Telemedicina IITM . 2° Workshop Tutorial Nazionale Smarth Health .Smart Media e Social Network in Medicina e nei Servizi Socio Sanitari
2015 -13 Aprile Florence Careggi XVI Corso di Perfezionamento in Medicina Tropicale e Cooperazione Sanitaria “Tecnologia appropriata e nuove metodologie di comunicazione per i paesi a risorse limitate: m health e MobileDiagnosis“
2015 10-13 May . Atlanta Georgia US Global Summit on Health Education and Technology
“MobileDiagnosis® Model: Educating, Connecting, Networking The Smart Way-Use of m-‐Technology in Rural Health Care and Education”
http://www.slideshare.net/livia_bellina/livia-‐bellina-‐atlanta-‐global-‐summit-‐2015
Global Summit Presentation Video https://www.youtube.com/watch?v=N4ZiNqFYibQ
https://www.youtube.com/watch?v=N4ZiNqFYibQ
2015 .September 10-11 Usha Mittal Institute of Technology SNDT –Mumbai Fuelling Prosperity of Planet and People
http://ibss2015.ieeebombay.org/mtrhce Use of m-Technology in Rural Health Care and Education
2015. September 11, Aset Colloqium at Tata Institution of Fundamental Researches -Mumbai “MobileDiagnosis® Model: Use of m-Technology in Rural Health Care and Education”
https://indico.tifr.res.in/indico/conferenceDisplay.py?confId=4482
2016 April, 14 SDA Bocconi School of Management-Lesson “making m-Health available through social business” in the context of the series of seminars “Management of Global health Challenges” -Specialization in Global Health and Development – Master of International Healthcare Management Economics and Policy (MIHMEP) at .
2017 GENEVA WHO GLOBAL FORUM ON MEDICAL DEVICES- ONLY BY WHO INVITATION
Presentation and video :MeToo the diagnosis and education App -Livia Bellina &Ilenia Nucatola-
2017 July Global Social Business Dhaka.
Selected Publications ‐ last five years
2017 Bellina Livia & Nucatola Ilenia
“Overcoming the gap quality and ethic in m-health: MobileDiagnosis m-health innovation and quality to all. “
Source Title: International Journal of Reliable and Quality E-Healthcare (IJRQEH) 6(4) DOI: 10.4018/IJRQEH.2017100103
“Overcoming the gap quality and ethic in m-health: MobileDiagnosis m-health innovation and quality to all. “
International Journal of Reliable and Quality E-Healthcare (IJRQEH) published by IGI Global.
Special Issue (4/6) M-Health Innovations for Quality in Healthcare
2016. Bellina Livia & Missoni Eduardo “ The first description of how to take a picture from the microscope with an m-phone” Journal of Cutaneous Pathology Volume 43, Issue 11, pages 1077–1078, November 2016
DOI: 10.1111/cup.12753
2016 Giovanni Luigi Milardi, Simona Gabrielli, Valentina Totino, Valerio Fullin, Boniface Katende Kabasele, Livia Bellina and Gabriella Cancrini “ Human babesiosis from Democratic Republic of Congo” Atti XXIX Congress SOIPA pag 195
2016 Simona Gabrielli, Livia Bellina, Giovanni Luigi Milardi, Boniface Kabasele Katende, Valentina Totino, Valerio Fullin and Gabriella Cancrini “Malaria in children of Tshimbulu (Western Kasai, Democratic Republic of the Congo): epidemiological data and accuracy of diagnostic assays applied in a limited resource setting” Malaria Journal-11 February 2016 DOI: DOI: 10.1186/s12936-016-1142-8
2014-L.Bellina :”MobileDiagnosisr®Project:Educating,Connecting,Networking in the IV IITM International Conference TeleMediCare 2014 Desio-Milano Oral presentation in the conference and accepted for publication .
2014-L. Bellina, R.Carrabino, G.Azzolina, I.Nucatola, A. Maggio, F.Consiglio, R. Ingrassia, F.Vitrano, D.Scarpinato, E. Missoni :“Appropriate Healthcare Technologies for Low Resource Settings: use of m-Technology in Rural Health Care and Education“ Appropriate Healthcare Technologies for Low Resource Settings 2014 IET (Institution of Engeneering and Technology ) http://conferences.theiet.org/aht/ Oral presentation in the conference and on-line publication http://tv.theiet.org/search.cfm?search=1&back=%2Findex.cfm&syear=&schan=&stext=aht http://tv.theiet.org/channels/news/20270.cfm
2014 ‐Bellina L.Azzolina,G.Nucatola I.,Maggio, A:.Consiglio,F:Ingrassia, R.; Vitrano,F.,and Carrabino, R.: “M-‐phone impact on practical training: role of m‐phone as part of the educative method for training local health workers of rural areas of developing countries “ – Health and Technology, January 2014 DOI: 10.1007/s12553-013-0073-4 http://link.springer.com/article/10.1007/s12553-‐013-‐0073-‐4
2011-Bellina, L,.Missoni, E. Mobile Diagnosis: Bridging Sociocultural Gaps and Empowering Women Telemedicine and e- Health November 2011, 17(9): 750‐750. doi:10.1089/tmj.2011.9976. http://www.liebertonline.com/doi/abs/10.1089/tmj.2011.9976
2011‐Bellina, L., Missoni, E. Mobilephone image transmission for diagnosis. In: World Health Orgaization, Compendium of new and emerging health technologies, WHO/HSS/EHT/DIM/11.02, Geneva, 2011 http://www.who.int/medical_devices/innovation/new_emerging_tech_10final.pdf
2011-Bellina,L:Missoni,E:MobileDiagnosis:an appropriate technology for tele‐microscopy,an effective tool for training European Journal TM & IH vol 16,Supplement 1,October 2011,pag 88 http://www.blackwellpublishing.com/tmi
2011-Bellina,LMissoni,E: M‐learning: mobile phones’ appropriateness and potential for the training of laboratory technicians in limited‐resource settings‐ Health and Technology 2011 October , DOI: 10.1007/s12553‐011‐0008 http://www.springerlink.com/content/a328n117r7775322/
2011‐Bellina,L In Good Practice‐Mobile Diagnosis : The Grapevine ‐Summer Euripa Magazine [PDF] The Grapevine www.euripa.org/…/GrapevineSummer11.pdf
2010-Bellina,L:MobileDiagnosis, in Good Pratice-2011,July Freedom From Want(MDGC-AIT) http://issuu.com/arcmdg/docs/aw_ffw2_final
2010-Bellina L., Missoni E., Increasing connectivity of isolated health workers in poor countries using locally available technology. The International Journal of Tuberculosis and Lung Disease, 2010, 14, 11 suppl.2, pp. S46‐S47
2010-Bellina L. ,Grameen Kalyan :Training on Diagnostic Pathology 07‐10 june 2010 Tutorial Book of Course for Healthworkers trained by Dr Livia Bellina ,assisted by Dr Baqui Supported by Regional Office Comilla Venue:Rajapur Health Center ,Comilla Unpublished
2009‐Bellina.L:Maugeri,M:Missoni,E:Hetical and public health concerns based on retrospective analysis of referrals for diagnostic parasitology of immigrants and autochthonous population in Lampedusa island (Italy)‐ European Journal TM & IH vol 14,Supplement 2,Sepotember 2009,pag 66 http://www.blackwellpublishing.com/tmi
2009-Bellina, L., Missoni, E., Mobile cell‐phones (M‐phones) in telemicroscopy: increasing connectivity of isolated laboratories, Diagnostic Pathology, 2009, 4: 19 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2706795/
Previous Publications
1983-Caruso, A., Bellina, L., B8, DR3 antigens and production of human leucocyte migration inhibitory factor (LIF) by mononuclear cells stimulated with concanaval A Tissue Antigens. 1983, Aug; 22(2):167‐9. B8, DR3 antigens and production of human leucocyte migration inhibitory factor (LIF) by mononuclear cells stimulated with concanavalin A
1982‐Cillari E, Lio D, Bellina L, Caruso C, Brai M, Natoli D., Lymphocyte subsets in hereditary angioedema, Ann Sclavo. 1982 Nov‐Dec;24(6):666‐75. Lymphocyte subsets in hereditary angioedema.
1981-Bellina L, Salerno A., Chicken buffy coat leucocytes (BCL) as indicator cells for human leucocytes migration inhibitory factor (LIF), J Immunol Methods. 1981;43(3):277‐81. Chicken buffy coat leucocytes (BCL) as indicator cells for human leucocytes migration inhibitory factor (LIF).
1981‐Caruso C, Palmeri P, Dieli F, Bellina L, Benvegna S, Cillari E, Salerno A., Depression of contact sensitivity to oxazolone by the paramyxovirus of Newcastle disease. Impairment by infectious virus of effector T cells which mediate the response to contactant, Int Arch Allergy Appl Immunol. 1981;66(1):91‐9. Depression of contact sensitivity to oxazolone by the paramyxovirus of Newcastle disease. Impairment by infectious virus of effector T cells which mediate the response to contactant.
1977‐Caruso C, Bellavia A, Bellina L, Salerno A., Delayed‐type skin reactions in bursectomized or thymectomized chickens, Experientia. 1977 Aug 15;33(8):1105‐6. Delayed‐type skin reactions in bursectomized or thymectomized chickens.
Patent and Other Activities
2008‐ Patent m-health : Italian and European Patent Office “ System for take and use, share a send images from microscopical field without any device”(MobileDiagnosis ) The described method has been filed for patent in April 2008, with the sole purpose to protect the idea from commercialization and consent its free use and dissemination. ( EPO application number 09005054.3 2002 -2008 April ) http://www.patsnap.com/patents/view/EP2116884A1.html
2009‐Website : website to help those who need diagnostic confirmation: http://www.mobilediagnosis.net 2010‐Foundation of MobileDiagnosis Association “MobileDiagnosis”association for the Global Access to Care, diagnosticsupport and Education http://www.mobilediagnosis.net 2011 MobileDiagnosis became a non‐profit Association The Association . MobileDiagnosis has been recognized by the Government in November 2011, 28 as a No Profit -Association (Government number 97261360826 )
2012-The Bellagio Initiative, of Rockefeller Foundation, published “MobileDiagnosis Mobile Project” on The Bellagio Initiative ”The Future of Philantropy and Development in the Pursuit of Human Wellbeing” as Innovation, Health,Technology and Education http://www.bellagioinitiative.org/resource-section/your‐ideas/innovations/innovations‐bank/
2012-Pre‐agreement Partnership with YCA -Asian Institute of Technology -Yunus Centers 2014 –preagreement with AIT_IntERlab- First feasibility study trip in Mae Sot – April-May –
http://pwl.ait.asia/index.php/archives/show/651 for start to studying for a common project for Rural Communities of Asian Regions
Innovations steps
2008 first telepathology- patent application https://patents.google.com/patent/EP2116884A1/en
2009 publication for global good in open access the method https://diagnosticpathology.biomedcentral.com/track/pdf/10.1186/1746-1596-4-19
because I think that health and education are human rights
2011 WHO Compendium of innvative technology
2011 Ashoka Changemakers
2011 innovation in local education
2011 innovation to protect fragile genders
2014– innovation in local communication
and in community health care and malaria eradication
2015- The App MeToo the first medical App dedicated to low skilled / isolated operating health work forces http://aruba1.uriosweb.com/appidaysistance/landing_appidays/index.php?istanza=10215
2016- Community benefit in health Malaria -rapid tests defect and better identification of malaria non falciparum in Tshimbulu DRC -changing the local vision of malaria approach. https://malariajournal.biomedcentral.com/articles/10.1186/s12936-016-1142-8
2017 – Haetic in Innovation
Sharing Knowledge
Provide health care to rural and neglected people educate them Connect them in a global network and improve their life by the use of local, frugal, accessible and cheap ITC . Running charitably and teaching them (the poor, nelected, isolated people used to thinking like slaves) to work independently becoming the owners of their life in a way of social entrepreneurship https://photos.app.goo.gl/kfTy9jC5pyyUfhiX6 https://goo.gl/photos/HNesmQ5EXRtWYEEQ9 this the first screening in Congo DRC in autonomus way, supported by us https://goo.gl/photos/Hnqft1Kr6Sm5frem8 2018 activities : Learning Center Thay/Burma border in Mae Sot : little refugees visit and health education I left all teachers able to do diagnosis, to visit children and when it needs to send me images to have distance consult and opinion https://photos.app.goo.gl/fvpXZdViUzltrE4I3 I opened also some educative free page dedicated to all my students and also to others who may use and could be interested in learning
Working in press : the official page of MobileDiagnosis Onus – borne in 2009 http://www.mobilediagnosis.net/ will be in a new version , interactive, in a couple of months!
This is the wordpress page :
with all my (ten year’s) lessons and more and more others news and useful topics
This is a dedicated FB Page
You tube channel
and the App (Metoo)
Includes
a diagnosis area – with possibility to upload a microscope image and compare with an internal image’s gallery
to permit a visual comparing and identification
and a educative part with Atlas, tables, infographics , links and books inside
also an area dedicated to all who travel in developing cuntries with infos about embassy and consulate
You can find all details in the ppt (atteched) presented at Geneva 3 Forum Medial Devices of WHO- May 2017
The last goal ( in progress) , in collaboration with Estudio Cavernas
will be presented at Fourth Forum WHO, India December-Delhi (only for WHO Innovator’s Group – of which I am member)All details will be available after the WHO Forum.
Present Research Interests and Involvements
Sharing Knowledge
Promoting Health and Education in innovative and ethics way
one of my features? I am amazing 🙂
I like to joke, to dream, to look for real results
Prizes and Awards
2011- World Health Orgaization published her work “ Mobilephone image transmission for diagnosis” on the Compendium of new and emerging health technologies, WHO/HSS/EHT/DIM/11.02, Geneva, 2011
2011‐ Ashoka Challange ‐selected as one of the top 30 finalists of the Challenge“Top 11 in 2011 Innovators “
2012‐ Rotary : Premio Rosario La Duca, a life for Palermo ‐Rotary Inner Wheel, Palermo Centro, jointed with University Academic Board for “ The Humanitarian Effort in the commitment and work made on the fields of health care support and education in Developing Countries”
2012-‐ Ashoka Changemaker admission in Ashoka Health Innovator Group a network of health global innovators
2016 -Premio Pluralismo Donna Camera di Commercio Palermo Palermo Maggio 2016
Thesis on my works and Academic Collaborations
Thanks to a Collaboration,with several Universities :Bocconi University, Florence Careggy University and Palermo Archtecture Univerity , there are made several Student’s Thesis:
2010 -Giacomo Mariotti Università commerciale Luigi Bocconi Facoltà di Economia Laurea Specialistica in Economics and Management of Innovation and Technology Thesis : E-Health and Distant Diagnosis: Design of Phone-Based Framework for less-developed countries -Master Thesis
2011 -Enrico Sgrosso Università commerciale Luigi Bocconi Facoltà di Economia BIEM‐Bachelor in International Economics and Management-Department of Institutional analysis and Public Management‐Bachelor Thesis :Economic advantage of mobile health technologies in Low and middle income Countries :A review
2013 ‐Giorgio Prestigiacomo-Facolta’ di Architettura Disegno Industriale -‐ Palermo MDClinic Progetto per un ambulatorio medico destinato alle zone rurali dei paesi in via di sviluppo
(Thesys name : MDClinic, Study case for an medical ambulatory for the rural communities in the Developig Cuntries)
2014 -‐ Elena Marocco Tesi Master interuniversitario di I livello in Medicina Tropicale e Salute Globale Anno accademico 2013/14 -‐Università degli Studi di Firenze-‐ Università degli Studi di Brescia -‐Fondazione Don Giovanni Calabria per le Malattie Tropicali di Negrar (Verona) Tesi :Telemedicina Tramite mobile-‐Phone :L’esempio della MobileDiagnosis® ( thesys title : Telemedicine by m-phone: the MobileDiagnosis example)
Useful Links
http://www.patsnap.com/patents/view/EP2116884A1.html http://www.who.int/medical_devices/innovation/new_emerging_tech_10final .pdf http://www.who.int/workforcealliance/members_partners/member_list/mobil ediagnosis/en/index.html http://www.bellagioinitiative.org/innovations/mobile-‐diagnosis‐mobile‐ project/ http://www.healthunbound.org/content/mobilediagnosis-‐‐global‐project‐based‐most‐ relevant-‐ technology‐brain http://www.mhealthalliance.org/membership‐info
Livia Bellina 