April 11 2014

MobileDiagnosis, the correct path

Awesome night in Bangkok ! I met again a great man, “The Big” man
It is incredible the Energy” of this Man
as incredible is its humanity and its future vision
and also its lovely behavior and friendship with me 
He have believed in me and my work, MobileDiagnosis,
from the very beginning of my work

Thanks, Professor!


I am happy and excited to talk again of my projects to the presence of Professor Yunus in this very private dinner , 4 year after my presentation at Professor Yunus’ dinner for the Kaiser Foundation , in Dhaka.

As the Professor says , not exist little man or little woman, but only person who have not access to the possibilities,no chances ,no education.

All can do all. 

A ” bonsay” can grow up and become a strong forest
and help their communities

In my last 5 years I went to 7 countries, doing 8 courses and teaching to 199 people, of which 50% were illiterates

With my little, free, solitary work, I demonstrated that all can 
learn , and all can do a “little” diagnosis everywhere, with no many facilities or many money. 

In addition, thanks to a detailed analysis of the past experiences I understood where was the weak point of this ( and of several other ) project :

No benefit to single person who works in the rural health-centers , not additional benefits for the local work-forces. 

My students was poor and they are poor, still.

Thus, as teach Professor Yunus, here the solution, ethic and appropriate:

Applying the Social Business, not for creating 
careers or jobs, or for enrich a lot of people already rich, and leaving the local work-forces poor, still….

not

Apply the S.B. model to the last , poor, people: to last ring of the chain

The people working on peripheral community to diagnosis, will receive a very little fee for each diagnosis

The start up will be created thanks two possible mechanisms 

Now I can think, without fear to err , that we can start by creating a new generation of those that Mao called barefoot doctors

and, I say more, with the creation of “micro-welfare areas” for the wellness of the rural underserved poor communities

January 27 2014

MobileDiagnosis® Educating, Connecting , networking How it work


Livia Bellina

Medical Doctor, Pathologist

Livia Bellina ( born 25 August 1954) is an italian medical doctor pathologist, educator.

Livia founded the MobileDiagnosis, a Not for Profit Association and pioneered the concepts of global access to health- care and  medical education by m-phone technology and invented a new solution for training work forces in rural areas of developing countries.

Short Bio- Background-

2008, February -working as a pathologist on the Italian Island of Lampedusa, she found herself in the urgent need to confirm a diagnosis of malaria from a blood sample of an African immigrant. With no other means at hand,she took a picture of the microscopic field using the camera incorporated in mobile-phone, without additional devices, and sent it via MMS for tele-diagnostic purposes to a reference center. MobileDiagnosis was born.

2008-April-the described method has been filed for patent  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).

2009- February -Meeting Eduardo Missoni at congress of the Italian Society for Migration Medicine(SIMM) (Trapani, February 2009)  and starting the fruitfull collaboration.

2009-June – The work about low cost diagnostic image transmission (Bellina and Missoni) was published in Diagnostic Pathology (an Open Access Journal) Bellina, L., Missoni, E., Mobile cell-phones (M-phones) in telemicroscopy: increasing connectivity of isolated laboratories, Diagnostic Pathology, 2009, 4: 19


2009- with Eduardo Missoni she developed since 2009 the  website  
http://www.mobilediagnosis.net


 2010- In 2010 founded MobileDiagnosis® Onlus Association with Vincenzo e Giorgio Prestigiacomo, her sons, and Eduardo Missoni. 

 MobileDiagnosis® Non Profit is an association aimed at sharing knowledge and providing diagnostic support to health workers worldwide by using mobile phone technology. The association also provides educational support and guidance on the use of mobile technology, mainly for resource limited and rural settings.

MobileDiagnosis® association is composed of a creative team of young professionals in web design, engineers, project specialists and other  professionals. The team works to increase the visibility of Mobile Diagnosis, and to create opportunities for the development of new educational methods such as long distance training, learning, and to keep users up-to-date on diagnosis issues.

2011-  MobileDiagnosis have been recognized by Government as Non Profit Association  

2012-Rotary conferred to her the Rosario La duca Award, for humanitarian efforts.

2013-MobileDiagnosis-Livia  started a collaboration with Yunus Center AIT in Bangkok for expanding the activities in SEA

 

She attended  to several courses about poverty medicine including:
Advanced Course in “Basic laboratory for tropical disease and health cooperation”, at Verona Negrar Hospital (director Dr. Zeno Bisoffi)( October 2008 )
Advanced Course in “Tropical Medicine and Health Cooperation” (4 months), at Florence Careggi University (director Pro f. Alessandro Bartoloni) (March-June 2009 )
Course in “Management of transmissible disease in sub saharianan  Africa”, at Pemba (Zanzibar) Public Health laboratory, supported by De Carneri Foundation. (July-August  2010).
Master of Medicine of Poverty Marginalizationion and Migration 5° MEMP of Caritas –Rome Idente Foundation- Verona Negrar
 - for improve her skills for teaching to low-resource health-workers of  poorest communities

After that she went  to teaching as volunteer medical consultant and “on the job” teacher in rural communities of some of the poorest countries: Uganda (Gulu, 2009) Bangladesh (Bhuapur, 2010) upon  invitation of Professor Muhammad Yunus, Bangladesh with PIME (Dinajpur, 2011) and Afghanistan (Herat, 2011). In 2012 February  she went to Madagascar to find the best area for future projects, September-November in DRC, where done education  at local level, improved local health workers of St Francis Hospital . In  2013 she went to work in Thailand- in refugee champs bordering Mynmar  and in DRC for the second time-

In less of 5 years she trained more of 100 people

 2011 after an extraordinary experience with local rural living woman in Afghanistan. where she went for working as supervisor of Medical Laboratory of Children’s –Government Hospital of Herat, for training local health workers ,she done a study published together Eduardo Missoni, on health access for vulnerable subjects (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) and started to explore the  mechanism of m-learning, introducing a new communication method,and focusing the actions on the field mainly on local education.

 Her goal is the worldwide promotion of MobileDiagnosis® methodology for promoting the global access to health care and education by the use of a mobile-phone for taking and transmitting diagnostic images – (m-health and m-edu)  and educate, and on the real time control and management of diseases-

The main activities of MobileDiagnosis  -Sharing-Training-Connecting-Networking 

MobileDiagnosis works with three main mechanisms

1-Sharing -MobileDiagnosis- the  new-original tool for a simple, low cost telepathlogy-telemedicine : how take and transmit image with a simple mobile and a MMS

2-The new orginal method for educate  low skill and illiterate people

3-Creating a network for help rural low-resource work forces

4-(ongoing) working to a new open access educative  web based platform and an ITC linked network for an education in remote

 

Sharing images                                                                               

 

 

 

The Idea

Mobile phones can be easily used without any adapting device to take pictures of the microscopic field and send them for remote reference.

 

Technical note :

 

 

MobileDiagnosis® is based on the simple concept of using a mobile phones (m-phones) to capture clinically relevant images at the point of service (the nearest as possible to the patient’s home) and send them via Multimedia Messaging Service (MMS) to a distant reference center for confirmation of diagnosis, second opinion and advice.

 

The possibility to both capturing and sending images taken from the microscope, and by extension from any optical eyepiece of other medical devices (enteroscope, colposcope, etc.), with an MMS via the mobile cell- phone network represents an enormous breakthrough in terms of ease and access, given the penetration of the mobile network and transmission costs, in comparison to the landline broadband network or satellite connection on which the internet needs to rely. The ability to do this without recurring to additional complex and expensive devices represent an enormous comparative advantage with respect to other known solutions.

 

While the initial experience was based on images taken just with the in- built camera of an m-phone from an optical device (microscope), preliminary testing shows that in several other situations the use of m- phone in bio-medical imaging represents an effective and cheap  methodology in order to make a correct and timely diagnosis.

 

In order to contribute to achieve a universal access to appropriate health care in low resource countries and most remote areas, the project intends to apply MobileDiagnosis methodology on a wider scale, by introducing and disseminating the use of m-phone based tele-diagnosis and health workers training. This would be accomplished by associating the local use of m-phone based diagnosis and training with an adequate review of how information flows through local and national health systems, as well as by taking advantage of a global expertise network made available through ad hoc agreements.

 

An unconventional / creative approach to quality health care 

Traditionally, the access to specialized diagnostics was limited to population groups belonging to higher social classes, because of costs and concentration of specialized care in major urban centers.
The MobileDiagnosis methodology will allow public access to world class quality diagnostics for a large number of conditions, to everybody irrespective of the patients’ economic capacity or distance from specialized health centers.

 

Significant improvement will be possible thanks to three work- innovation (or introductions – or also changes ).

 

 One is the ease, after a  specific training ,  of taking and sending picture using a very common tool - the m-phone – “as it is”, i.e. without recurring to any additional device.

 

The second  change is the use of the m-phone as an educational tool which may empower health-workers and caregivers at every level, even at family and community level, to interact directly with the near referent   of  care.

The use of simple, relatively cheap m-phones for directly capturing images and sending them via MMS for tele-diagnosis represents a breakthrough in terms of appropriate use of technology (ease, accessibility, affordability) as compared with previously described and used telemicroscopy and other tele-diagnostic approaches, including both those based on complex photographic equipment using computers and broad band data-transmission network, and those based on tricky and still comparatively expensive, thus inappropriate, ad hoc cell-phone-connectable  microscopes. M-phones are nowadays available, affordable and commonly used in the most remote and poor areas of the world. Not everybody owns one, but hardly any community lacks one. Thus, using the use of m-phone for diagnostic purposes bears a negligible cost. The use of m-phones as an educational tool represents a relevant change.

Independently from the connectivity aspects, the possibility to share images on the m-phone screen and discuss them in a group, as well as comparing them with reference images in collections in print (atlases) or uploaded in the same m- phones, facilitates participatory learning and reduces learning times as compared with traditional teaching methods. Literally anybody can quickly learn how to take an image from a microscope or other device.

 

The third change relates to increased connectivity: to exploit the full potential of the adoption of MobileDiagnosis, the methodology facilitates the information flow in the health system.

 

Through appropriate community based training, people “where there is no doctor” may be empowered to deal locally with a number of pathologic conditions by resorting to distant advice. Health workers (MDWorkers) in remote duty stations can receive distant training and support in their daily work. Diagnostic confirmation of diagnosis based on microscopy can become almost immediate and epidemiological surveillance more accurate. As a result of mentioned improvements, transferral of patients for diagnostic purposes and related costs can be reduced.

 

Social Business for improving local income and economy –a future development

The   innovative side  of this project,  it his particular caracteristic, respect to  any of the other projects, is that  this project  is not looking for external  funders  but it same  will generate  a gain   thanks to  a local mechanism of Social Business

 All  local MDWorkers (local MD referent and MD operating work forces) after an adeguate training will become  local referent for Community and will provide diagnose   for the local mainly present  diseases  (water-born diseases,  soil-transmitted worms diseases , and finally some mosquito transmitted-diseases  as  malaria ).

The local, rural referents , named MDWorkers, will receive a gain for each diagnosis done , and this new opportunity  will produce a local improvement of income

 

This local job opportunity generated by  will generate a local money flux and a local  sustainibility of project -work .   Free from external funders or donors .

 

Finally, an opinion by a specialist obtained through national or transnational networking may represent a decisive asset in even more difficult cases which may not find a solution at the highest complexity level in a given country. The innovative methodology will ignite a review of traditional information flow, both nationally and internationally,  including integrating a solidarity based alert system that can make world class expertise available (at very low cost and ideally for free) 24/24, 7/7.  *

 

Investments in mobile-health technology and associated process improvements have the potential to improve the efficiency of health care delivery – enabling improved access to specialty care, a continuing challenge in remote rural communities by acting in a capillary way,  bringing the care to  the  isolated, poor communities . Instead of having a patient trip to see a specialist or vice versa, the specialist sees the patient  sample using MobileDiagnosis®, the m-phone based technology.  This has considerable potential to reduce travel associated with serving remote rural populations and to extend the reach of a specialist to isolated, poor and  underserved populations, and to educate low skill local workforces .

We focus on the use of  mobile  “store and forward” (analogous to e-mail with attached images and data) communications technology to transfer patient information via  rural md worker  to the referent specialist

 

Store and forward systems  provide specialists with attractive opportunities for  improve  local  wellness by  creating a job opportunity through a mechanism of Social Business, for otaine a twin goals :reduce costs and improve local incom

 

 

 

Educating with a new, original method  

The new orginal method for educate  low skill and illiterate people

                               

Sharing images by m-phone, together with a two- phase educational method, (phase of relation, with a personal approach to the student, and phase of contextualization, with an approach to local community problems)combined with the  use of logical didactic tables, proved to be a phenomenal   learning tool, immediately linked to students’ personal  perceptions.

Technical note:

A two-phase approach training (see below) was performed by using structured interviews, didactic tables, m-phones and computers as didactic tools

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-Springer   in press   ( DOI: 10.1007/s12553-013-0073-4)

http://link.springer.com/article/10.1007/s12553-013-0073-4

 

Connecting -Creating a network thanks to m-phone  with or withou (depend from the places) satellite internet connection for help rural low-resource work forces, also in the most isolated, underserved areas

 

The Partnership Scenario:
Global-Local Partnership and Sustainability of the Project.

MobileDiagnosis®works in partnership with local NGOs, by creating a network of local rural health-education posts, linked together and connected to the web platform of MobileDiagnosis- MEDTING - The web platform will share data, images and texts for education and  will store the images for creating of a central database for educational and distance-schooling

Tecnical note-MobileDiagnosis methodology is based on the use of mobile phone and mobile connectivity to improve diagnostic quality at the point of service in rural or otherwise remote and disadvantaged settings, thus contributing to better quality of care.

The m-phone is used both as an educational tool (training health-workers at both health units and community level) as well as tele-diagnostic mean. The full application of MobileDiagnosis methodology includes the redesign of health systems’ information flows and reassignment of expert staff in order to assure dedicated distant diagnostic support and advice to remote health units.

The project uses an incremental approach to enabling of health units and training.
The initial interventions will be focused on a limited number of health centers with adequate technical characteristics, medical and laboratory equipment and staffing (traditional lab and medical equipment are not provided through the project and their adequacy is a prerequisite for the health units to be included in the project). In those health units health workers will be trained applying MobileDiagnosis training methodology. Training will initially be based on pictures from the microscope and other optical devices

At the same time the existing information flow will be analyzed and redesigned to adapt to m-phone generated information and appropriate feed-back.
A reference center will be identified and assigned staff trained to respond to the requirements of the MobileDiagnosis system (lab and medical equipment, as well as staffing of the reference centre are not provided through the project and their adequacy is a prerequisite for staff training and activation of the Reference center. The Reference Center does not need to be a single physical unit, but must be identified as a defined function. Staff could also be located in different centres (and including at home) as long as they are equipped with computers adequately connected to the internet.

In the following years, the best among trained health workers, will teach to other health workers under the supervision of the chief trainer  progressively including all health workers in rural areas.
Results will be regularly monitored and shared widely.

 

The future  of the project- thanks to the m-network  and  , if need, satellite-internet and local ITC-provides to creating :

 

-An Open-source training centre,  with an images library and an interactive school, to which will be possible to access from the educational page of MobileDiagnosis® site.  http://www.mobilediagnosis.net 

 

-A Global Referents network – composed by all high-skill excellence specialists operating thanks a mechanism of time banking

 

 

Tecnical note

This proposal focuses on the first phase: implementation in one Health area (province, district, etc. ) with one reference centre (this could be the core of a future national reference centre).
A second phase is foreseen to consolidate results of the first project area and extend implementation to other health areas in the country. At the same time the transnational network (TN) will be developed.The TN is based on shared knowledge and distant highly qualified support to the national reference centre. The network will be based on a system of accreditation of high level individual experts and or institutions available to provide expert time for free (as part of a social responsibility program). Experts may indicate number and weekly distribution of hours in which they make themselves available to the network. During that time the system will automatically forward them the cases that the national reference centre identifies as requiring second opinion and advice. Their evaluation is then automatically re-conveyed to the Reference Centre, which, in turn will decide the advise to forward the guidance to the originating health unit (eventually translating into local language). Besides technical aspects, this second phase will take into account legal and procedural aspects related to diagnostic and therapeutic liability.  Progressive extension of MobileDiagnosis to more countries will require to parallel an increasing number of experts and of a global network of collaborating centers.

 Kindly those extraordinary Specialists gave their availability to be referents

Jeff Van den Ende  Institute of Tropical Medicine  Clinical Sciences  Antwerp.

 Francois Nosten, University of Oxford, Nuffield Department of Clinical Medicine, Thailand, Infectious Diseases.

Zeno Bisoffi   president of italian society of  tropical medicine-Director of Tropical Disease-Verona Negrar Sacro Cuore  Centre for Tropical Diseases, Sacro Cuore Hospital of Negrar - Federation of European Societies for Tropical Medicine and International Health             

Eduardo Missoni  Global Health founder the OISG, has been member of WHO, MAE, world secretary Scout Movement and co-founder of MobileDiagnosis

Alessandro  Bartoloni   general secretary of italian society of tropical medicine- Director of Department of Infectivology and Tropical medicine Florence Careggi

Marianne Stronhmeyer  Professor at-Tropical medicine Florence Careggi

Luigi Gradoni  Professor at Istituto Superiore di Sanità, Department of Infectious, Parasitic and Immune-mediated Diseases, Italy, Infectious Diseases

Lawrence B. Faulkner   Medical Coordinator  Cure2Children Foundation

 and  many others

MobileDiagnosis -How it works                                             

The Activities:
1. In developing countries: training local work forces

Creating a local “school” for the health education and training of local rural communities – health workers and non health workers (community representatives). Establishing or strengthening health centers for basic screenings , focused on parasitic diseases, neglected diseases, mother and child care, community health care, etc., and link them with the schools

2. In developed countries: training of trainers

Creating a new generation of trainers by activating courses of MobileDiagnosis and a central referent “office” with high skilled consultants and an open-source training centre, with an images library and an interactive school.

3. Planning a global course of MobileDiagnosis®, equitable care and affordable care, sustainable technologies.

The Project

Creation of a knowledge-centers network based on locally available and not expensive affordable resources and poor technology, and the improving of local health workers that, thanks to a domino effect will improve new health workers. It is operating on three levels:

1) Local level, using the mobile as didactic tool, to educate by showing and comparing the images.

2) National level, thanks to a “mobile to mobile” or “mobile to web” network.

3) Global level by a network linked to a web technology platform, thanks to collaboration with Medting started in 2011.

This system is operating locally-globally, and contributes to accelerate the Global Health care provision, distance consulting and education, by connecting the “fragile” subjects, especially in the hard contexts (war, migrations, sex discrimination, cast, clan, family) to a solidarity network of highly skilled specialists and to knowledge centers.    http://medting.com

 

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December 28 2013
Merry Christmas, my friends
Every day of the past year, we have lived, we have worked , loved, and dreamt  with joy and hope,without lose the path.
We believed in a better world,  we believe in a better world
We all together could represent a thousands of little drops, we all together can become an  hurricane  and change the world.
WE CAN , WE MUST  to build a better world where nobody will be a foreign
December 26 2013

Greetings


Merry Christmas, my friends
Every day of the past year, we have lived, we have worked , loved, and 
dreamt  with joy and hope,without lose the path.
We believed in a better world,  we believe in a better world
We all together could represent a thousand of little drops, we all 
together can become an  hurricane  and change the world.
WE CAN , WE MUST  to build a better world where nobody will be a 
foreign
Merry Christmas, my friends, with all my love
Livia
Open file with a browser  :)
September 24 2013

MobileDiagnosis and Livia Bellina News 2013 

Many thanks for your attention

Below some about MobileDiagnosis Progress and  me

 

I am founder and president of MobileDiagnosis ( A NON profit association, aimed to  advocacy of global education and connection  for distance consult  by mobile  -m-health   m-education )

 The official site   is     http://www.mobilediagnosis.net

 

In 2008 I put in pratice a method for capturing the images from microscope with a simple cheap mobile-phone, and for sharing them for education and for distance consultation (m-health and m-education references 1, 2, 3, 4 ).    Without any device

http://www.patsnap.com/patents/view/EP2116884A1.html

MobileDiagnosis has been included on Compendium of Innovative Technologies addressed to Global health Concerns of WHO http://whqlibdoc.who.int/hq/2011/WHO_HSS_EHT_DIM_11.02_eng.pdf

I tought my method in rural areas of Uganda, Bangladesh (upon invitation of Nobel Price  Professor Muhammad Yunus ) , and in Afghanistan, Madagascar,   Democratic Republic of Congo and , now, rural areas of Thailand (bordering Myanmar  ) with Shoklo malaria Research Unit , at Mae Sot. 

http://www.slideshare.net/livia_bellina/mobilediagnosis-2013-21779235

http://www.slideshare.net/livia_bellina/mobile-diagnosisproject-2012-presentation-13756445

My work is mainly focused on use of a mobile-phone for take and transmit diagnostic images – m-health and m-learning and on the real time control and management of diseases.

http://www.who.int/workforcealliance/members_partners/member_list/mobilediagnosis/en/

http://www.mhealthalliance.org/community/membership/our-members

http://www.bellagioinitiative.org/innovations/mobile-diagnosis-mobile- project/

There are already on the world  people working on-text transmission

I work on images transmission, and in the world are not much people working with a simple mobile-phone without devices .

In the recent past years , for sharing  my work  by education on the job,   I went to Uganda(Gulu); Bangladesh (Comilla Tangail Bhuapur, Dinajpur)Afghanistan, (Herat) Madagascar (Tulear Andavadoaka) DRC Tshimbulu ,

and recently I went  to   vbisit and doing education on the job  at  Shoklo unit in Mae Sot,   and to near refugee camps of Mae La and Wang Pa, in Thailand at border with Myanmar in May,   during my staying in Bangkok, where I has been as Expert in residence for a collaboration with Yunus Center at A I T

I entered in contact with SHOKLO malaria research unit, Prof François Nosten and Dr Stephan Proux, chief of laboratory staff (Malaria Consortium in Thailand- Oxford-Mahidol collaboration ) and I planned for a possible collaboration with SMRU in a next future

In the next months (   2013  october)  the  project is to do education to 17 rural health centers, and connecting these with central (pivot) referent hospital  St François -in Dem Rep of Congo-Thsimbulu, western Kasai, and to do

the same in Bolivia, educating and linking the network of 35 laboratories of  Bolivian Chaco ,

finally I will  return to Thailand(2014, 2 Q)for the Collaboration with AIT Yunus Center and  also with  SHOKLO Malaria research unit (SMRU Prof François Nosten, director and Dr Stephan Proux Chef of Laboratories )

 The future  goal is  to expand my project  and sharing  my method by collaboration in rural areas of developing countries

I hope  to largest amount of people who are need

 In my plans there is  also a residential(for professionals )  Course in AIT about practice m health for human development

 in the 2 Q of 2014

“Mobile Phones for Rural Development  : From the  Health to  the Environment  and to Social Welness , throught use of local frugal technology - m-technology  for the Human Development.”

 

I always thought that the union generates the force, and that it is better create a global net between people working to m-health  and to m-education, for building of a real powerful network

I hope that you agree  this idea

 

References and news

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

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

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 www.blackwellpublishing.com/tmi

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/

Bellina,L In Good Practice-Mobile Diagnosis : The Grapevine -Summer Euripa Magazine [PDF] The Grapevine www.euripa.org/…/GrapevineSummer11.pdf

Bellina,L:MobileDiagnosis, in Good Pratice-2011,July Freedom From Want(MDGC-AIT)

http://issuu.com/arcmdg/docs/aw_ffw2_final

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

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,September 2009,pag 66 www.blackwellpublishing.com/tmi

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/

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

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

 

September 09 2013

Letter to http://www.hifa2015.org

Letter to http://www.hifa2015.org

who accepted me ;)

Dear Friends

It is with great happiness that I am with you

I always thought the union generate the force

in all my life, I advocated the power of the Education, and  of

 the Inclusion of the poorest neglette communities in our “global” community

My idea, my work is based on development of   all people, who have the same capacities and must have the same   rights

Time ago, in a blog of GHWF, of  which I am part, I wrote about the most relevant technology : the brain

 http://www.healthunbound.org/node/1250

We all must work, together, for sharing our power, without any power

only with love

If we all will work together, we will change the world

I think it is possible

I worked with Professor Yunus, and He taught to me that if all people have the possibility to develop, they will become as big, strong  trees, 

if people have not opportunity,  become a “Bonsai”

So, I would like working with you, with all my forces and my passion, for permitting  to all people to became strong trees

Is it this that I am doing, educating, connecting, teaching that we all are the same, with the same possibilities, and where it is hard, I help my students to understand how they can help their community with logic and basic notions

and, where it is more hard, they know that they can contacting  me, always, for having a support, and they know also that, if I am not able to answer ,  I  can sharing they requests of help with my network of friends, great, good heart.

This is my work : create  a network that is moving with love for love

Hope we can be all together

Feel free to contact me 

All my best

Livia

January 16 2013

MobileDiagnosis in Tshimbulu : contextualize and focus our work on local exigences and wellness

http://www.slideshare.net/livia_bellina/mobile-diagnosis-in-tshimbulu-rdc-2012

From my country, from my island,(Sicily-developing country-I hope ) I am seeing the world as behind a glass

A world divided into two parts

In one part we can see all technologies, all tools and facilities , also telemedicine.
as a rich banquet , forbidden for the moltitude of people who needs, who are suffering

If we thinks to the world as a global family , you understand that the solution is easy, near, handy .

You have to use your brain, and teach to all “students” as use the brain , and as search the easiest solutions for resolve local concerns ….just as a family

If you, in addition, teach as expand the use of easy tools for resolve
more and more  local problems , you done a biggest gift

Without conditions or expectations linked to our satisfation or enrichment,
but who are linked only to local improvement or local wellness
Just as a family

Our goal have to be a global school -. a global family

My goal, and MobileDiagnosis goal is to share with all interested the tool and method easiest , and after the rural communities of Uganda, Bangladesh, Afghanistan, Madagascar, and Republic Democratic of Congo, expand the project and share with all who need.


It is easy ! If you like to learn more feel free to contact me.

December 23 2012

Wishing you a Merry Christmas and a Happy New Year!

Dear Friends,

special people who I had the luck to meet in my new life, in the last four years of my life..

Thanks for your estimation and availability

I tryed to build, with little steps and a lot of friends a great network of friendship , for donate a little of our lifes and of our competences to persons which have nothing .

Alone I never could

You gave to me the possibility to do much

You all are my force

In a world where the solidarity is a precious gift ,together ,we are giving a message

Is not needs much money or tools, for sharing our possibilities ,

it is needs only our commitment

It is possibility change the realty of last peoples

The global health seen as a gift , and you, we are rich of love

Thanks , my friends ,

I am sure that together we will change the world (or at least the way of thinking…)

Season’s Greetings and a happy new year!

Joyeuses fêtes et bonne nouvelle année!

¡Felices fiestas y prospero año nuevo!

Feliz Natal e próspero Ano Novo


Wishing you a Merry Christmas and a Happy New Year!

Buon Natale e Felice Anno Nuovo!

livia

December 10 2012
July 01 2012

MDCreative Team

The Mobile Diagnosis association is composed of a creative team of young professionals in web design, engineers, project specialists and other professionals. The team works to increase the visibility of Mobile Diagnosis, and to create opportunities for the development of new educational methods such as long distance training, learning, and to keep users up-to-date on diagnosis issues.

MDCT supported MobileDiagnosis® since its foundation by taking care of the communication and promotion of its activities. 
The team has a flexible structure that allows to bring in more people if needed; the current members are:

  • Chiara Consiglio, designer of the first version of MobileDiagnosis website.
  • Nadia La Chiusa, a very talented girl that created the first movie on MobileDiagnosis "The Method"
  • Giovanni Azzolina, graphic and web designer.
  • Francesco Consiglio, web master.
  • Roberto Ingrassia, graphic designer.
  • Domenico Scarpinato, director of MD videos.
  • Fabrizio Vitrano, web designer.
  • Annalisa Maggio, project writer.
  • mdcreativeteam@gmail.com

MobileDiagnosis® Global Education Project 2012

MobileDiagnosis® Global Education Project

The Project, the Idea, Aim: Creation of a knowledge-centers network based on locally available and

affordable resources and poor technology and the improving of local work forces that, thanks to a domino

effect will improve new work forces. More and more: training of future trainers with local resources, linked

with a MobileDiagnosis® network, for cross the “bridge “.

The System and the Picture Sharing: MobileDiagnosis® is a system of picture sharing, based on m-phone

use, created for medical images transmission. It is operating on three levels: 1) local level, using the mobile

as didactic tool, to educate by showing and comparing the images 2) national level, thanks to a “mobile to

mobile” network 3) global level by a network linked to a web technology platform. This system operating

locally-globally, contributes to accelerate the Global Health care provision, distance consulting and

education, by connecting the “fragile” subjects, especially in the hard contexts (war, migrations, sex

discrimination, cast, clan, family) to a solidarity network of highly skilled specialists and to knowledge

centers.

Our goal is to create, by mobile sending images, a network for the Health Education, open to all health

workers but also to common people of the rural communities: this system, born to connect the peripheral

health centers to reference centers, is based on sharing of data and images for diagnostic consulence, as for

distance education. The system is accessible to all, it is low costs, appropriate, sustainable and in according

to local markets. In rural and isolated communities it can represent a tool for bringing the “independence”

from the need of the “doctor”: pregnant women can consults the distant doctor and/or the midwife; in the

rural underserved communities, health care is provided often by a local microscopist: with this distance-

consulence, or after a short training with the new method based on use of mobile-phone, he immediately can

understand if people have malaria or not, and provide an tempestive therapy. We understand the main

relevance of the prevention in the communities care. Some people more educated in rural communities can

be a “health care referent “by connecting the community to distant health center-doctors. A open access,

creative system, will generate creative people that will find the solutions for the basic concerns of health care

in a local, appropriate sustainable way. This is the Goal of third Millennium: Freedom From Want by

Education. (ref.7).

The Partnership Scenario: Global-Local Partnership and Sustainability of Project:

MobileDagnosis® works in partnership with local NGOs, by creating a network of local rural health

posts, linked together and connected to the web platform of MobileDiagnosis® Network .

The web platform will store the images for creating of a central database for educational and distance-

schooling. In the rural local educational –health centres, students from friend’s network could apply to

internships and stages on the field, bringing economic resources (housing, food, local trips, education) that

will bring benefits to the local income. These economic resources will permit the future management of

projects a local level.

Philanthropy aim: the solidarity global network, on which is based our system, could represent a new

concept based on Philanthropy to include in the Global Health and Educational Network the neglected

and poorest communities.

Scientific basis: from tele-transmission of images to a new educational system: As described in our

[1][2][3][4][5][6]

previous studies

and on the basis of “on field” applications, we started from a system of

transmission for diagnostic images, for universal health coverage, and built a global system for universal

access to care and to education.

A New Educative Method based on Mobile: the innovative, unconventional method, casually born thanks

to personal activity “on the field”, during my experiences as volunteer in six of poorest villages amongst the

global rural communities is based on three elements plus one. :

1) Interactive-creative approach to the students.

2) Interactive-creative spoken lessons, based on logic and algorithms and use of mobile.

3) “On the job” lessons and use of mobile as didactic tool for practical learning.

In a successive phase on a fourth element.

4)Distance - follow up and educational updates.

The Lessons start from a personal survey submitted to the students; the evaluation of the students as

people and of the local scenario: focusing the survey and discussion on local problems, concerns, difficulties

and fears related to context. It is request that the students respond to questions based on their personal goals,

dreams, and their personality. In this earlier first phase the survey is still out from any context: the personal

student’s experiences could be the same everywhere in the world.

Contextualization: the survey submitted to the students in this second phase is looking for problems,

concerns, student’s fears, linked to the local context: They have to answer to several questions, focusing their

answers on their concerns, fears, relationship with health, with disease in their communities, their history as

healthy or sick persons, their positive or negative experiences. In this phase the students, from a global

context enters a local scenario. I put the students to the core of their world, teaching to use the logic to

solve their problems with local possible solutions. All surveys, discussion, meeting, conferences, practical

and spoken lessons, are focused on local specific concerns and all possible solutions. The arguments of the

syllabus and the lesson schedules, as also the argument’s relevance differs from locality to locality, each

course is different from the others, because the scenario differs. This “local contextualized approach” creates

a personalization of learning and teaching and produces a better “resonance” between trainers and trained,

with a state of complete mutual trust. ”

Use of Mobile as Educational –Interactive Tool-A New Method :In the conventional education the student

is conducted to the solution of the problems thanks to a route taken step by step in which the competence is

increasing in a progressive way. In my lessons on the field I showed to the students that it is possible to take

and use an image of the lesson argument objects (parasites, cells, others, both from microscope or several

diagnostic fields) and how to do it. I invite the students to make the same, and immediately students can see,

capture and compare with their peers or with comparative tables (WHO) and with a far teacher their

"objects”. In the following lessons I show immediately a lot of images of daily’s specific lesson argument

objects (100-200 and more, from personal data-base) and just after this “vision”, without spoken lesson, I

invite the students to recognize the object of the lesson in the real microscope fields. They all immediately

are capable to recognize the “object” in the microscope field. I experimented this method in all my missions,

and all students learned immediately and easily. I have done more: I used this method also with illiterates

and all of them learned immediately and easily. It is possible to hypotize that this method could be an useful

tool in all the situations where the students are fragile subjects and/or with learning problems or

communication difficulties. The psychological basis of these surprising results are the subject of a scientific

The future development of project provides a network of education centres linked together and connected

to the web platform of MobileDiagnosis® Network for sharing of data, images and texts for education, and

an open-source training centre, with an images library and an interactive school, to which will be possible to

access from the educational page of MobileDiagnosis® site.

article (on course of application for publishing).

Livia Bellina

Acknowledgements We wish to thank all the students, the health workers, the patients and the other people who made this study possible, including supporting our field work in Uganda, Bangladesh and Afghanistan. In particular, in Bangladesh professor Muhammad Yunus, for his invitation to collaborate, great availability, courtesy and personal support; the management and staff of Grameen Kalyan, the St.Vincent hospital and the Italian NGO Pontificio Istituto Missioni Estere (PIME). For the work in Uganda the Corti Foundation and the management and staff of the St.Mary Lacor Hospital in Gulu. Finally, in Afghanistan staff and management of both the General and the Pediatric Hospital in Herat, as well as the Italian NGO Associazione Italiana per la Solidarietà tra i Popoli (AISPO). For Madagascar the Salesians Mission and Bishop Saro Vella, and all Missionaries in Tulear.

References:

1)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

2)Bellina, L., Missoni, E. Mobilephone image transmission for diagnosis. In: World Health Orgaization, Compendium of new and emerging healthmtechnologies, WHO/HSS/EHT/DIM/11.02, Geneva, 2011 

3)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 www.blackwellpublishing.com/tmi

4)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/

5)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 

6)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/

7)Bellina,L:MobileDiagnosis, in Good Pratice-2011,July Freedom From Want(MDGC-AIT) http://issuu.com/arcmdg/docs/aw_ffw2_final 

CV Livia Bellina 2012 June

Curriculum Vitae - Livia Bellina

 

General informations Place and date of birth:

Palermo, 25.8.1954

Nationality: Italian Mobile phone:

Language

Mother tongue Italian

English speack read and write

French speack read and write

 

 Education and Training

After completing Classical Studies in Palermo, Educandato Maria Adelaide

1979 – Degree in Medicine at Medical Faculty , Palermo University

1983 – Post Graduate Specialization in General Pathology) Medical Faculty of Palermo University

1983 – PhD -Dottorato in Immunofarmacologia (Post Graduate Training in Immunopharmacology)only one year with admission at second year

2010-2012 .Master in Medicine of Migration . Marginalization  and Poverty –Idente Foundation-Caritas –Rome

 

 

Short Training Courses

2008 – October, 12-25 Basic Laboratory for Tropical Disease -Don Calabria Hospital Negrar, Verona

2009 -March-June-Advanced Post Graduate Course of Tropical Medicine and International Health Cooperation-Careggi Hospital - University of Florence

2010 -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

 

Medical Association-Professional and Scientific Affiliations

Member of the Medical Association, since 1980

Member of Italian Pathologist Association, since 1991 

Member of Italian Society of Migration Medicine (SIMM), since 2009 

Member of Italian Society of Tropical Medicine (SIMET), since 2009 

Member of National Focal Point Work Group “ European AIDS & Mobility Project Member of COST Action(European Cooperation In Science and Technology ) since 25-06-2010 

Member of Euripa group until 17-12 2008 

Member of Anspi until October 2008 

Member of Pathologist OverBorder 2010 

Member of Union from September 2010

Member of Global Health Workforce Alliance 2011‏

Member of Ashoka Changemakers -Health Innovation Group 2012 

 

Work Experience

 

1974 -1985-Graduate as internal student - and 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

1981 - Fellowship Research granted by CONI (the same subject, renewed for an additional year) De Carneri

1981-Full time Instructor in Laboratory Medicine, Medical University of South Carolina, Charleston, South Carolina (USA) March- June

1981“Cultore della Materia”(Adjunct Professor) of General Immunology Medical Faculty Palermo University

1982 -Docente (Adjunct Professor) of General Immunology at the Microbiology post graduate Training - Medical Faculty Palermo University

1983-Reseach Doctorate in Immunopharmacology -Medical Faculty Palermo University -attended one year only

1983 -Medical Expert at the Dept. of Tissue Immunology – Medical Faculty Palermo University,

1983 October,1st -December 31st

1985-Pathologist, medical laboratory, National Health Service, ASL 6, Civic Hospital Partinico, Palermo January 1st June 30

Since 1987 untill now  medical doctor , specialist (general pathology) on the Territorial District of National Health System

 National Health Service, ASp 6, ( in the course of the years  :Lampedusa Island; Petralia district and Bagheria  and,

from 2010   until now  Lercara district )

From 1991 until 15 April 2010   MD pathologist , National Health Service , Lampedusa Island

 

 

-2009 (October-November) Medical Volunteer, Supervisor of Main Lab and Teacher for Laboratory Technicians School – Saint Mary Hospital – Lacor-Gulu,Uganda. (Corti Foundation International Cooperation project). I made the first school with my method

 

-2010 ( April 20 to July , 20)Medical Volunteer and Teacher-Consultant for the Grameen Kalyan , Mohammad Yunus Foundation , in Dhaka, Bangladesh by invitation letter of Yunus Center (Professor M.Yunus) to improve the healthworkers and diagnostic system of rural health center of Bangladesh rural countries In this period in Bangladesh I enriched the Rural Health Center of Grameen , launching the system “Mobilediagnosis” (Bellina and Missoni, 2009) and I helped healthworkers to learn and adopt this technology I also made two Diagnostic Course and Mobilediagnosys System, the first Course in Bhuapur and the Second in Comilla Health Center               and I wrote two Reports and a Tutorial Book (Diagnostic Pathology) to help the healthworkers to continue and develop and improve their existing diagnosys system at rural and center level In the last time of my permanence in Bangladesh as Pathologist Consultant I made diagnosys in Grameen Kalyan Central Office in Dhaka

on microscope images sent from rural health center.

 

- 2011-(February 24 to May 6 ) Medical Volunteer and Teacher to improve healthworkers about Diagnostic Pathology and mobilediagnosis at St.Vincent Hospital Dinajpur-Bangladesh. In this experience I made the fourt mobilediagnosis school In Dinajpur , I started with an experimental school: I taughth a student’ group of Local Rural Community , self named “aborigenal” I taught to non-healthworkers- 17-25 years old student five-person group . This experimental experience, has been excellent, and I ‘m planning to repeat in a next time and in a next future, for teach to non- healthworkers , to members of rural communities I’m writing, also a paper on the potential of m- education with my method in developing countries

 

-2011 July,  -September , I went to Afganistan , with AISPO, with a Italian Cooperation Development Project as supervisor ofMedical Laboratory of Childrness –Governative Hospital of Herat, and as educator, for make training to local healthworkers

 

 

Conferences,seminars,workshops,and other scientific events of the last three 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 :Salute e Transculturalità :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

2011-February-May Teacher and Consultant in Bangladesh-Dinajpur St.Vincent Missionary Hospital(PIME Organization)

2011-July to September Afganistan-Herat as Teacher and consultant for laboratory of Pediatric Hospital of Herat -Afgani Government with AISPO

 

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 -  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 www.blackwellpublishing.com/tmi)

 

Publications

 

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                                                                                                                                     

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             

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 www.blackwellpublishing.com/tmi

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/

 

 

Bellina,L   In Good Practice-Mobile Diagnosis : The Grapevine   -Summer  Euripa Magazine

[PDF] The Grapevine

www.euripa.org/…/GrapevineSummer11.pdf

 

 

Bellina,L:MobileDiagnosis, in Good Pratice-2011,July Freedom From Want(MDGC-AIT)

http://issuu.com/arcmdg/docs/aw_ffw2_final

 

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

 

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 www.blackwellpublishing.com/tmi

 

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/

 

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

 

 

Previous Publications

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 concanaval          

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.

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).

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.

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.

 

 

Other Activities

 

-InApril,2008 I filed for patent to Italian and  European Patent Office a 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

 

-In 2009, September  whit Eduardo Missoni I developed a website to help those who need diagnostic confirmation:

http://www.mobilediagnosis.net

 

 

-in 2010, January, I founded the “MobileDiagnosis”association with Eduardo Missoni cofounder and in

 

-2010, December I started to collaborate with Medting, a web platform, thanks to the availability of  the President   of Medting :Miguel Cabrer  .

 http://medting.com/group/mobile-diagnosis/   that permitted  us   the free access to the platform

 

-In the 2011, June, WHO published Mobile diagnosis on

WHO Compendium of Innovative Technologies Address to Global Health Concerns WHO_HSS_EHT_DIM_11.02_eng .pdf            pag 17 

 

http://www.who.int/medical_devices/innovation/new_emerging_tech_10final.pdf

 

 -2011, July,     Freedom From Want (MDGC if AIT)    Pubblished my article on section “Good Pratice” pag 16-17 http://issuu.com/arcmdg/docs/aw_ffw2_finalFreedom From Want (MDGC if AIT)

 

 

-2011: 
I
has
been
accepted
as
member
of 
 Global
Health
WorkForce
Alliance

http://www.who.int/workforcealliance/members_partners/member_list/mobilediagnosis/en/index.html

 

- 2012-  The  Bellagio Initiative, of Rockefeller Foundation, published an article  about  my work 

  “Mobile Diagnosis 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/

 

2011- Thanks to the work on the field  is borne a an
innovative
method
for
teaching,
 
published
on 


http://www.springerlink.com/content/a328n117r7775322/   .

 

2011-This method has been employed  
for
bridging
in
Afghanistan
Socio
Cultural
Gap
and
permit
the
access
to
Care
and
education
 
to
 rural
woman http://www.liebertonline.com/doi/abs/10.1089/tmj.2011.9976

 

 

2012- I am currently working  on the psychological basis of the learning mechanism:

 I experimented this method in all my missions, and all students learned immediately and easily. I have done more: I used this method also with illiterates and all of them learned immediately and easily. It is possible to hypotize that this method could be an useful tool in all the situations where the students are fragile subjects and/or with learning problems or communication difficulties.

 The psychological basis of these surprising results are the subject of a scientific article (on course of application for publishing).                                                                                                                            

 

 

 

 

 

The Association
-MobileDiagnosis  ,founded with Eduardo Missoni   and my sons  in 2010 ,has been recognized  by the Government

in November 2011, 28  as a  No Profit -Association   (Government number    97261360826   ) become MobileDiagnosis Onlus

 

 

 MobileDiagnosis Onlus , to which I am co- founder and president,  working for  the Global Access to Care, Second opinion and Education

with  partners of excellence:

-Bocconi
Cergas , Eduardo
Missoni,
my
coauthor
and
co
founder
of
mobilediagnosis  with my sons Vincenzo and Giorgio Prestigiacomo 


-AIT
Extension-ARCMDG-AIT


Director

Sandro
Calvani
,


 2011- Dr  Sandro
Calvani  invited me to submit my work for 
publication 
in the “
Freedom
From
Want”,
a
magazine
of


Center
of
excellence
for
Millennium 
 Development
Goals   of A I T     http://issuu.com/arcmdg/docs/aw_ffw2_final      (pag 16-17)

 

2011-I have been selected
as
one
of
the
top
30
finalists   of the Challenge “Top
11
in
2011
Innovators”

 

2012-The Rotary Inner Wheel, Palermo Centro, jointed with University  Academic Board  Conferred to me the Award

“Premio Rosario La Duca, a life for Palermo”, for my commitment and my work made on the fields in Developing Countries

 

2012- Ashoka Changemaker   admitted me in  Health Innovator Group  a network of global innovator

 

 

 

2012-06-26

 

 

Livia Bellina

 

 

 

Livia Bellina Publications -MobileDiagnosis References 2009-2011


    • 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
    • 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 
      www.blackwellpublishing.com/tmi
    • 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/
    • 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
    • Bellina,L In Good Practice-Mobile Diagnosis : The Grapevine -Summer Euripa Magazine [PDF] The Grapevine 
      www.euripa.org/…/GrapevineSummer11.pdf
    • Bellina,L:MobileDiagnosis, in Good Pratice-2011,July Freedom From Want(MDGC-AIT) 
      http://issuu.com/arcmdg/docs/aw_ffw2_final
    • 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
    • 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
    • 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,September 2009,pag 66 
      www.blackwellpublishing.com/tmi
    • 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/

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About

This is Livia Bellina's blog.
Livia is a medical doctor, Pathologist Medical for National Health System since 1987 
 In 2008, when a migrant with malaria come to her in Lampedusa, where she was doctor
she started to send image taken by mobile by MMS.

After this experience, she started to study tropical (poorly) medicine, laboratory and logic 
clinic in 
-Verona Negrar, ( course for tropical labs) 
-Florence Careggi -(course of cooperation and tropic diseases) 
-ISS f(or learn more of leishmoanian ane trip diseases) 
-Now she is completing a Master on Medicine of migration emargination and 
poverty in Roma, Caritas- Idente Institute
Just after Verona Course,(october 2008) livia realized that her mission was helping by teaching the rural low resource people in the most poorest and 
rural isolated community 
so, after she gave her availability to educate on the job the health workers 
and people of rural communities and she went in some from the most rural and poorest areas of the world

2009 -she went to Uganda -Lacor, Gulu, in St Mary Hospital, where trained the student of lab technicians course and where I has been 
supervisor of Main lab 
2010- she gave her availability to professor Muhammad Yunus(Nobel Price 
for Peace) and after invitation he went Bangladesh where improved the health workers 
of Grameen Foundation (Kalyan) and connected the rural health centers 
to central office with this "telemedicine of the poors...) 
2011- she returned in Bangladesh with PIME (Pope Missionary) In 
North,Dinajpur and made training to nurse(student!) sisters and 
illiterate people..... 
They learned with this new method immediately! 
2011- , with a MAE Project, she twent to Afghhanistan, Herat as 
consultant and teacher...also here people learned easily and quickly
2012- Livia done a explorative mission to Madagascar (Andavadoaka and ) for individuate the best area for future projects

In this years she founded MobileDiagnosis®Onlus recognized by Government as Non Profit

The Mobile Diagnosis association is composed of a creative team of young professionals in web design, engineers, project specialists and other professionals. The team works to increase the visibility of Mobile Diagnosis, and to create opportunities for the development of new educational methods such as long distance training, learning, and to keep users up-to-date on diagnosis issues.

All for solidariety
The next goal is the expansion a global level of MobileDiagnosis® Project

Mobile Diagnosis


To learn more about the method, visit Mobile Diagnosis official website