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The existing technologies, systems, or models in the hospital system, in certain aspects have, in terms of integrity, difficulties in carrying out an adequate, systematic, and automated record of patient data. To this end, the electronic health records (EHR) have been designed to provide updated information to the entire health system. This document is one of the most important that exists within the hospital system throughout the country, and its main objective is the care, treatment, and monitoring of peoples’ health in a simple and conceptualized way. This article proposes the design of a flexible electronic health record system (FLEXEHR), integrating generic systems and totally flexible, based on web services so that different hospital information systems can be interconnected, thus creating a patient data gateway in an orderly and structured way, considering its availability, confidentiality, and integrity. In Panama, existing health systems have the disadvantage that they are not interoperable, which generates duplication of EHR according to the type of health entity visited.

Introduction: This article is the result of the research "Framework for the implementation of IPv6 using 6LoWPAN in sensor networks to facilitate the monitoring and control of people with dependency needs" developed at the Universidad Tecnológica de Panamá in the year 2019-2020. Problem: The medical care of patients in rural areas of Panama is a priority, they need a constant follow-up and monitoring of their illness, there is no system that allows medical personnel to keep a continuous control. Objective: The research proposes the development of a system with electronic devices using low power networks, which allows patients to send their clinical data to a central server, storing them and later a doctor can make an evaluation of the disease to keep a control, follow up and monitoring of the patients that reside in areas of difficult access. Methodology: For the design and progressive development of the system, the use of the incremental methodology is proposed. Results: Once developed both the hardware and the software, we tested the model in different scenarios recording measurements for pulse at different distances. Conclusion: The implementation of a low-cost system offers the possibility to patients, who do not have access to regular health services, to have a better control and recommendations from the doctor. Originality: Some similar systems have been developed, but not all of them contemplate security aspects for the handling of sensitive and delicate data. Limitations: The maximum distance allowed is 60 meters at the time of testing the data.

Las prótesis actuales pueden llegar a costar miles de dólares. Aunque existan proyectos que desarrollen prótesis con impresoras 3d, la movilidad de estas se limita a abrir y cerrar la mano. En busca de aumentar la movilidad de una prótesis de mano sin aumentar el costo; esta investigación analiza el uso de músculos artificiales, creados a partir de hilo de pescar (nylon), desde una perspectiva experimental y matemática; para determinar las condiciones necesarias para el buen funcionamiento de dichos músculos en una prótesis. De igual manera, se propone el uso de sensores de pulso, de menor costo que los myowave, para distinguir el movimiento de los músculos biológicos y transmitirlo a los músculos artificiales.

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