Healthcare

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Ready to go healthcare products and some stage left thinking

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Healthcare

  1. 1. Who Cares ? Peter Cochrane ca-global.org cochrane.org.uk COCHRANE a s s o c i a t e s
  2. 2. We are now the limiters of progress… technology is advancing faster than we can respond... ..but it may not be that way forever!
  3. 3. Big government & big companies favour big solutions...
  4. 4. When something much smaller will suffice, or even do the job far better!
  5. 5. Not fully understanding something doesn’t imply we cannot exploit it! Ballistics Newton Einstein Linear Non-Linear 23
  6. 6. Just how did we get here?
  7. 7. Hypothesis Everything we know and understand is through the good grace of our technology….
  8. 8. Hypothesis Without computers, supercomputers, networks, the internet, and a huge amount of software, we would know absolutely nothing…relatively speaking
  9. 9. Internet ~ Human Brain Today! > 109 Nodes & > 104 Links/Node
  10. 10. Advances in healthcare 1) Stop guessing @ start dissecting 2) Skeleton and muscle structure 3) Basic vascular knowledge 4) Basic organ functionality 5) Germ theory 6) Hygene 7) X-Ray 7) Antibiotics 8) Electronics - visualization - monitoring - animation 9) All electronic records 10) People supporting technologies ?
  11. 11. Advances in Healthcare
  12. 12. Advances in Healthcare Natural methods and materials
  13. 13. Advances in Healthcare Natural methods and materials Synthetic - unnatural methods and materials
  14. 14. Advances in Healthcare Natural methods and materials Synthetic - unnatural methods and materials Repair technologies
  15. 15. - Chronic disease management - Aged care - Well being Life expectancy Likelihood of requiring care Tech Gap Potential carer population
  16. 16. The rise of chronic diseases Prolonged conditions that often do not improve and are rarely cured completely…. - Diabetes - Hypertension - Congestive heart failure - Asthma - Depression - Renal failure - Liver disease - Rheumatoid - Osteoarthritis - Dementia -+++++
  17. 17. DIY test, monitoring, admin we will have to look after ourselves more and more
  18. 18. DIY test & monitoring
  19. 19. DIY dosage admin and control Self Complex Automated Ventilation control dosage
  20. 20. Lab on a chip Microelectromechanical Systems - MEMs Nanolectromechanical Systems - NEMs
  21. 21. Lab on a chip Microelectromechanical Systems - MEMs Nanolectromechanical Systems - NEMs
  22. 22. MEMs ….an idea of scale NEMs ~ 500 um ~ 5 nm
  23. 23. Micro & nano sensors Microelectromechanical Systems - MEMs Nanolectromechanical Systems - NEMs
  24. 24. Nano bots the dream?
  25. 25. Care at home There will be no choice, we will be sent home!
  26. 26. Monitor everything ?? There will be no choice, we will be sent home !
  27. 27. Get networked ?? Centralized monitoring and control of everything !
  28. 28. Let’s make it really complex !
  29. 29. How about making it really simple what is someone doing now?
  30. 30. Making it simple and where are they ?
  31. 31. GeoFence - not a wall or a prison!
  32. 32. What else can you do with a mobile ? 1. Appointment Reminders (SMS) 11. ePrescribing 2. Patient Support (SMS) 12. Patient Paging 3. Medication Reminders (SMS) 13. Support for Alzheimer Patients 4. Appointment Booking 14. Support for Diabetes Sufferers 5. Medical Data on SIM Card 15. Clinical trials 6. Patient info for Relatives 16. Support for Dementia Sufferers 7. Peer Support for Patients 17. Support During Rehabilitation 8. Post Cardiac Surgery Support 18. Support for the Deaf 9. Accessing Patient Records 19. Support for the Chronically Ill 10.Access to Dietary Information 20. Support for Addicts
  33. 33. What else can you do with a mobile ? 21. Support for STD Sufferers 31. Smart Card Applications 22. Baby Monitoring 32. Monitoring for Asthma Sufferers 23. Suicide Watch 33. Blood Glucose Monitoring 24. Support for Children 34. Temperature Measurement 25. Food Product Dietary Information 35. Weight Measurement 26. Allergy Alert Services 36. Medication Compliance Monitor 27. Doctor at Home 37. Voice Pattern Monitoring 28. Self Diagnosis 38. Analysis of Breath 29. Patient data for oversees travellers 39. Heart Rate Monitoring 30. Data Capture from instrumentation 40. Smart Homes for the Elderly
  34. 34. What else can you do with a mobile ? 41. Patient Diaries for Clinical Trials 51. Telehealth Gateways 42. Data from Pacemakers 52. Patient Location 43. Fitness Monitoring 53. Pulse Oximetry 44. Real Time Patient Assessment 54. Personalisation Diagnosis 45. Sleep Monitoring 55. Early Detection of Syndromes 46. Collection of Data from Sensors 56. Appointment Scheduling 47. Collection of implant Data 57. Access to Patient Data 48. Diabetes Monitoring 58. Diagnosis Support 49. Detection of Septic Episodes 59. Personal Attack Alarm Services 50. Remote Antenatal Care 60. Clinician Identification
  35. 35. What else can you do with a mobile ? 61. Asset Tracking (RFID) 71. Locating Organ Donors 62. Stock Control (RFID) 72. Support for A&E Services 63. Patient Identification (RFID) 73. Tracking Surgical Instruments 64. Dispensing Support 74. Controlling Insulin Patches 65. Locating Staff 75. Billing 66. Conferencing Emergencies 76. Patient Consent 67. Accessing Training Material 77. Drug Authenticity Verification 68. Accessing Laboratory Results 78. Patient Entertainment & Comms 69. Blood Bank Support Services 79. Patient Notes Dictation Systems 70. Locating Blood Donors 80. Administration at Point of Care
  36. 36. What else can you do with a mobile ? 81. Linking Emergency Services / A&E 91. Context Sensitive Medicine 82. Access to X-ray Images 92. Disease Monitoring 83. Skin Cancer Monitoring 93. Food Contamination Alerts 84. Remote Consultation 94. Environmental Contamination Alerts 85. Data Collection from Capsules 95. MRSA Detector 86. Conventional Endoscopes 96. Telecare in Rural Areas 87. Nutrition Coaching 97. Telecare in Developing Countries 88. Monitoring Wound Healing 98. A&E Field Support 89. Support for Neurosurgeons 99. Wireless Stethoscope 90. Breast Cancer Screening 100.Support for AIDS Sufferers 101.Call Centre Health Services
  37. 37. Implants galore…
  38. 38. Sight for the blind?
  39. 39. Hearing for the deaf
  40. 40. Subcutaneous Wearables
  41. 41. The medical records saga… Fundamental lack of understanding? 22% lost at any one time! Security out of kilter? Centralize or distribute? Patient records Hospital records
  42. 42. Subcutaneous patient records Easy install Effective Reliable Simple Cheap
  43. 43. Subcutaneous patient records The biggest objectors are the religious and superstitious!
  44. 44. Centralized to distributed ? Outmoded Outdated Unavailable Lost Expensive Centralized Distributed Outdated Up to date Unavailable Available Off line On & off line Unavailable Low cost Expensive Reliable
  45. 45. ca-global.org cochrane.org.uk Thank You COCHRANE a s s o c i a t e s

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