Impacts of mobile devices in medical environment
Lucas Machado
School of Information Sciences,
University of Tampere,
performed[1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 13]. For
questions 1, 4 and 5, interviews and questionaries
were conducted, a...
[5] Brian T. Horowitz. Chen medical prints health
records from ipad, android tablets. eWeek, s. 1,

They are always ...
study. Kirjassa Virtual Rehabilitation (ICVR),
2013 International Conference on, ss. 109–113,
[12] A.J. Saldarriaga,...
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Impacts of mobile devices in medical environment


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Impacts of mobile devices in medical environment

  1. 1. Impacts of mobile devices in medical environment Lucas Machado School of Information Sciences, University of Tampere, Tampere, Finland December 17, 2013 1 Introduction 2 Mobile devices appliances in medical environments The medical environment has several applications in which mobile devices can be used, improving of patients and doctors with data. In the literature research of this report, four main areas of uses were found: Uses by patients[1, 6, 7, 8, 11, 12, 13], uses by doctors, nurses and medicine students[3, 10], uses as physical paper replacement[5, 9], and uses as interaction and visualization of data[2, 4, 9]. Patients can use mobile devices to find information about health, for example with the Symptomia App[13] or other sources in Internet. These devices have a bigger penetration in areas that don’t have enough access to health systems and doctors, so they provide health to people in a social aspect. Devices with sensors like the iPhone can also be used to monitore data from patients like heart rate[6] and detect problems like Parkinson’s disease[8] and even help in physiotherapy and rehabilitation of hands in poststroke conditions[11]. Doctors and hospitals - and the environment - can benefit with less use of printed paper and visualization of health records in mobile devices, specially tablets. According to [?], doctors also gain mobility with their use, instead of accessing data only in termi- With the advent of computers and databases, data that was traditionally stored in paper started to be digitalized and stored electronically. In hospitals and health systems, patient records could be accessed from terminals by doctors and nurses, magnifying the systems capacity and mitigating records errors. The arrival and popularization of internet also changed some interactions, allowing for exemple, patients to access exam results in their homes and even communicating with doctors. The recent popularization of mobile devices is also changing the interactions in medical environments, as they provide access of information to lots of people practically anywhere, also giving new possibilities of intelligent use of it with analysis of data an generation of visualizations, gathering of information by the device’s sensors and new interactive and data manipulation possibilities. This report aims to analyze the use and impacts of mobile devices in medical environments and health appliances. 1
  2. 2. performed[1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 13]. For questions 1, 4 and 5, interviews and questionaries were conducted, as well analysis of other studies and bibliography[1, 2, 3, 4, 5, 8, 9, 10, 12, 13]. The main research results achieved by analyzing the results and conclusion of the articles along with their implications and motivations, are that the use of devices and technology improves the data visualization by patients and doctors through new interactions with information, devices like the iPhone are sufficiently accurate to be health monitors, and apps in mobile devices can bring knowledge to patients and students in a broader and more accessible way. The necessity of further studies in this subject can also be concluded, as with these benefits comes new challenges and issues like privacy and security in digital data management and transmission. All the studies analyzed with similar theme results converged that mobile devices are very good as appliances to medical environment and they can already be used nowadays. The further development of these devices and bigger adoption of them in medical environment can also lead to other interesting future uses. It was found some variations between the research results about some of the articles showing the worries about the privacy and security issues and other ignoring these issues. The article [4] also stated that “Handheld devices will become an essential medical tool”. This is because this specific article is quite old (from 2003) and at that time it was just the beginning of mobile devices adoption - the mobile devices weren’t so advanced too, and had several limitations along with the lack of good internet connections and access to data as we have nowadays. nals. Medicine students as well as doctors also have the benefit of easy and ubiquitous access to medicine databases for reference and learning[3, 10]. Beyond all of that, the powerful capacities of current mobile devices along with the interaction possibilities given by touch screen technology provides a rich opportunity to generate data visualization, analysis and manipulation. As an example, doctors can download patients exam results as 3D models and interact with them as wasn’t easily possible before[2]. Doctors could also collect data from patients in realtime and generate statistics to achieve diagnostics and conclusions. 3 Results of the literature research The studied users were basically patients and doctors, as they are the people affected with the use of mobile devices. However, all humans in some moment could be considered at least as patients and therefore, all the humans are potential users of this technologies. Grouping the researched studies by which questions were asked in them in five genetical questions, we have “1 - How can mobile devices help in medical environment?”[1, 8, 12, 13], “2 - Is the device accurate to capture and measure health signals?”[6, 7], “3 - Can iPad help in post-stroke hand rehabilitation?”[11], “4 - Does mobile devices help students in learning about medicine?”[2, 10] and “5 - How tablets changed doctors interaction with electronic health records?”[2, 4, 5, 9]. Most of the studies considered are related to the first and to the last question, pointing to the importance of these devices as general in changing the medical environment. Depending of the question, a research method was applied. For the questions 1, 2, and 3, testing of devices and accessories and comparison with tradi- 4 Conclusion tional health monitoring methods was applied[1, 6, 7, 8, 11, 12, 13]. For questions 1, 2, 4 and 5, test- In the next years, we should see mobile devices more ing apps, devices and accessories use with users were and more integrated in our lives and in our tasks. 2
  3. 3. [5] Brian T. Horowitz. Chen medical prints health records from ipad, android tablets. eWeek, s. 1, 2013. They are always capturing, manipulating, and allowing us to interact with information in a way we never did before. Our common experiences are turned in sources of data to intelligent analysis, and we are offered ubiquitous and fast information access. The medical environment is also taking benefit of this technologies to offer its own focused services and appliances to patients and doctors. The new interactions that the devices can provide will change the way we see medicine in the next few years. [6] Sungjun Kwon, Jeongsu Lee, Gih Sung Chung, ja Kwang-Suk Park. Validation of heart rate extraction through an iphone accelerometer. Kirjassa Engineering in Medicine and Biology Society,EMBC, 2011 Annual International Conference of the IEEE, ss. 5260–5263, 2011. [7] Jinseok Lee, B.A. Reyes, D.D. McManus, O. Mathias, ja K.H. Chon. Atrial fibrillation detection using an iphone 4s. Biomedical Engineering, IEEE Transactions on, 60(1):203–206, 2013. References [1] S. Chemlal, S. Colberg, M. Satin-Smith, E. Gyuricsko, T. Hubbard, M.W. Scerbo, ja F.D. McKenzie. Blood glucose individualized prediction for type 2 diabetes using iphone application. Kirjassa Bioengineering Conference (NEBEC), 2011 IEEE 37th Annual Northeast, ss. 1–2, 2011. [8] R. LeMoyne, T. Mastroianni, M. Cozza, C. Coroian, ja W. Grundfest. Implementation of an iphone for characterizing parkinson’s disease tremor through a wireless accelerometer application. Kirjassa Engineering in Medicine and Biology Society (EMBC), 2010 Annual International Conference of the IEEE, ss. 4954–4958, 2010. [2] AsimF. Choudhri ja MartinG. Radvany. Initial experience with a handheld device digital imaging and communications in medicine viewer: Osirix mobile on the iphone. Journal of Digital Imaging, 24(2):184–189, 2011. [9] Allan C. Lin, Meng-Hsiu Chang, Mike Y. Chen, Travis Yu, Lih-ching Chou, Dian-Je Tsai, ja Jackey Wang. Mobility patterns of doctors using electronic health records on ipads. Kirjassa Proceedings of the International Conference on Bioinformatics, Computational Biology and Biomedical Informatics, sarjassa BCB’13, BCB’13, ss. 933:933–933:939, New York, NY, USA, 2007. ACM. [3] Sally A. Coovert, Adam Ducey, Mark Grichanik, Michael D. Coovert, ja Robert Nelson. Hey doc, is that your stethoscope?: Increasing engagement in medical education and training with ipads. Kirjassa Proceedings of the ACM 2012 Conference on Computer Supported Cooperative Work Companion, sarjassa CSCW ’12, CSCW [10] F. Pinciroli, M. Corso, A. Fuggetta, ’12, ss. 71–74, New York, NY, USA, 2012. ACM. M. Masseroli, S. Bonacina, ja S. Marceglia. Telemedicine and e-health. Pulse, IEEE, [4] Sandra Fischer, Thomas E Stewart, Sangeeta 2(3):62–70, 2011. Mehta, Randy Wax, ja Stephen E Lapinsky. Handheld computing in medicine. Journal of [11] D Rand, T Schejter-Margalit, I Dudkiewicz, R Kizony, G Zeilig, ja R Kizony. The use of the the American Medical Informatics Association, ipad for poststroke hand rehabilitation; a pilot 10(2):139–149, 2003. 3
  4. 4. study. Kirjassa Virtual Rehabilitation (ICVR), 2013 International Conference on, ss. 109–113, 2013. [12] A.J. Saldarriaga, J.J. Perez, J. Restrepo, ja J. Bustamante. A mobile application for ambulatory electrocardiographic monitoring in clinical and domestic environments. Kirjassa Health Care Exchanges (PAHCE), 2013 Pan American, ss. 1–4, 2013. [13] Helen Sullivan. Symptomia app. Nursing Standard, 28(11):31, 2013. 4