Smartphones & Medicine

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Presentation at the 2013 UP College of Medicine Grand Scientific Symposium

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Smartphones & Medicine

  1. 1. 29 January 2013Smartphones& MedicineIris Thiele Isip Tan MD, MSc, FPCP, FPSEMAssociate Professor 4UP College of MedicineChief, Medical Informatics Unit Image credit “Portrait of a young girl with an iphone, after Agnolo Bronzino” by Mike Licht. http://www.flickr.com/photos/notionscapital/5286424197/
  2. 2. http://mashable.com/2012/07/13/nomophobia-infographic/Do you have nomophobia?Fear of being without your mobile phone
  3. 3. Patient care andmonitoringLay health appsCommunication,education and researchPhysician or studentreference apps Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians and Students. J Med Internet Res 2012;14(5):e128 Image credit “HTC Sensation” by 55Laney69. http://www.flickr.com/photos/hansel5569/6600464505/
  4. 4. Patient care andmonitoringLay health appsCommunication,education and researchPhysician or studentreference apps Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians and Students. J Med Internet Res 2012;14(5):e128 Image credit “HTC Sensation” by 55Laney69. http://www.flickr.com/photos/hansel5569/6600464505/
  5. 5. Sets distance and time safety limitsDesigned in collaboration with AFAL (Association ofRelatives with Alzheimer’s)-Getafe (Spain)
  6. 6. Sets distance and time safety limitsSends an email alert
  7. 7. Patient can also trigger an alertFree app on Android & iPhone
  8. 8. iFall:Fall MonitoringSystemFSU Mobile SolutionsThree stages to a fall1. The fall2. Impact with the ground3. A long lie indicating injury
  9. 9. Development and Feasibility of a Smartphone, ECG &GPS-based System for Remotely Monitoring Exercise inCardiac RehabilitationWorringham C et al. PLoS ONE 6(2):e146669
  10. 10. Server-side display of exercise dataECG trace, HR, walking speed, elapsed distanceand patient location in real time
  11. 11. Apnea MedAssistA Personalized Low-Cost Sleep Apnea MonitorBsoul M et al. Technol Biomed 2011;15(3):416-27.
  12. 12. Cell phone based balance trainerLee et al. Journal of NeuroEngineering & Rehabilitation 2012;9:10.
  13. 13. A1Q Smart ClothingBioman T-shirt
  14. 14. Meankaew P et al. Malar J 2010;9:237
  15. 15. Smartphone-based ultrasound imagingUS FDA-approved in Feb 2011
  16. 16. Patient care andmonitoringLay health appsCommunication,education and researchPhysician or studentreference apps Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians and Students. J Med Internet Res 2012;14(5):e128 Image credit “HTC Sensation” by 55Laney69. http://www.flickr.com/photos/hansel5569/6600464505/
  17. 17. AccupedoPedometerAndroidConsumer Reports 2012Lack detailed instructionsRequire sensitivity adjustments
  18. 18. AccupedoPedometerAndroidConsumer Reports 2012Lack detailed instructionsRequire sensitivity adjustments
  19. 19. fitbitAndroid & iPhoneLog food, water, workouts,weightTrack progress on weightgoals with Food PlanSee day’s stats and up to 2weeks prior
  20. 20. fitbitAndroid & iPhoneLog food, water, workouts,weightTrack progress on weightgoals with Food PlanSee day’s stats and up to 2weeks prior
  21. 21. Health Record KeeperHealth providers, screening/vaccination, healthy ranges,questions to ask, health resources, medication reference
  22. 22. My DaysPeriod, Ovulation &Fertility Tracker
  23. 23. dLife Diabetes CompanionFood and recipe lookup, videos and Q & ADiabetes management
  24. 24. dLife Diabetes CompanionFood and recipe lookup, videos and Q & ADiabetes management
  25. 25. iBGStarhttp://irunonbatteries.blogspot.com/2012/10/the-ibgstar-blood-glucose-monitoring.html
  26. 26. iBGStar Diabetes Manager ApplicationSanofi AventisTracks blood glucose, carb intake, insulin doses
  27. 27. iBGStar Diabetes Manager ApplicationSanofi AventisTracks blood glucose, carb intake, insulin doses
  28. 28. Beam BrushThe World’s first smart toothbrush
  29. 29. “The utopic future of medicine willseamlessly combine data from your daily apps and personalize a health treatment plan based on the life you actually live.”http://www.carepractice.com/emr-needs-a-kick-in-the-app-hole/
  30. 30. Draft US FDA guideline for mobile medical applicationsVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  31. 31. Patient care andmonitoringLay health appsCommunication,education and researchPhysician or studentreference apps Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians and Students. J Med Internet Res 2012;14(5):e128 Image credit “HTC Sensation” by 55Laney69. http://www.flickr.com/photos/hansel5569/6600464505/
  32. 32. Intervention Desirable Undesirable Increased communication between team members Increased Increased efficiencyuse of email Increased interruptions with a decrease in verbal communication Worsened interprofessional relationships without clear understanding Increased of which to use Increased discordance modes of between nurses andcommunication MDs in perceivedincluding email and urgency direct calls without clear understanding of how to use UnprofessionalismAn Evaluation of Use of Smartphones toCommunicate Between CliniciansWu et al. J Med Internet Res 2011;13(3):e59
  33. 33. Gram Stains and SmartphonesTice AD. Clin Infect Dis 2011; 52(2):278-279
  34. 34. Mobile Phone Based Clinical MicroscopyBreslauer et al. PLoS ONE 4(7):e6320
  35. 35. Patient care andmonitoringLay health appsCommunication,education and researchPhysician or studentreference apps Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians and Students. J Med Internet Res 2012;14(5):e128 Image credit “HTC Sensation” by 55Laney69. http://www.flickr.com/photos/hansel5569/6600464505/
  36. 36. Questions to ask before downloading an appVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162 Clinical decision making Patients’ privacy Is it produced by a medical Does the app require you to publisher? input patient specific data, and could this compromise patients’ Is it regularly updated? privacy? Is it properly referenced? Conflicts of Interest Are the authors listed? Do you know where the app is Is it possible to give feedback? from? Is it produced by a drug Has it been recommended by company or a non-commercial your tutor, university or organization? healthcare institution? Is the app’s primary purpose to inform the health professional (and not the patients)?
  37. 37. MedscapeWebMDMedical newsClinical reference (drugs,diseases, conditions & procedures, Freemedical calculators)Continuing medicaleducation15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  38. 38. FreePrognosis:Your DiagnosisMedical JoyworksGame to diagnose complexclinical cases within minutesNew case added everyweekendModeled on real life patients(checked by specialists, based on currentmanagement guidelines)15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  39. 39. $$$UpToDateUpToDate, Inc.Access current, synthesizedclinical informationEvidence-basedrecommendationsMobile-optimizedcalculators15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  40. 40. FreeMicromedexDrug InformationTruven Health Analytics Inc.Reliable reference formedical prescriptionsContraindications, druginteractions, adverseeffects, precautions etc.15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  41. 41. Visible HumanBody Anatomy $34.99Atlas 2Visible Body3D atlas15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  42. 42. $49.99Oxford ClinicalHandbooksMedHand - Mobile LibrariesTextbook15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  43. 43. EpocratesEpocratesDrug referenceUpgrade to EpocratesEssentials subscription(disease information, alternativemedications, lab guides etc.) Free15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  44. 44. $34.99Merck ManualUnbound Medicine, Inc.Merck Manual ofDiagnosis and Therapytextbook15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  45. 45. Lexi-CompleteLexi-CompRequires a subscriptionStarts at $175 a year (Lexi-Drugs, Lexi-Interact, Lexi-Lab & $$Diagnostic Procedures, The 5-MinuteClinical Consult, Lexi-CALC)15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  46. 46. Student BMJBMJ GroupMonthly internationalmedical journal formedical students and Freejunior doctors15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  47. 47. ECG GuideQxMD Medical Software>200 examples ofcommon and uncommon $0.99ECGs>100 multiple choice quizquestions15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  48. 48. $7.99DifferentialDiagnosis BMJBMJ GroupSymptom browserDisease browserCompare diagnoses sideby side15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  49. 49. MedPage TodayMobileMedPage TodayBreaking medical newsConference coverage Free15 recommended medical apps for smartphonesVisser & Bouman. There’s a medical app for that. Student BMJ 2012;20:e2162
  50. 50. Patient care andmonitoringLay health appsCommunication,education and researchPhysician or studentreference apps Ozdalga et al. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians and Students. J Med Internet Res 2012;14(5):e128 Image credit “HTC Sensation” by 55Laney69. http://www.flickr.com/photos/hansel5569/6600464505/
  51. 51. www.endocrine-witch.netwww.slideshare.net/isiptanfacebook.com/EndocrineWitch @endocrine_witch

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