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Mobile
Health
MEMBERS
 Tushar Swami
 Vikas Prasad
 Tanish Garg
 Anurag Aggarwal
 Vaishali Upadhyay
OUTLINE
 What is mHealth?
 Features of mHealth
 Remote Patient Monitoring (RPM)
 Devices involved
 Technology behind devices
- Bluetooth
- GPS Locator
 Disadvantages of mHealth
 Further advanced Technology
 Discussion
ACKNOWLEDGEMENT
We would like to express our special thanks of gratitude to our teacher Dr. Natasha who gave us
the golden opportunity to present this wonderful presentation on the topic (Mobile Health),
which also helped us in doing a lot of Research and we came to know about new things. We are
really thankful to her.
WHAT
IS
MOBILE
HEALTH???
INTRODUCTION
 mHealth an abbreviation for mobile health, a term used for the practice of medicine and
public health supported by mobile devices.
 The term is most commonly used in reference to using mobile communication devices, such
as mobile phones, tablet computers and PDAs, for health services and information.
mHealth applications include the use of mobile devices in:
 collecting community and clinical health data
 delivery of healthcare information to practitioners, researchers
 real-time monitoring of patient vital signs
Sources : https://en.wikipedia.org/wiki/MHealth
 there is a lot of excitement around mHealth.
 mHealth offers a new and fast way of collecting health related information.
 with a small and yet powerful smartphone or mobile device.
There are several categories in which mobile Apps can be
categorized into while there will most likely be a lot more
out there, we will focus on the main parent categories
and provide examples in each.
INTRODUCTION
Sources : http://www.mhealthsummit.org/
TYPES OF MOBILE HEALTHCARE APPS
Applications for remote
monitoring
LifeScan for patients with diabetes
Remote heart monitoring
ECG viewer
Oxygen level remote check
Telehealth services
Sources : http://www.telehealthlink.com/Telehealth/ProdSystem.aspx
Applications for assistance in
diagnosis
Symptom checkers
Digital imaging (MRI/X-Raying viewing abilities)
Lab results review
Applications for reminders
 Prescription management
 Appointment reminders
REMOTE PATIENT MONITORING
WHAT IS RPM?
 a technology to enable monitoring of patients outside of conventional clinical
settings.
 depending on the disease and the parameters,
different combinations of sensors, storage,
and applications may be used.
 physiological data collected by sensors on
peripheral devices.
 RPM – in case of some chronic disease, it is
able to improve an individual’s quality of life.
Sources : http://www.telehealthlink.com/Telehealth/ProdSystem.aspx
SENSORS
Sensors and wearables can be integrated into various accessories such as:
 Garments
 Hats
 Wrist bands
 Socks & Shoes
 Eyeglasses and other devices…
Some sensors, mostly medical-grade ones, are used on a stand-alone basis.
Sources : https://en.wikipedia.org/wiki/Remote_patient_monitoring
SENSORS
works on three simple steps :
1. measure (analyse) your
physiological parameters
such as blood pressure.
2. communicate with your
phone, tablet or PC
wirelessly.
3. alerts based on the
analysis of collected data.
Sources : https://en.wikipedia.org/wiki/Remote_patient_monitoring
 a 3-lead wireless ECG.
 continuously sends ECG readings
to the user’s Android smartphone
via Bluetooth.
 from there, sends the data over
the mobile network to a server.
 patient’s clinician can then access
readings via a web browser.
SMART ECG MONITOR
Sources : http://nuviun.com/digital-health/sensors-and-wearables
BLUETOOTH
TECHNOLOGY
HOW
BLUETOOTH
WORKS?
BLUETOOTH
Bluetooth® technology is a wireless communications technology that is
 simple
 secure, and
 everywhere.
Present in billions of devices, ranging from:
MOBILE PHONES & COMPUTERS to
MEDICAL DEVICES & HOME ENTERTAINING PRODUCTS
Sources : http://www.bluetooth.com/Pages/Basics.aspx
SPECTRUM
 operates in the unlicensed industrial, scientific and medical (ISM) band at
 using frequency hopping spread spectrum technique at a nominal rate of
2.4 to 2.485 GHz
1600 hops/sec
In frequency hopping systems, the transmitter changes the
carrier frequency according to a certain "hopping" pattern .
ADVANTAGE OF FREQUENCY HOPPING
avoid the problem of failing communication at a particular
frequency, because of a fade or a particular interferer.
Sources : http://www.wirelesscommunication.nl/reference/chaptr05/spreadsp/fh.htm
INTERFERENCE
 adaptive frequency hopping (AFH) capability was designed to
reduce interference between wireless technologies sharing the 2.4 GHz spectrum.
 technology
- detects other devices in the spectrum.
- avoids frequency they’re using.
There are 79 frequency bands
lying within Bluetooth spectrum
to work.
Sources : http://www.bluetooth.com/Pages/Basics.aspx
RANGE & POWER
Range may vary depending on class of radio used in an implementation:
 CLASS 3 RADIOS – have a range of up to 1 meter or 3 feet
 CLASS 2 RADIOS –have a range of 10 meters or 33 feet (commonly found in mobile devices)
 CLASS 1 RADIOS –have a range of 100 meters or 300 feet (used primarily in industrial use cases)
The most commonly used radio is Class 2 and uses 2.5 mW of power.
Bluetooth low energy technology, optimized for devices requiring
maximum battery life instead of a high data transfer rate, consumes
between 1/2 and 1/100 the power of classic Bluetooth technology.
Sources : http://www.bluetooth.com/Pages/Basics.aspx
BLUETOOTH ENABLED DEVICES
STETHOSCOPES
With the 3M Littmann® Electronic Stethoscope Model
3200, your physician focuses on listening to your
heart while the stethoscope sends your information
wirelessly to a PC, laptop or mobile device.
PULSE OXIMETERS
The Onyx II wireless pulse oximeter from Nonin lets
you monitor your pulse and heart rate by inserting a
fingertip into the device, without tethering you to one
spot.
Sources : http://www.bluetooth.com/Pages/health-fitness.aspx
HEART RATE MONITORS
Track your heart rate on your smartphone while you
work out and analyze the data afterward with an app
on your phone or online. Bluetooth Smart devices like
the Polar H7 connects your heart rate monitor to a
smartphone without a dongle.
BODY MONITORS
Track your daily workout habits and your sleeping patterns
using an all-in-one fitness device like BodyMedia's FIT.
Sources : http://www.bluetooth.com/Pages/Sports.aspx
GPS RECIEVER
HOW GPS PHONE WORKS?
 a GPS receiver relies on radio waves.
 communicates with satellites that orbit the Earth.
 there are currently 27 GPS satellites
in orbit -- 24 are in active use and
3 act as a backup in case another satellite
fails.
Sources : http://electronics.howstuffworks.com/gps-phone2.htm
HOW GPS PHONE WORKS?
In order to determine your location, a GPS receiver has to follow three simple stpes:
1. The locations of at least three
satellites above you
2. Where you are in relation to
those satellites
3. The receiver then
uses trilateration to determine
your exact location.
Sources : http://electronics.howstuffworks.com/gps-phone2.htm
 Smartphones have a GPS chip inside.
 chip uses satellite data to calculate your exact position.
 as long as the sky is fairly clear, the geolocation app on your phone can ascertain your position
reasonably accurately.
 Indoors, however, it’s less accurate, and in locales where
storefronts are in very close proximity, you may have to select
your location manually from within the app interface.
When a GPS signal is unavailable, geolocation apps can use
information from cell towers to triangulate your
approximate position.
HOW GPS PHONE WORKS?
Sources : http://www.techhive.com/article/192803/geolo.html
USE OF GPS IN MOBILE HEALTH
 GPS plays an important role in mobile Health care.
 With these health apps you can easily track Hospitals and specialized doctors
for specific purposes.
 Plus in case of an emergency
you just need to press your
panic button in mobile phone &
an Ambulance will be sent to you
by the nearest Hospital.
Sources : http://www.techhive.com/article/192803/geolo.html
REMOTE SURGERY
WHAT IS REMOTE
SURGERY?
• The ability for a doctor to
perform surgery on a
patient even though they
are not physically in the
same location.
• Form of telepresence.
• Consists of:-
• One or more arms.
• Master controller.
• A sensory system.
Sources : https://i-technet.sec.s-msft.com/dynimg/IC31707.gif
ATM
(Asynchronous
Transfer Mode)
• Defined by ANSI and ITU
standards
• For a network that must handle
both traditional high-throughout
data traffic, and real-time, low-
latency content.
• ATM uses asynchronous time-
division multiplexing .
• ATM cells are 53 bytes in length
• 48 bytes of data and
• 5 bytes of header
information
• maximum speed of 10 Gbit/s
Sources : http://compnetworking.about.com/od/networkprotocols/g/bldef_atm.htm
L
A
N
G
U
A
G
E
S
• Used to build a WEB-FRONTED app for mobile
devices.HTML5
• If you're looking at Android as your primary platform
you’re almost certainly going to look at Java.JAVA
• To develop apps for virtually every purpose on pretty
much every platform that exists.C++
• part of the Apple development framework and is
fully integrated into all iOS and MacOS frameworks.OBJECTIVE - C
• If you're now beginning the process of writing iOS
apps, then Swift is your starting point.SWIFT
• Plays role in Microsoft universe.
C#
Sources : http://www.informationweek.com/mobile/mobile-applications/6-top-programming-languages
DISADVANTAGES OF mHealth
Sources : https://blog.catavolt.com/2014/10/6-barriers-healthcare-app-adoption/
privacy of the patient’s health information.
Security Issues and lack of information control.
Not all people use smartphone and network connectivity
SOLUTIONS… ON THEIR WAY
 Microsoft planning to provide low cost broadband connectivity in
5,00,000 Indian Villages in partnership with the Indian Government
DISCUSSION
SURVEY
ON
MOBILE HEALTH
APPLICATION
AWARENESS
Sources : https://docs.google.com/forms/d/1fe6J35R2AWPCXr3HB-pZWQOdLyzKwVe3nyUQ38LQHx0/
CONCLUSION
most of the people refer to myriad internet websites rather than using mHealth apps…
Sources : https://docs.google.com/forms/d/1fe6J35R2AWPCXr3HB-pZWQOdLyzKwVe3nyUQ38LQHx0/
CONCLUSION
there is till lack of information about mHealth apps amongst Indian poulation…
Sources : https://docs.google.com/forms/d/1fe6J35R2AWPCXr3HB-pZWQOdLyzKwVe3nyUQ38LQHx0/
Mhealth - mobile health
Mhealth - mobile health

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Mhealth - mobile health

  • 1.
  • 3. MEMBERS  Tushar Swami  Vikas Prasad  Tanish Garg  Anurag Aggarwal  Vaishali Upadhyay
  • 4. OUTLINE  What is mHealth?  Features of mHealth  Remote Patient Monitoring (RPM)  Devices involved  Technology behind devices - Bluetooth - GPS Locator  Disadvantages of mHealth  Further advanced Technology  Discussion
  • 5. ACKNOWLEDGEMENT We would like to express our special thanks of gratitude to our teacher Dr. Natasha who gave us the golden opportunity to present this wonderful presentation on the topic (Mobile Health), which also helped us in doing a lot of Research and we came to know about new things. We are really thankful to her.
  • 7. INTRODUCTION  mHealth an abbreviation for mobile health, a term used for the practice of medicine and public health supported by mobile devices.  The term is most commonly used in reference to using mobile communication devices, such as mobile phones, tablet computers and PDAs, for health services and information. mHealth applications include the use of mobile devices in:  collecting community and clinical health data  delivery of healthcare information to practitioners, researchers  real-time monitoring of patient vital signs Sources : https://en.wikipedia.org/wiki/MHealth
  • 8.  there is a lot of excitement around mHealth.  mHealth offers a new and fast way of collecting health related information.  with a small and yet powerful smartphone or mobile device. There are several categories in which mobile Apps can be categorized into while there will most likely be a lot more out there, we will focus on the main parent categories and provide examples in each. INTRODUCTION Sources : http://www.mhealthsummit.org/
  • 9. TYPES OF MOBILE HEALTHCARE APPS Applications for remote monitoring LifeScan for patients with diabetes Remote heart monitoring ECG viewer Oxygen level remote check Telehealth services Sources : http://www.telehealthlink.com/Telehealth/ProdSystem.aspx Applications for assistance in diagnosis Symptom checkers Digital imaging (MRI/X-Raying viewing abilities) Lab results review Applications for reminders  Prescription management  Appointment reminders
  • 11. WHAT IS RPM?  a technology to enable monitoring of patients outside of conventional clinical settings.  depending on the disease and the parameters, different combinations of sensors, storage, and applications may be used.  physiological data collected by sensors on peripheral devices.  RPM – in case of some chronic disease, it is able to improve an individual’s quality of life. Sources : http://www.telehealthlink.com/Telehealth/ProdSystem.aspx
  • 12. SENSORS Sensors and wearables can be integrated into various accessories such as:  Garments  Hats  Wrist bands  Socks & Shoes  Eyeglasses and other devices… Some sensors, mostly medical-grade ones, are used on a stand-alone basis. Sources : https://en.wikipedia.org/wiki/Remote_patient_monitoring
  • 13. SENSORS works on three simple steps : 1. measure (analyse) your physiological parameters such as blood pressure. 2. communicate with your phone, tablet or PC wirelessly. 3. alerts based on the analysis of collected data. Sources : https://en.wikipedia.org/wiki/Remote_patient_monitoring
  • 14.  a 3-lead wireless ECG.  continuously sends ECG readings to the user’s Android smartphone via Bluetooth.  from there, sends the data over the mobile network to a server.  patient’s clinician can then access readings via a web browser. SMART ECG MONITOR Sources : http://nuviun.com/digital-health/sensors-and-wearables
  • 17. BLUETOOTH Bluetooth® technology is a wireless communications technology that is  simple  secure, and  everywhere. Present in billions of devices, ranging from: MOBILE PHONES & COMPUTERS to MEDICAL DEVICES & HOME ENTERTAINING PRODUCTS Sources : http://www.bluetooth.com/Pages/Basics.aspx
  • 18. SPECTRUM  operates in the unlicensed industrial, scientific and medical (ISM) band at  using frequency hopping spread spectrum technique at a nominal rate of 2.4 to 2.485 GHz 1600 hops/sec In frequency hopping systems, the transmitter changes the carrier frequency according to a certain "hopping" pattern . ADVANTAGE OF FREQUENCY HOPPING avoid the problem of failing communication at a particular frequency, because of a fade or a particular interferer. Sources : http://www.wirelesscommunication.nl/reference/chaptr05/spreadsp/fh.htm
  • 19. INTERFERENCE  adaptive frequency hopping (AFH) capability was designed to reduce interference between wireless technologies sharing the 2.4 GHz spectrum.  technology - detects other devices in the spectrum. - avoids frequency they’re using. There are 79 frequency bands lying within Bluetooth spectrum to work. Sources : http://www.bluetooth.com/Pages/Basics.aspx
  • 20. RANGE & POWER Range may vary depending on class of radio used in an implementation:  CLASS 3 RADIOS – have a range of up to 1 meter or 3 feet  CLASS 2 RADIOS –have a range of 10 meters or 33 feet (commonly found in mobile devices)  CLASS 1 RADIOS –have a range of 100 meters or 300 feet (used primarily in industrial use cases) The most commonly used radio is Class 2 and uses 2.5 mW of power. Bluetooth low energy technology, optimized for devices requiring maximum battery life instead of a high data transfer rate, consumes between 1/2 and 1/100 the power of classic Bluetooth technology. Sources : http://www.bluetooth.com/Pages/Basics.aspx
  • 22. STETHOSCOPES With the 3M Littmann® Electronic Stethoscope Model 3200, your physician focuses on listening to your heart while the stethoscope sends your information wirelessly to a PC, laptop or mobile device. PULSE OXIMETERS The Onyx II wireless pulse oximeter from Nonin lets you monitor your pulse and heart rate by inserting a fingertip into the device, without tethering you to one spot. Sources : http://www.bluetooth.com/Pages/health-fitness.aspx
  • 23. HEART RATE MONITORS Track your heart rate on your smartphone while you work out and analyze the data afterward with an app on your phone or online. Bluetooth Smart devices like the Polar H7 connects your heart rate monitor to a smartphone without a dongle. BODY MONITORS Track your daily workout habits and your sleeping patterns using an all-in-one fitness device like BodyMedia's FIT. Sources : http://www.bluetooth.com/Pages/Sports.aspx
  • 25. HOW GPS PHONE WORKS?  a GPS receiver relies on radio waves.  communicates with satellites that orbit the Earth.  there are currently 27 GPS satellites in orbit -- 24 are in active use and 3 act as a backup in case another satellite fails. Sources : http://electronics.howstuffworks.com/gps-phone2.htm
  • 26. HOW GPS PHONE WORKS? In order to determine your location, a GPS receiver has to follow three simple stpes: 1. The locations of at least three satellites above you 2. Where you are in relation to those satellites 3. The receiver then uses trilateration to determine your exact location. Sources : http://electronics.howstuffworks.com/gps-phone2.htm
  • 27.  Smartphones have a GPS chip inside.  chip uses satellite data to calculate your exact position.  as long as the sky is fairly clear, the geolocation app on your phone can ascertain your position reasonably accurately.  Indoors, however, it’s less accurate, and in locales where storefronts are in very close proximity, you may have to select your location manually from within the app interface. When a GPS signal is unavailable, geolocation apps can use information from cell towers to triangulate your approximate position. HOW GPS PHONE WORKS? Sources : http://www.techhive.com/article/192803/geolo.html
  • 28. USE OF GPS IN MOBILE HEALTH  GPS plays an important role in mobile Health care.  With these health apps you can easily track Hospitals and specialized doctors for specific purposes.  Plus in case of an emergency you just need to press your panic button in mobile phone & an Ambulance will be sent to you by the nearest Hospital. Sources : http://www.techhive.com/article/192803/geolo.html
  • 30. WHAT IS REMOTE SURGERY? • The ability for a doctor to perform surgery on a patient even though they are not physically in the same location. • Form of telepresence. • Consists of:- • One or more arms. • Master controller. • A sensory system. Sources : https://i-technet.sec.s-msft.com/dynimg/IC31707.gif
  • 31. ATM (Asynchronous Transfer Mode) • Defined by ANSI and ITU standards • For a network that must handle both traditional high-throughout data traffic, and real-time, low- latency content. • ATM uses asynchronous time- division multiplexing . • ATM cells are 53 bytes in length • 48 bytes of data and • 5 bytes of header information • maximum speed of 10 Gbit/s Sources : http://compnetworking.about.com/od/networkprotocols/g/bldef_atm.htm
  • 32. L A N G U A G E S • Used to build a WEB-FRONTED app for mobile devices.HTML5 • If you're looking at Android as your primary platform you’re almost certainly going to look at Java.JAVA • To develop apps for virtually every purpose on pretty much every platform that exists.C++ • part of the Apple development framework and is fully integrated into all iOS and MacOS frameworks.OBJECTIVE - C • If you're now beginning the process of writing iOS apps, then Swift is your starting point.SWIFT • Plays role in Microsoft universe. C# Sources : http://www.informationweek.com/mobile/mobile-applications/6-top-programming-languages
  • 33. DISADVANTAGES OF mHealth Sources : https://blog.catavolt.com/2014/10/6-barriers-healthcare-app-adoption/ privacy of the patient’s health information. Security Issues and lack of information control. Not all people use smartphone and network connectivity
  • 34. SOLUTIONS… ON THEIR WAY  Microsoft planning to provide low cost broadband connectivity in 5,00,000 Indian Villages in partnership with the Indian Government
  • 36. SURVEY ON MOBILE HEALTH APPLICATION AWARENESS Sources : https://docs.google.com/forms/d/1fe6J35R2AWPCXr3HB-pZWQOdLyzKwVe3nyUQ38LQHx0/
  • 37. CONCLUSION most of the people refer to myriad internet websites rather than using mHealth apps… Sources : https://docs.google.com/forms/d/1fe6J35R2AWPCXr3HB-pZWQOdLyzKwVe3nyUQ38LQHx0/
  • 38. CONCLUSION there is till lack of information about mHealth apps amongst Indian poulation… Sources : https://docs.google.com/forms/d/1fe6J35R2AWPCXr3HB-pZWQOdLyzKwVe3nyUQ38LQHx0/