For a moment, let’s throw out the talk of any government incentives for implementing electronic health records (EHR). Everyone tends to focus on the incentives much more than the other very real benefits of having an EHR system. A number of providers have implemented EMR systems even before the incentives were announced. Most of those providers would never want to return to paper systems again. Here are a few non-incentive related reasons for implementing an EMR system.
Posts from the ‘Robotics’ Category
Many human-computer interaction technologies are currently mediated by physical transducers such as mice, keyboards, pens, dials, and touch-sensitive surfaces. While these transducers have enabled powerful interaction paradigms and leverage our human expertise in interacting with physical objects, they tether computation to a physical artifact that has to be within reach of the user.
As computing and displays begin to integrate more seamlessly into our environment and are used in situations where the user is not always focused on the computing task, it is important to consider mechanisms for acquiring human input that may not necessarily require direct manipulation of a physical implement. We explore the feasibility of muscle-computer input: an interaction methodology that directly senses and decodes human muscular activity rather than relying on physical device actuation or user actions that are externally visible or audible.
Jeffrey Dach used one of my recent posts (Personalized Medicine: Real Clinical Examples!) as a reference in his article describing the future of medicine. It’s a quite detailed and comprehensive essay about several fields of medicine and he doesn’t forget to mention personalized medicine and its impact on the future of healthcare:
Personalized Medicine is the combination of these two new powerful forces, Orthomolecular Medicine and Genetic Testing. In the future, Personalized Medicine will expand and ultimately play a dominant role in medicine. Example: Warfarin Genetic Testing allows improved calibration of coumadin dosage to avoid bleeding complications. Drug metabolism testing allows for personal modification of drug dosage.
Orthomolecular and personalized medicine together?
We will be able to sequence the entire genome of an individual human in milliseconds. The cost will be minimal and within the means of the average person.
Individuals will have ability to reprogram our own sperm and eggs. One will be able to buy new genes on the internet based on desired traits and features, and use these genes to make one’s own children as easily as buying a copy of Microsoft office.
My comment: If the government gets involved, then this sounds a lot like Aldous Huxley’s, Brave New World.
Example of this new biotechnology: Human genes are inserted into microbes to make insulin. We will see a dramatic increase in gene therapies and treatments.
Well, I think and hope many of these will never come true, but it’s interesting to see how others predict the future. This fantastic video tries to show us some plans and projects that can really shape this century:
If you would like to know more about the future,
- check out some of the presentations at TED
- or follow CNN Future Summit
The R & D Magazine asked some researchers from around the world to choose and present the best innovations of 2007 at the forefront of technology.
The editors of R&D Magazine are proud to announce the winners of the 45th Annual R&D 100 Awards. This annual competition recognizes the best in innovation—on a global scale. Indeed, the products and technologies highlighted on the following pages are among the most innovative ideas from today’s technology powerhouses in academia, government, and industry, worldwide.
Here is my selection from the field of medicine:
- Active Protection System is a unique protective textile that instantly becomes rigid upon impact, but remains flexible and breathable when protection is not required. The System consists of a three-dimensional spacer fabric treated with a silicone coating. Versatile, durable and lightweight, it can be incorporated directly into a wide range of products to provide unprecedented levels of safety.
- The INSORB® Subcuticular Skin Stapler is designed to combine the cosmetic result of absorbable sutures with the rapid closure times associated with metal skin staplers, while eliminating the need for metal staple removal post-operatively.
- VaxDesign is an emerging biotechnology company that combines immunology with engineering to find elegant, practical solutions to complex biological problems. They develop in vitro assays of the human immune system that are functionally equivalent to the human immune system.
- The pneumothorax detector system consists of two components. A control module provides power for the circuitry and MIR sensor, and also houses a processing system to analyze incoming data and detect the presence or absence of a pneumothorax. A probe unit is connected to the main control module and an antenna for sending out the MIR pulse, and detecting the reflected signal. Novel, high speed data acquisition and processing electronics in the control module acquire the data in real time.
- ElectroNeedle™ Biomedical Sensor Array is a device that, when pressed against the skin, can make rapid diagnostic measurements in a point-of-care setting.
- Ultra-High-Resolution Mammography System (UHRMS) that equips doctors with a low-cost, high-quality alternative to digital radiography (currently the most popular mammographic technology at leading hospitals).
- Researchers don’t necessarily have to attend a meeting in person to get something out of it. Virtual conferences are a growing trend; they have recently been held on topics including nanoscale structures, animal diseases, amphibian conservation, and climate change. One of the largest such events is the Virtual Conference on Genomics and Bioinformatics (VCGB)… Attendees to VCGB gather at local nodes linked together using Access Grid, a virtual collaboration system developed at Argonne National Laboratory in Illinois. (Science)
Don’t hesitate to tell us if you find better ones.
Yesterday, I found a great place in Second Life while I was just crusing through the several medical islands. A place for people with disability: Wheelies @ Second Ability. You can try how it is like to use a wheelchair. In the Second Life Health mailing-list, I’ve seen many interesting discussions about how this virtual world can help people with any kind of disabilities.
If you know how Second Life could help on this field, let us know!
Anyway, I’ve also found some blogposts about weird and futuristic wheelchairs. First, Doctor’s Gadget describes a new robot that turns the concept of a wheelchair on it’s head:
And our favourite medtech blog, Medgadget presents some developments from Porsche:
Don’t miss this useful presentation about the history and the future of wheelchairs.
Nintendo Wii is a special video game console. I said special because the controller can be held with just one hand and uses technology that senses the player’s movements. There is an interesting Nintendo Wii video game called Trauma Center: Second Opinion that I would like to present you now.
You know well that one of my aims is to close the gap between medicine and laypeople. How can we reach it easier? We just make it possible for anyone to play a surgeon. It’s the same as in the case of Second Life. We just let people experience how it is like to be scanned by a CT scan, for example.
So now, in Trauma Center:
You play the surgeon in this exciting Medical Drama simulation. You’ll need to cure patients of everything from routine medical maladies to life-threatening designer viruses. And, of course, there’s all that drama waiting just outside of the operating room.
Your medical toolkit includes scalpels, forceps, defibrillator paddles, syringes and more–all designed for use with the Wii Remote!
Take a look at this link for more videos.
Revver is a a video-sharing platform used by physicians as well. It can be helpful when a conference is expensive to organize (and as we know, it is…) .
Click on the image below to watch the video:
The Human Productivity Lab’s video footage of the unveiling of the MedPresence Conference Room at Barrow Neurological Institute.
Follow Scienceroll on this short-post weekend!
It’s my honor to host this week’s Grand rounds, the weekly rotating carnival of the best of the medical blogosphere. Medical students think alike: in preparing for this edition I came across an earlier Monty Python theme, The Holy Grail of GR at The Rumors Were True. Now, I decided to use some medicine and health care related Monty Python videos to provide funny moments while reading all the nearly 60 submitted articles.
I hope you’re going to enjoy this edition. Let’s start with one of my favourite subjects: from prenatal care to childhood. Also don’t miss the Python’s hospital sketch about a childbirth below:
- Hsien Hsien Lei at Genetics and Health writes about Dr. Rav Dhallan of Ravgen and shares her thoughts on prenatal testing.
- Health Observances blog examines the economic impact of birth defects, or the folic acid awareness.
- Tales from the Womb presents Baby Toby Saga, a collaborative mini-series created with Dream Mom. The idea was to pilot a new form of short story on the blogosphere between a physician and a patient. Don’t miss any of the chapters.
- Healthy Children’s post, Enhance Your Kids with Drugs, Machines, and Perfect Genes asks parents: which group will they choose for their kids: the enhanced or the ordinary?
- Dr. Wes talks about a headline story, the relationship between trans fat and milk (Milk Might Be Harmful to Children).
Let’s continue with many bloggers’ main subject, diet from several aspects:
- Parallel Universes: a man lost 395 pounds with the best diet.
- The Family Fork describes the National Nutrition Month.
- Junkfood Science asks the question whether school PE is really the answer to “childhood obesity?” Then Sandy Szwarc takes a look at the latest study on neurotoxicity of methylmercury for developing fetus’ and children and the body of evidence.
- Having a Bad Mood? Eat Fish! according to Straight From The Doc.
- Are you “Eating With Your Anorexic?” presents a to-do list for teens on how to gain weight.
- The Doctor Blogger tells us the classic patient response on aerobic exercises.
- Exercise and Fitness Blog proves with an image that using abdominal muscles is not tightening or pressing navel to spine.
Mr. Gumby, in the Python video below, can’t find a nurse, but we always find the best posts of our favourite nurse bloggers:
- PixelRN tells us why she hearts pulmonologists.
- I couldn’t miss the Crazy Genes post from Nurse Ratched’s Place.
- And Kim at Emergiblog had a post about nurse bribing
Posts on Diabetes care:
- Diabetes Mine posted random thoughts on pumping without tubes.
- Six Until Me admits that she hates needles.
- Maybe that’s why Kevin, M.D. wrote about the complexities of drawing blood.
- Chronic Babe presents a review on the book, Know your numbers, outlive your diabetes and an interview with the authors.
- And last, an interesting article on depression treatment that can ease diabetes symptoms.
Before watching a video on a hospital in which the doctors relax and the patients do all of the work, let’s see the usual health care section:
- Dr. David Erani at HealthcareForum.com asks the big question: is death penalty disproportionately used against the poor?
- Kevin, M.D. (1 doctor for 18,000 patients) and Universal Health (From Zero To Infinity And Beyond) both posted on military healthcare.
- According to the Health Business Blog, Senators still seem to be missing the point on generic biologics.
- Doc in the Machine describes new FDA programs which try to track drug safety and share data with the public.
- MSSP Nexus Blog examines patient safety and mentions a book on how to build a safer health system.
- Susan Palwick at Rickety contrivances of doing good is a volunteer ED chaplain and has written a post about the frustration of dealing with inappropriate parenting in the ED.
- Transplant Headquarters tells us how to look up a transplant center.
- A true story from The wait and the Wonder blog on miscommunication. For over 3 months, she thought her daughter was actively listed for a liver transplant, when she was, in fact, still listed as a status 7, inactive.
- An other transplantation issue from A Chance to Cut is a Chance to Cure about the organ-transplant network.
- Then The InsureBlog takes us into the far future where everyone will have access to free health care.
Our medical bloggers provided us with many interesting and instructive cases:
- Val Jones, M.D. presents a story about a man who was bitten by a rabid bat. Did you know why rabies can cause “hydrophobia” in its victims?
- Or did you know what is the correct way to remove a tick if it is embedded in a person or pet? Medicine for the Outdoors answers the question.
- Odysseys of George’s first article is about an elderly lady with intestinal obstruction (fascinating images!); in the second one, he shows the sad part of medicine: death.
- Parcho, MD knows well how to deliver a baby in medicine style.
- Dr. Signout tells us a drug seeker’s story in the Gut reaction post.
- And a terrible story in other things amanzi blog on sjambok syndrome.
Fun, musings, robotics and a strange video which proves that sometimes we can’t hear or see the patient even if it’s our fault. Consider this section as the editor’s choice:
- Street Anatomy came up with a funny post on anatomical studies of cartoon characters.
- Musings of a Distractible Mind mused about immunizations.
- Highlight Health did the same about where cold and flu germs live and hide.
- The Blog That Ate Manhattan says Cox-2 inhibitors are a bad thing if you are trying to get pregnant.
- Doctor Disgruntled let me know about a short, but funny post on Immune Classic Thong.
- MedGadget‘s Fantastic Robotic Voyage shows new hopes in gastroenterology.
- On The Wards and Blog, MD both wrote about the use of mobile phones in hospitals.
- Med High Valley tells us what to do if you drop your pager in the toilet.
- Then Domenico Savatta at Thoughts from a robotic surgeon couldn’t resist to tell a controversial story about gay bashing in the medical blogosphere.
- Do you want to live forever? My fellow medstudent, From Medskool presents Aubery de Grey’s opinion on the subject.
- Enrico Cantu from Mexico Medical Student realizes how much a medical student has to learn.
- Foggy Bottom Lantern asks that which disease you would choose to wipe off the face of the earth and why?
I don’t know whether there have ever been an images’ section, but here it is:
- Photoblog – for the dopamine created an incredible image on burnout syndrome in medicine.
- Vitum Medicinus shows what it’s like when the lecturer annotates his slides.
- And a picture, outside the ED from Gruntdoc.
At last, I hope I create a new section in the history of Grand rounds with medicine and web 2.0:
- The Insomnia Blog posted on buying prescription drugs on the internet.
- Clinical Cases and Images – Blog says a urologist shares robotic surgery schedule via Google Calendar.
- Don’t miss the first podcast of Doc in the Machine !
I hope you enjoyed this Grand rounds edition as I’ve had so much fun while doing it. Thank you, Nick Genes for the opportunity and all the help. Please prepare for the next edition at Blog, MD. Sorry for the irking medical Monty Python videos, but I must say that thank you for watching and good night a dingdingdingdingding…
HopeLab is a non-profit organization that combines rigorous research with innovative solutions to improve the health and quality of life of young people with chronic illness. What does it mean? They’ve created a PC-based video game, Re-Mission which is a 3D shooter with 20 levels that takes the player on a journey through the bodies of young patients with different kinds of cancer. Players control a nanobot named Roxxi who destroys cancer cells, battles bacterial infections, and manages realistic, life- threatening side effects associated with the disease. Why?
They’re trying to help young cancer patients to fight their disease, but in an unusual way. If you’re playing, it’s much easier to learn and to improve your capabilities. With a video game, you can convince a child that he/she is able to win this battle. That’s why the aims of Hopelab are:
- adherence to cancer medications
- knowledge about cancer information embedded within the game
- quality of life
- self-efficacy: defined as the belief in the ability to take a certain course of action in a challenging situation
- the overall self-efficacy score of the patients increased significantly
- Re-Mission players maintained higher blood levels of chemotherapy and showed higher rates of antibiotic utilization
So this innovative method was helpful in 80% of the patients. By the way, there is a whole community behind it . You can find blogs, message board or lists like this one: What was Your Weirdest Treatment Side Effect?
If you can afford, please support their mission as they plan to create interventions even for sickle-cell disease, obesity, autism or major depressive disorder.
Update: a great video on the subject.