Monthly Archives: January 2010
The Kindle supports Mobipocket file format, PDF file format, Amazon’s proprietary DRM-restricted format (AZW), as well as the PRC and the TXT formats.
- eBooks: What to read on which reader (theregister.co.uk)
- Apple iPad eBook App is called ‘iBooks’ [IBooks] (i.gizmodo.com)
- Re: Kindle v. Netbook v. ePub, Bookworm and Stanza (stephankinsella.com)
(They called it “iPad” !)
The much awaited “iTablet” may just be what the Doctor requires!
Mobile Health MomentumThe iPhone has already changed the face of healthcare. Apple shared this fact at last year’s iPhone OS 3.0 release and within the keynote at WWDC. The momentum that started with consumer applications has moved to forward-looking doctors and health providers. We know that it is becoming common practice for some doctors and nurses to carry both their company-issued Blackberry and their personally purchased iPhone.
There are already amazing applications in the market. AirStrip allows doctors to monitor patient vital signs and receive alerts from afar. There are now personal health records that can be carried and updated from anywhere.
Additionally, there are information-rich applications that allow nurses, doctors and patients to look up health information in real time. Last week during the Haiti tragedy, an injured individual was able to use an iPhone to treat himself using an first aid application on the iPhone.
Clinician Ready-Apple and EPIC systems have been collaborating to release the first version of MyChartManager on the iPhone. EPIC is a leading provider of EHR in the United States, and powers systems such as Kaiser Permanente and Palo Alto Medical Foundation in the Bay Area, to name a few. The application, named Haiku was released on Jan. 13, 2010, and several health systems are in the process of testing it. It’s a clear contender for the “killer app” in the hospital setting. Looking at the screenshots, it’s clear that more screen real estate would be ideal – which means it may be just the right time for an iTablet-like device to emerge on the market.
It’s the AppsIt is nearly certain that iPhone OS 4.0 will create a path for existing applications to “upsize” to a tablet device, and this includes size. The medical category today is already the highest-aggregate-priced category on the App Store today, and with the promise of applications inside the clinical walls, the opportunity gets much larger.
The iPhone-to-tablet combination may be the biggest reason that a tablet is successful in the market, since the entire iPhone developer community will be able to deliver on this new platform. With Apple’s success in having an integrated OS that shares core libraries across both the Mac and iPhone, it is likely that a table device will also connect with apps from both the iPhone and the Mac.
The etiology of non-occupational carpal tunnel syndrome is not well understood. It is proposed that carpal tunnel syndrome can develop during sexual intercourse when the hands become repeatedly extended while under pressure from the weight of the upper body. Of the eight risk factors associated with non-occupational carpal tunnel syndrome, age, marital status, pregnancy and use of hormonal agents can be explained by changes in the frequency of sexual intercourse.
On the other hand, obesity, macromastia and large chest circumference can be explained by the increased pressure imposed on the wrists by the heavier upper body associated with such conditions. The bilaterality of carpal tunnel syndrome can be explained by the fact that both hands are needed to support the upper body during sexual intercourse. A parallel decrease in the frequency of sexual intercourse and the incidence of carpal tunnel syndrome between the sixth and the seventh decades of life suggests a possible cause and effect relationship between sexual intercourse and carpal tunnel syndrome.”
Google Wave is an online tool for real-time communication and collaboration. A wave can be both a conversation and a document where people can discuss and work together using richly formatted text, photos, videos, maps, and more.
Wave has turned out to be more of a rollercoaster than the idyllic sea that its name was probably meant to evocate.It promises a lot of freedom and functions , but still hasnt taken off among the so called “non-techies”.
A health information system built on Wave could take patient empowerment to the next level..
Enabling doctors learn the language of marketing and interacting on a business level with hospital administrators…
Its worth it.
Eminent doctors are now coming out openly with comments on the alleged “Swine-Flu-pandemic conspiracy”. Dr Wolfgang Wodarg, an epidemiologist, claims the WHO was persuaded to change the definition of ‘pandemic’ by scientists linked to pharmaceutical companies in order to trigger lucrative ‘sleeping’ vaccination contracts. The accusations are to be investigated by the Council of Europe after Dr Wodarg, the chairman of the body’s health committee, tabled a damning resolution. Dr Wodarg claims the WHO “in cooperation with some big pharmaceutical companies and their scientists re-defined pandemics and lowered the alarm threshold” so that governments would begin to order vaccines. In fact, at one time , the WHO warned against preventive anti-virals thus leaving a free field for Vaccines.
Eminent doctors are now coming out openly with comments on the alleged “Swine-Flu-pandemic conspiracy”. Dr Wolfgang Wodarg, an epidemiologist, claims the WHO was persuaded to change the definition of ‘pandemic’ by scientists linked to pharmaceutical companies in order to trigger lucrative ‘sleeping’ vaccination contracts. The accusations are to be investigated by the Council of Europe after Dr Wodarg, the chairman of the body’s health committee, tabled a damning resolution. Dr Wodarg claims the WHO “in cooperation with some big pharmaceutical companies and their scientists re-defined pandemics and lowered the alarm threshold” so that governments would begin to order vaccines.
GlaxoSmithKlein is estimated to have made $1.7 billion from sales of H1N1 vaccine sales in the fourth quarter of 2009 alone. Lower than expected uptake of the vaccine has led to a huge oversupply, to the extent that France, Britain, Germany and the Netherlands are all attempting to sell or give away surplus shots – or cancel orders, where possible.
Quite apart from the cost implications to already stretched national health budgets, if Dr Wodarg is right, then millions of healthy people have been, as he puts it, “unnecessarily” exposed to “the risk of poorly tested vaccines” for a flu strain that is “vastly less harmful” than all previous flu epidemics.
EHR use is slowly but surely inching ahead.
- 43.9 percent of physicians reported using full or partial EMR/EHR systems (not including systems used solely for billing) in office-based practices.
- About 20.5 percent reported having systems that meet the criteria of a basic system, (A basic system is defined as having patient demographic information, patient problem lists, clinical notes, orders for prescriptions and viewing laboratory and imaging results)
- 6.3 percent reported using a fully functional system.(these include include medical history and follow-up, orders for tests, prescription and test orders sent electronically, warnings of drug interactions or contraindications, highlighting of out-of-range test levels and reminders for guideline-based interventions.)
- The Greatest Health IT Achievement in 2009 (medicineandtechnology.com)
- New HL7 Standard for EHRs and Clinical Research (tissuepathology.typepad.com)
- EMRs: Don’t Wait for the Government (in3.typepad.com)