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Mobile Health: How Mobile Phones Support Health Care
Mobile Health: How Mobile Phones Support Health Care
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How mHealth tech is changing diabetes treatment

How mHealth tech is changing diabetes treatment | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

Today's mobile apps are helping diabetics aggregate blood sugar and nutritional data from multiple platforms and devices and logging data into central portals accessible anywhere, according to Steve Robinson, general manager of the Cloud Platform Services Division for IBM.

The apps and snap-on smartphone monitoring devices are letting physicians integrate biometric data from wearables into patient data and analyze patient data at fast speed, Robinson writes at InformationWeek. The benefits are just as extensive as the functionality being developed, he says

The gains include everything from simplifying records and improving doctor-patient conversations to gaining a holistic view of a diabetic's health. Doctors can "crunch and analyze patient data at rapid speeds to help identify patterns and predict future health and treatment needs," he writes.

"Mobile apps can help diabetes sufferers get ahead of their symptoms and live healthier, more carefree lives," Robinson says. 

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Diabetes tools have ranged from providing smartphone coaching that is helping diabetics living in low to modest socioeconomic communities manage their disease and improving their health, to a wearable, automated bionic pancreas for continuous glucose monitor and a software algorithm, according to a study at the New England Journal of Medicine.

In addition, mobile monitoring of diabetic employees can save more than $3,000 a year in healthcare costs, half of the average annual medical insurance cost for workers diagnosed with diabetes. 

Today's tools and cloud-based capabilities are reducing those costs while also driving innovation for disease management, Robinson says.

"Using cloud services, combined with the ease and convenience of mobile, new methods of managing this disease are being brought to patients around the world," he writes.

For more information:
- read the article

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myDiabeticAlert's curator insight, December 12, 2014 8:29 AM

myDiabeticAlert let you share agregated medical data of your glucose levels, blood pressure and weight in real time with whomever you choose. Have real time access from your mobile to your electronic health records.

 

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NHS tests 'plaster' patient-monitor

NHS tests 'plaster' patient-monitor | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

 

The NHS is starting to test a sticking-plaster-sized patient-monitoring patch.

Placed on the chest, it wirelessly transmits data on heart rate, breathing and body-temperature while the patient is free to move around.

Independent experts say the system, developed in Britain, could ease pressure on wards and has the potential to monitor patients in their own home.

But the Royal College of Nursing says there is no substitute for having enough staff.

Routine checks for vital signs - including temperature, blood pressure and heart rate - are a key part of care and safety in hospitals.

Typically they may be carried out every four hours, depending on the patient's condition.

But patients can deteriorate between checks, putting them at risk.

Continue reading the main story“Start Quote

It gives us a bit more time with some patients when we know some patients do need that bit more time. ”

Victoria Howard Nurse

A hospital in Brighton run by the private healthcare firm Spire has been testing the battery-powered patch, which updates information on some of the vital signs every couple of minutes.

The wireless device, developed by the Oxford-based firm Sensium Healthcare, then issues an alert if the readings fall outside pre-set levels, indicating a potential problem.

The patch is placed on the chest just above the heart when the patient is admitted. There are no cables to any monitors. Instead, readings are recorded and transmitted to a box in each room that works like a wi-fi router, passing on data to the hospital IT system.

'Eases pressures'

It does not replace the routine checks, but staff say it does ease some of the pressures.

Victoria Howard, a staff nurse at the hospital said the system was working well.

"It gives us a bit more time with some patients when we know some patients do need that bit more time," she said.

"Without this monitor, you're constantly thinking what's happening in the next room, and I should go in there and check them.

"Knowing this is on and it works well, we're able to spend that bit more time."

Most of the patients at this hospital are in for routine surgery. Some are being treated for cancer.

The matron, Lynette Awdrey, said the patches helped staff focus their efforts on the patients who needed the most support.

"It prioritises you," she said.

"Nothing will ever replace compete with clinical observation and the assessment of the patients. What this does is alert you sooner, so you can fulfil those observations and assessments of the patient and activate the appropriate care and treatment for them."

So far, she said, the patches had provided early detection of deterioration in about 12% of patients who had worn them. That is in line with findings from a small trial with the patches at a hospital in Los Angeles.

Safety implications

This could have important safety implications. A study in the British Medical Journal in 2012 concluded that nearly 12,000 deaths in hospitals in England had been preventable. It said clinical monitoring had been a problem in nearly a third of these deaths.

Another advantage of the device is that patients can move around freely. This reduces the risk of complications such as infections, helping patients to recover more quickly, so they can go home sooner, saving on the costs of healthcare.

David Hardman, 71, is happy to wear the patch.

"It gives me reassurance that there's something, or some equipment looking at it all the time," he said.

"And I think when the nurse is with you her mind is perhaps a bit more with you rather than thinking about what's going on in the other rooms."

Each patch costs £35 and lasts for five days - long enough for most hospital stays.

Wear at home

Independent experts say we are witnessing the start of a revolution in wearable technology, with great potential benefits in healthcare.

Prof Timothy Coats, a consultant in emergency medicine at Leicester Royal Infirmary, said the patch could be useful in a variety of different settings.

"This certainly could have a use in the emergency department from the emergency care phase right through to the first couple of days in hospital when the patient is more liable to deteriorate.

"It also has potentially an application for looking after patients in their own home, because we could observe them remotely rather than in hospital."

However he points out there are limitations with the current model, which measures heart rate, breathing and body temperature. It is being developed to provide more information, on blood pressure and oxygen levels.

The company says the patch is about to be tested at one NHS trust and 20 more are in talks.

The Royal College of Nursing's chief executive, Dr Peter Carter, said new technology could be very helpful in alerting nurses and doctors to a patient who was starting to deteriorate - but he also expressed a note of caution.

"Anything which helps that process has to be a good thing," he said.

"However, we also know that there is no substitute for having enough staff with the right level of skill on every ward, able to give each and every patient the care and attention that critically ill people need."

 

 


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Online community connects 3D printer owners with people who need prosthetic hands

Online community connects 3D printer owners with people who need prosthetic hands | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

A chance connection over the internet has spawned multiple efforts to provide 3D printed hands at an extremely low cost.

 

Around the world, there are people who have lost all or part of their hand, or were born without one. There are also people and institutions with 3D printers. Pair the two, and you can print a custom mechanical hand for $20-150 — thousands less than the typical prosthetic.

 

e-NABLE, which functions through a website, Facebook page and Google+ page, stepped up to connect the two after site founder Jon Schull came across work by American prop maker Ivan Owen, who made a metal mechanical hand for South African carpenter Richard Van As. Van As had lost four of his fingers in a carpentry accident.

 

Owen was then contacted by a mother whose 5-year-old son needed a hand. He again made a metal hand for the boy. But then he turned to 3D printing. MakerBot gave both Owen and Van As a 3D printer.

 

The pair developed a 3D printed hand for the boy and then posted the design to Thingiverse, where anyone could download and print it.

Van As and Owen’s efforts toward developing 3D printed hands live on via the Roboand project, which has created more than 200 hands and now branched into prosthetic fingers and arms. But Schull was interested in connecting people who needed hands with individual makers and institutions that had 3D printing skills, but potentially idle printers.

 

He started a Google+ page, and then a Facebook page and website. More than 300 makers make their services available to people who contact e-NABLE about a hand. Just a quick scroll through posts on the Facebook page reveals many, many people who have a use for a hand.

 

“I see e-NABLE as a crowd-sourced pay-it-forward network for design, customization and fabrication of all sorts of assistive technologies,” Schull told Rochester Institute of Technology, where he is a researcher. “This is a scalable model that could go way beyond 3D printed prosthetic hands.”

 

  more at http://gigaom.com/2014/02/25/online-community-connects-3d-printer-owners-with-people-who-need-prosthetic-hands/   ;
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Inforth Technologies's curator insight, February 26, 2014 8:23 AM

Such a great idea.  3D printed prosthetics can be custom fit to the owner.

Andreas Eriksen's curator insight, February 26, 2014 1:23 PM

Awesome Samsung phones/accessories on www.bestsamsungphones.com

petabush's curator insight, February 27, 2014 4:05 AM

Interesting model for 'crowd sourced pay-it-forward network' 

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We’d all be better off with our health records on Facebook

We’d all be better off with our health records on Facebook | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

A Facebook user’s timeline provides both a snapshot of who that user is and a historical record of the user’s activity on Facebook. My Facebook timeline is about me, and fittingly, I control it. It’s also one, single profile. Anyone I allow to view my timeline views my timeline—they don’t each create their own copies of it.

 

 

Intuitive, right? So why don’t medical records work that way? There is no unified, single patient record—every doctor I’ve ever visited has his or her own separate copy of my records. And in an age where we can conduct banking transactions on my smartphone, many patients still can’t access or contribute to the medical records their doctors keep for them.

 

 

My proposal? Medical records should follow Facebook’s lead.

 

“About” for Complete, Patient-Informed Medical History

On Facebook: The “about” section is the one that most closely resembles the concept of a user profile. It includes a picture selected by the user and lists information such as gender; relationship status; age, political and religious views; interests and hobbies; favorite quotes, books and movies; and free-form biographical information added by the user.

 

 

“Privacy Settings” and “Permissions” for Controlled Sharing

On Facebook: Privacy settings allow users to control who can see the information they post or that is posted about them. For example, in my general privacy settings I can choose to make my photos visible only to the people I’ve accepted as “friends.” However, if I post a photo I want the entire world to see, I can change the default setting for that photo to be visible publicly instead.

 “Status Updates” to Document Diagnoses and Treatments

On Facebook: “Status updates” let Facebook users broadcast what’s going on with them at a given moment. (For example, my status update might say: “I just had a great idea for improving medical records.”) A user’s latest status update appears toward the top of the timeline; older statuses can be viewed by scrolling through the timeline.

 

“Photos” for the Online Delivery of Test Results

On Facebook: Users can upload pictures they’ve taken. Photos are organized into albums that are visible on the user’s timeline. There’s also a special “photos” section where viewers of the timeline can go to see all of a user’s photo albums.

 “Tagging” to Involve Other Parties and Track Common Themes

On Facebook: Users can “tag” other users to indicate their involvement with the content being posted. For example, when I post a picture of myself with a friend, I can “tag” the friend in that photo. This ties the photo to both our timelines instead of just mine. It also triggers a “notification” to the friend that she’s been tagged. She can remove the tag if she doesn’t wish for the photo to be tied to her timeline.

 “Notifications” for Test Result Alerts, Medication Alerts, or Preventive Care Reminders

On Facebook: Users are alerted by red “notification” messages when another user writes them a message, posts a picture of them or otherwise interacts with their profile. These notifications are a way to make the user aware of interactions or information involving them.

 “Check-Ins” to Denote Office Visits

On Facebook: Users can “check in” to places they’re currently visiting. For example, I could “check in” to the concert I’m at on a Saturday night. This would serve as both a status update and a record of my attendance of the concert. Photos can also be marked with places to record where they were taken.

 

 

“Friendships” to Track New Provider Relationships

On Facebook: Users can create “friendships” with other users when one party electronically requests a friendship and the other party electronically accepts. These friendships are marked on the user’s timeline (“Jane Doe is now friends with John Smith”) along with the date the online friendship was created.

 

“Events” to Track and Remind for Upcoming Appointments

On Facebook: Users can create online “events” to manage attendance and other details for in-person events. For example, I might create an event for the New Year’s party I plan to host, and I might invite my Facebook “friends” to that online event, where they could RSVP and receive reminders as the event date approaches.

 

 

 

a lot more at http://qz.com/161727/wed-all-be-better-off-with-our-health-records-on-facebook/#/h/37426,4/


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eHealth Network adopts guidelines ePrescriptions

eHealth Network adopts guidelines ePrescriptions | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

National health systems are moving more and more towards electronic systems for medical prescriptions. The European Commission and EU countries have a common goal to ensure that these electronic prescriptions can be used safely in another Member State.

This is why the eHealth Network, made up of representatives of all 28 EU countries and chaired by the Commission, has been working jointly on ePrescriptions.

The guidelines that were agreed on, lay out the type of data needed to share prescriptions across borders. They also describe how the data should be transferred, provided the patient has given his or her consent to use the ePrescription service.

The guidelines can be used by Member States on a voluntary basis.

The 6th eHealth Network meeting in Brussels took place on 18 November 2014 and was chaired by Austria and co-chaired by the European Commission.

Source: Website Health and Consumers, DG SANCO


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Charlotte de Broglie's curator insight, December 1, 2014 9:54 AM

International interoperable datasets standards for ePrescriptions agreed upon by european commission #movingfwd #cossborder #eHealth

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Can Mobile Technologies and Big Data Improve Health? #hcsmeu

Can Mobile Technologies and Big Data Improve Health? #hcsmeu | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

After decades as a technological laggard, medicine has entered its data age. Mobile technologies, sensors, genome sequencing, and advances in analytic software now make it possible to capture vast amounts of information about our individual makeup and the environment around us. The sum of this information could transform medicine, turning a field aimed at treating the average patient into one that’s customized to each person while shifting more control and responsibility from doctors to patients.

 

The question is: can big data make health care better?

 

“There is a lot of data being gathered. That’s not enough,” says Ed Martin, interim director of the Information Services Unit at the University of California San Francisco School of Medicine. “It’s really about coming up with applications that make data actionable.”

 

The business opportunity in making sense of that data—potentially $300 billion to $450 billion a year, according to consultants McKinsey & Company—is driving well-established companies like Apple, Qualcomm, and IBM to invest in technologies from data-capturing smartphone apps to billion-dollar analytical systems. It’s feeding the rising enthusiasm for startups as well.

 

Venture capital firms like Greylock Partners and Kleiner Perkins Caufield & Byers, as well as the corporate venture funds of Google, Samsung, Merck, and others, have invested more than $3 billion in health-care information technology since the beginning of 2013—a rapid acceleration from previous years, according to data from Mercom Capital Group. 

  more at http://www.technologyreview.com/news/529011/can-technology-fix-medicine/ ;


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Paul's curator insight, July 24, 2014 12:06 PM

Yes - but bad data/analysis can harm it

Pedro Yiakoumi's curator insight, July 24, 2014 1:48 PM

http://theinnovationenterprise.com/summits/big-data-boston-2014

Vigisys's curator insight, July 27, 2014 4:34 AM

La collecte de données de santé tout azimut, même à l'échelle de big data, et l'analyse de grands sets de données est certainement utile pour formuler des hypothèses de départ qui guideront la recherche. Ou permettront d'optimiser certains processus pour une meilleure efficacité. Mais entre deux, une recherche raisonnée et humaine reste indispensable pour réaliser les "vraies" découvertes. De nombreuses études du passé (bien avant le big data) l'ont démontré...

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Health Risk Assessments Are A Powerful Component of Population Health Management

Health Risk Assessments Are A Powerful Component of Population Health Management | Mobile Health: How Mobile Phones Support Health Care | Scoop.it
Health Risk Assessments (HRAs) are a powerful component of population health management strategies for healthcare organizations.

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potenzmittel rezeptfrei

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yoga accessories's curator insight, May 7, 2014 2:31 AM

http://slashdot.org/submission/3541153/yoga-apparel-cheap

Sherri Altman's curator insight, September 15, 2014 9:53 PM

Curious how these metrics compare to the HRA we have deployed to our consumers.  As an organization we have decided to target key chronic conditions to help reduce costs. What other prevention programs could or should we be considering to assist our members?

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Carbon nanotube sensors could aid diabetic patients

Carbon nanotube sensors could aid diabetic patients | Mobile Health: How Mobile Phones Support Health Care | Scoop.it

The sensors could survive for a year in the human body, which is longer than any previous sensor.

 

Science has produced a range of nanomaterials in recent years with abilities that are highly useful to human health, including screening for toxins and monitoring levels of vital chemicals. But before the materials can be useful, it has to be possible to insert them into the body without the immune system attacking and destroying them.

 

 

MIT researchers published a paper (subscription required) this week describingsensors they created that could last in the human body for up to a year. The nanosensors are the first to have the ability to survive for such a long time.

 

The sensors are made from carbon nanotubes—minute tubes of rolled-up sheets of carbon atoms measuring just an atom thick. Carbon sheets are good at capturing individual molecules , which makes them excellent sensors. The researchers found that when they combined the nanotubes with different molecules, they could detect specific chemicals implicated in human health.

 

The first sensor the researchers built detects nitric oxide, which may play a role in cancer development. Using nanotubes to detect it could provide more information on the role NO plays in healthy vs. cancerous cells. The researchers are also interested in developing a sensor that detects glucose levels, which could be implanted in a diabetic patient’s body and provide a finger-prick-free system to monitor glucose and insulin levels.

 

So far, the researchers have tested the sensor under mice’s skin, where it worked for 400 days. While the body generally rejects foreign objects by pushing them out through the skin, the sensor was wrapped in an algae-based plastic gel that protected it from the body’s immune system.

 

Eventually, the researchers think similar sensors could be used to monitor inflammation and pick up on a person’s body rejecting an implanted device.

 Original: http://gigaom.com/2013/11/04/carbon-nanotube-sensors-could-aid-diabetic-patients/
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