Monday, February 13, 2012
Monday, February 13, 2012
Joshua Schwimmer, MD, FACP, FASNTechnology in Medicine

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Tech Medicine Links for 2.9.9

Joshua Schwimmer, MD, FACP, FASN
Bertalan Meskó from Scienceroll.com attended the Medicine Meets Virtual Reality (MMVR) 17 conference. He's posted some pictures here and here.






The Seattle Times published an article titled, "With Smartphone, Doctors Reinvent House Calls."

Google is working on a peer review system, gpeerreview.
1. First, you read someone's paper.
2. Next, write a review. (The review is just a simple text file that contains a few scores and your opinions about the paper.)
3. Use GPeerReview to sign the review. (It will add a hash of the paper to your review, then it will use GPG to digitally sign the review.)
4. Send the signed review to the author. If the author likes the review, he/she will include it with his/her list of published works.
5. Prospective employers or other persons can easily verify that the reviews are valid.
A new report from Manhattan Research discusses the use of online social networks by physicians. iHealthBeat has a summary. Sermo and Medscape Connect are the two biggest online physician communities, each with about 100,000 users.
Physicians participating in such online communities are more likely to:

* Be primary care physicians;
* Be female;
* Own a PDA or smartphone;
* Go online during or between patient consultations; and
* Be slightly younger than the average physician.
Finally, In The New York Times, Alan Krueger writes about calculating the opportunity cost of the time patients spend waiting for physicians. His conclusions are surprising.
If you count health care-related activities writ large – including time traveling to a doctor, waiting to see a doctor, being examined and treated, taking medication, obtaining medical care for others, and paying bills – the average American spent 1.1 hours a week obtaining health care in 2007...

If we value all people’s time at the average hourly wage of production and nonsupervisory workers ($17.43 in 2007), Americans spent the equivalent of $240 billion on health care in 2007.

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Notable New iPhone Medical Apps: ECG Guide and Safe OR

Joshua Schwimmer, MD, FACP, FASN
Many users of the iPhone — and certainly developers — view it not so much as a phone, but as a handheld computing platform. The iTunes App Store currently lists more than 200 applications in the "medical" category. "Notable New Medical iPhone Apps" is an occasional series describing apps that I use and/or recommend.

The ECG Guide is an impressively detailed ECG reference for the iPhone and iPod touch. For $4.99, it features sections on ECG basics (such as the function of the ECG and positioning); ECG interpretation; waves and segements; chamber enlargement; ischemic and infarction; arrythmias; and a selection on miscellaneous clinical conditions such as hypothermia, dextrocardia, and brugada syndrome. The ECG Guide also features 100 high-resolution ECG examples and a quiz. (The text and sample ECGs rotate to landscape mode and are easily visible when you zoom in.) It's perfect for medical students, residents, and any health care practitioner who wants to have immediate access to a detailed ECG reference guide.

The ECG Guide for iPhone

Safe OR: Safety Checklist is based on the 19-point WHO surgical safety checklist published in the New England Journal of Medicine Article, "A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population." In the study, use of the checklist was associated with a reduction in mortality of over 40%. The checklist includes questions to be asked prior to induction of anesthesia (for example, "Have you confirmed patient identity?" and "Is the surgical site marked?"); questions prior to the skin incision (for example, "Confirm all team members have introduced themselves by name and role." and "Has antibiotic prophylaxis been given within the last 60 minutes?"); and questions prior to the patient leaving the OR (for example, "Has the nurse verbally confirmed with team that instrument, sponge, and needle counts are correct?"). Safe OR is available for only $1.99 in the App Store.

Safe OR for iPhone


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