Thursday, October 25, 2007

Digital plasters – last morning of WoHIT

It is already the last morning of WoHIT ( here in Vienna. I have put some blog posts about the event elsewhere (BCS 'Release Zero' blog and the blog). The networking event last night at the Pallais Palavicini in the centre of town was very good; the champagne and other drinks seemed to flow endlessly, and there were some interesting discussions being held between UK and other European colleagues, and the HIMSS people (the US and EMEA ones).

The big question this morning is whether Richard Granger will bother to turn upo for the final keynote sessions – especially as he has to share the platform with other people. We will see.

I decided to attend what looked to be the most interesting of this morning's final set of parallel sessions. Richard McPartland, from Toumaz Technology, in the UK, was talking about 'Digital plasters for non-intrusive wireless vital signs monitoring'. Toumaz Technology is a spin-off company from Imperial College, London to exploit ultra low power wireless and signal processing technologies. They use thin, flexible batteries to operate the devices, and to provide continuous monitoring of vital signs, as opposed to 'snapshots', which may miss whether vital signs are going out of optimal ranges. With continuous monitoring, alarms can be triggered and transmitted as necessary (as opposed to transmitting all data).

Key technical challenges to wireless monitoring include making devices small and non-intrusive, need to be easy to use (for elderly, those with low dexterity), and power consumption needs to be reduced to help achieve these. Another challenge is to develop disposable devices, which may help in reducing infection problems.

He talked about Sensium, a single-chip ultra-low power vital signs monitor (about 6mm square); has memory on the chip to allow some pre-processing and has flexible sensor interface. It transmits wirelessly. The digital plaster concept includes a Sensium-type chip, a thin, flexible battery and aerial; this seems to be still in development, as he talked about developing prototypes for use in future tests for monitoring different vital signs next year, including clinical trials for foetal monitoring. The idea is that there can be up to eight digital plasters on body that can transmit over short range to base station (which could be a PDA or similar).

Richard provided a live demonstration of using the device for heart rate monitoring, as well as 3-axis accelerometer (which could be used for estimating real-time energy expenditure to diabetic patients, and for possibly monitoring for falls).

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Monday, October 22, 2007

HealthVault - A Healthy Idea?

e-Health meets social software from Microsoft. With HealthVault, all of your health information is in one place that you control….. what does everyone think ?

Source : OLWeekly

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Saturday, October 20, 2007

World of Health IT, Vienna

Next week sees the second 'World of Health IT' event; this year, it is in Vienna, Austria, from 22-25 October -

We will be blogging from the event, posting here and on other blogs (technology permitting).

It will be interesting to see if Richard Granger, who is slated as a keynote speaker, turns up, and what he has to say ...

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Friday, October 19, 2007

Go PubMed - What, Who, Where and When.

I have just come across a new search application called Go PubMed at

It uses the content of PubMed which is familiar to many of us, but enables more complex searches via a "semantic search engine", which it is claimed reduces search time by up to 90%. Relevant hits are sorted into top level categories What, Who, Where and When enabling searches based on both content and metadata.

It is made by Transinsight and, in my opinion and on a quick and dirty test, does meet its claims. I will be using this one again.

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Friday, October 12, 2007

E -Mailing Doctors Boosts Health Access, Quality, Study Finds

Parents who contacted their child's pediatrician through e-mail reported increased access to care and improved quality of care, according to a study in the October issue of Pediatrics, Reuters Health reports.

Paul Rosen and C. Kent Kwoh of the University of Pittsburgh School of Medicine studied results from a physician e-mail access program over a two-year period. Along with improved access and quality of care, families who used the program also said they had a "better understanding of their child's medical tests," Rosen said.

The researchers found using the e-mail program provided responses from physicians 57% faster than using the telephone. Forty percent of the 848 e-mails were sent outside business hours, according to the study. The program asked that participants not use e-mail for emergencies. Researchers found that 5.7% of total messages were urgent, such as notification of new symptoms or an expectation of a same-day response from the doctor.

"Patients would like the ability to e-mail their doctors," Rosen said, adding, "More physicians should consider providing the service" (Douglas, Reuters Health, 10/10).

Thursday, October 11, 2007

He@lth Information on the Internet - 59

The latest issue of He@lth Information on the Internet (v59 Oct 2007) is now available the table of contents includes:

TI: Is the usable, accessible Web a mythical beast?
AU: Childs, Sue

TI: Losing weight on the Web? A content analysis of dieting-related Web sites
AU: Jung, Taejin; McClung, Steven; Youn, Hyunsook; Chang, Ts-Shan

TI: Palliative care
AU: Blenkinsopp, John

TI: View from the front line Medical search engines
AU: Brown, Harry

TI: Current literature
AU: Waddington, Marina

TI: What's new?

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Tuesday, October 09, 2007

One day health informatics course at City University

The Centre for Health Informatics at City University is putting on a one day short course entitled: IMPACT OF EMERGING AND DISRUPTIVE TECHNOLOGY IN HEALTHCARE DELIVERY.

It will be held on Wednesday, 31 October 2007

The programme includes:

Emerging Trends for Single Record Systems - Prof Denis Protti Is a comprehensive single unified record, shared by all clinicians, a reality for the NHS? The experiences of other jurisdictions such as Spain, the USA, Hong Kong and Italy will be presented.

Using Everyday Technologies in Healthcare - Prof Jonathan Kay Technologies such as email, web browsing, barcodes and mobile phones have revolutionised the commercial, social and entertainment domains.
However their uptake in healthcare has been slow and patchy. The reasons for this need to be understood and the barriers overcome if they are to bring the same benefits to healthcare that they have delivered to everyday life.

Emerging Technologies for Emerging Markets - Dr Peter Drury Emerging technologies for Emerging Markets - is there a framework that can help decide what is needed where?

Is a Common User Interface a dream or a possibility? - Dr Mike Bainbridge Will the NHS clinician someday access a clinical work station which has the same look and feel regardless of where the clinician is practicing?
These and related questions will be explored.

Demonstration of Patient Monitoring using Wearable Computers - Dr Peter Weller

More details and application form available from their web site

Sunday, October 07, 2007

What are The Standards I Should follow as Medical Informatics Developer , project Leader , Freelancer Project Luncher ..?

This is a Discussion at Medical Informatics Group at Facebook ( Feel Free To Join to make it Rich with your Opinion , Resources , Answers and/or case study )

–The Discussion–

What’s The Standards Should I follow as Medical Informatics Developer , project Leader , Freelancer Project Luncher , Project Analysis Admin , Medical Project’s Marketing ?!!!!

Let’s say we had been working on that issue since 11 months , That made me stop some of projects i already started ..

What do i need ( Through This Question and Your Answer )? :

1-I Needed a Base Step to Start up from .

2-I Need some Standards Rules That I can Follow . and never cross classic Medical safety redline in my projects …!!!

3-I need pathway system to follow these rules , to prevent and avoid any unexpected event, issue or problem , that what could destroy the system .. or change it’s aim , or Avoid any Misuse

4-I need The Complete Medical , Clinical , Practical , Social wide , World wide , Informatics space and Security wide Views , To Consider on my work ..

5-a Future That we Fear … : prediction The Feature is Not that simple easy for Medical project , Nor That Free-Risk …… what’s My Red limits to realize i passed through the dangerous zone of ( Miss Use ) Social Risk ( Community Safety Line ) ?!!!

6-There is NO Risk-Free Medical Informatics project ( almost ) they’ll be Under The Vision of some dark/red eye for MissUse and Infiltrate , How we can Avoid That ( by Federal Law as example Or International law ) if there is Not Standards and Punishment ?

P.s : as a doctor and Developer ( as well as worked in Marketing also as in Project Analysis/Planning for sometime ) I have some answers for the 30 Questions , but it’s some how an Armature Answers ( am Just a Computer and Informatics Geek ) My incomplete answers need your Points of View to can consider them as answers …

So here i passed to you the Main basic Questions

Hamza E.e Mousa -

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Friday, October 05, 2007

from the web2.0 meeting...The history of health

Thursday, October 04, 2007

HealthVault v HealthSpace

Microsoft have today released a Beta version of their HealthVault which enables individuals to store their medical records online and make then available as appropriate. This is very similar to the approach the NHS has taken over the last few years with HealthSpace.

I'm still not convinced I would upload my records or those of my family, but I'm enjoying Enoch Choi's live blogging of the launch event.

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Wednesday, October 03, 2007

Top 25 Nursing Blogs (By the Numbers)

The Nursing Online Education Database has recently published their collection of the Top 25 Nursing Blogs

I think the piece highlights some difficult methodological challenges in assessing the "reach" of various web 2.0 technologies.

In ranking the top nurse blogs, their goal was to show — using objective data from reliable third-parties — which blogs are the most popular, according to visitor traffic and site backlinks. To this end, we used data for these four metrics to calculate the rankings: I'm not sure about their inclusion criteria (I suppose this blog, although primarily written by a nurse doesn't count because the focus is health informatics and elearning) or their methodology, I think it is a useful contribution to the emerging collection of metrics to measure impact - although I can't see it being included in the next Research Assessment Exercise.

elearning materials from NPfIT

The NHS National Programme for IT has recently made available some elearning materials relating to the implementation of the programme. Two of these are accessible via the internet, with other materials being available only to NHS staff on N3 connections.

The Spine eKnowledge Tool

The Spine eKnowledge Tool aims to provide a user-friendly, high level theoretical overview of the national application technology employed by NHS Connecting for Health. They suggest it may be helpful for non-technical NHS staff and other users of the National Programme for IT, and potentially suppliers or students-in-training., and could also used for:

  • Providing an introduction for training courses
  • Providing an overview for external parties when required
  • Providing a stand-alone module for familiarisation by multiple user types
Personal Demographics Service

The Personal Demographics Service eLearning course has been created to provide a high level theoretical awareness of what PDS is and how it is used.

The Patient Administration system reflected in this eLearning is generic and may not match each independent Patient Administration System.

This one also has an accessible html version

I found the materials limited and the level of interaction seemed to be largely clicking the "next" button. The "cartoon" approach didn't help me - but this may be because I am fairly aware of the content areas and recognise the needs of those with less knowledge of the topics may be different. The main delivery mode is flash which may not be compliant with SENDA and as they comment on the site NHS users may have to get their IT helpdesk to help to load the plug ins etc.

The section on security and confidentiality did not address the debates about the opt-in/opt-out requiremnets for patients to have their summary care records uploaded to the national spine.

Generally I think this may be useful for some people but the limited level of interaction and pace of the materials may put off some potential users.