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Playful sterile masks

Doctors and their uniforms can sometimes look intimidating to patients, especially children. This is particularly true when doctors are wearing sterile mask. Because of this, Amsterdam and Tokyo-based product, textile, and interior design studio Samira Boon decided to make sterile masks more playful. They say that their mask is no longer masking, but transforming the part of the face it is hiding. Currently there are 15 types of masks, varying from animals and human snouts, to zippers.

samira boon mask

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Nintendo Wii Fit for physiotherapy

Wii Fit

Interesting press release regarding use of Nintendo Wii Fit to benefit young patients undergoing physiotherapy.

Two Lancashire hospitals have taken the unusual step of introducing the Wii Fit computer console into their Physiotherapy Departments to aid the rehabilitation of young patients.

The idea was the brainchild of a 12-year old patient and staff at Lancashire Teaching Hospitals NHS Foundation Trust, which run Chorley and South Ribble Hospital and Royal Preston Hospital, have purchased two game consoles and fitness games to benefit youngsters undergoing treatment.

The Nintendo Wii Fit aims to promote health and fitness through active games.

Lesley Walters, Head of Physiotherapy, Lancashire Teaching Hospitals NHS Foundation Trust, said: “We provide a paediatric and adolescent physiotherapy service. One of our patients suggested it would be a good idea and new and fun way to get youngsters to undertake physiotherapy.

“Physiotherapy sessions for children and young people often use play or diversion techniques to get them to overcome any discomfort or stiffness they may feel.

“Wii Fit is a great way of using computer games to stimulate interest while performing exercises which can be uncomfortable.

“We encourage people to have fun while undergoing physiotherapy and the use of a computer games console which encourages fitness is a fantastic innovation for physiotherapy.

“Two consoles have been purchased and we will be using them in our paediatric and adolescent physiotherapy services at Chorley and South Ribble Hospital and Royal Preston Hospital. It is being used in an increasing number of NHS Physiotherapy departments and I’m sure that it will prove very popular in Lancashire.”

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Three articles about Pubmed

Three research papers about PubMed were published in open access journals in a short period of time. Two of them are written by the same authors and are dealing with the use of Pubmed among clinicians. The third one talks about two different approaches to teaching PubMed to medical students.

Answers to questions posed during daily patient care are more likely to be answered by UpToDate than PubMed

Hoogendam A, Stalenhoef AF, Robbé PF, Overbeke AJ.

Department of Medicine, Division of General Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

Authors observed 40 residents and 30 internists in internal medicine department in an academic medical center while they searched PubMed and UpToDate. They noted the information source used for searching and the time needed to find an answer to the question. What they eventually found was that specialists and residents in internal medicine generally use less than 5 minutes to answer patient-related questions in daily care. Also, more questions are answered using UpToDate than PubMed on all major medical topics.

Analysis of queries sent to PubMed at the point of care: observation of search behaviour in a medical teaching hospital

Hoogendam A, Stalenhoef AF, Robbé PF, Overbeke AJ.

Department of Medicine, Division of General Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

The objectives of this study was to identify queries that are likely to retrieve relevant articles by relating PubMed search techniques and tools to the number of articles retrieved and the selection of articles for further reading. Authors again observed specialists and residents in internal medicine department. They conclude that queries sent to PubMed by physicians during daily medical care contain fewer than three terms. Queries using four to five terms, retrieving less than 161 article titles, are most likely to result in abstract viewing. PubMed search tools are used infrequently by our population and are less effective than the use of four or five terms.

Measuring medical student preference: a comparison of classroom versus online instruction for teaching PubMed

Schimming LM.

Gustave L. and Janet W. Levy Library, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029-6574, USA.

The purpose of this study was to compare satisfaction of medical students learning PubMed entirely online with those attending traditional librarian-led sessions. Skills assessment scores and student feedback forms from 455 first year medical students were analyzed. Student satisfaction improved and PubMed but assessment scores did not change when instruction was offered online. Comments from the students who received online training suggest that the increased control and individual engagement with the web-based content led to their satisfaction with the online tutorial.

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Virtual heart

University College Hospital in London and Glassworks, a leading digital animation company, have developed the first easy to use, accurate, real time, 3D computer generated transoesophageal echocardiography simulator named HeartWorks. They believe this original teaching tool will revolutionize the teaching of electrocardiography and I can’t help but agree. The thing looks too real, like it is going to fall from the computer screen right into your hands.

Take a look at the video from Reuters.

Tip: Gizmodo

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DIY navigation system for surgeons

Maki Sugimoto
Apple brings a story of professor Maki Sugimoto of Teikyo University Chiba Medical Center, a gastrointestinal surgeon, who wanted a better approach to navigation for planning and performing both aggressive and minimally invasive surgeries. He uses Apple computers with OsiriX imaging software to project 3D images onto a patient’s abdomen for both laparoscopic and midline open surgery.

Laparoscopic surgery

For patients with early-stage gastric or colonic cancer, the surgical team typically opts for minimally invasive laparoscopic surgery. With the patient anesthetized, Sugimoto projects OsiriX-generated 3D images onto the body surface of the patient with an Epson EMP-1715 projector. Using a motion-sensing wireless remote, Sugimoto uses physiological markers (such as the navel) to register the image to the patient’s body. Then using a Color Look Up Table (CLUT) feature in OsiriX, he makes the skin of the image transparent. The display now shows the patient’s internal body parts and the area that he will need to operate on.

Open surgery

“The 3D visualization shows us relationships between the cancer and the arterial vessels and other surrounding organs,” says Sugimoto. “It also allows us to see the extent of the spread of cancer. When a patient has upper biliary (bile duct) cancer, we have to cut the liver. If the patient has lower bile duct cancer we have to remove the pancreatic head and duodenum. The HBP system is very complex; that’s why 3D visualization in the OR is so crucial. When doing a midline open surgery, the surgeon can only see the organs from the top. With OsiriX on the Mac, surgeons can rotate and see the surrounding organs in 3D to guide them during surgery.

Visit Apple to learn more and see more pictures and videos.

Image credits – Apple Inc.

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Medicine 2.0 Blog Carnival Edition #33

Medicine 2.0 blog carnival
Welcome to the 33rd edition of Medicine 2.0 blog carnival that focuses on the integration of web 2.0 with our current practice of medicine. I am delighted to be your host this time around and would like to thank Berci Mesko for this opportunity.

I love numbers and 33 is a very beautiful number with many meanings. For this occasion I decided to play around with Medicine 2.0 blog carnival logo, so my dear iMac computer used numbers and complex calculations to transformed it. I took snapshots of specific segments from all of the blogs participating in this edition of Medicine 2.0 blog carnival and from these images a new mosaic image resembling the carnival’s logo has been assembled.

Thanks to the submissions from various bloggers, we have some pretty interesting articles for you. Lets begin immediately, cause I know you are curious.

Interviews

Amy Tenderich, author of DiabetesMine, wanted to know, among other things, if mainstream commercial health platforms from companies like Google and Microsoft are really useful for people with specific chronic illnesses? She conducted two interviews to satisfy her curiosity. First she interviewed Missy Krasner, Product Marketing Manager for Google Health, and later she did the same with Keith Toussaint, Senior Program Manager with Microsoft HealthVault.

People from SugarStats talked with Jennifer McCabe Gorman, one of Health 2.0’s most ‘visible’ online evangelist as they called her. By the way Jennifer wants you to know that her blog, Health Management Rx, is not dead. The reason her posts have been slow is because she is intensively preparing for Health 2.0: User-Generated Healthcare conference, which will be held in San Francisco, California from October 22nd – 23rd 2008.

I have on the other hand conducted an interview with Dr. R.A. Brest van Kempen. This gentleman happens to be the CEO of RS TechMedic, a Dutch company producing medical devices. In the interview he has announced the development of software which will enable physicians to monitor their patients in real time using only an iPhone.

Personal Health Records

Canadian EMR draws our attention to an article published in the Globe and Mail which highlights clinical information that will soon be available to patients in Alberta.

John Sharp, publisher of eHealth blog, has informed us that Google Health has added some web accessibility features to support text readers and enable access to the blind.

Bob Coffield, a health care lawyer and blogger has posted a very interesting article on his Health Care Law Blog. Title of this article, which he co-authored with Jud DeLoss, is “The Rise of the Personal Health Record: Panacea or Pitfall for Health Information” and it has been originally published in the October edition of the Health Lawyers News, a publication of the American Health Lawyers Association (AHLA). Be sure to read it if you want to learn more about legal issues around PHRs.

Social media

Ves Dimov of Clinical Cases and Images Blog shows us the beautiful flower of Internet conversation and dares us to count how many petals we have.

Kevin Pho, better known as Kevin M.D., found an article in Newsweek that talks about the potential of Web 2.0 applications in patient-physician communication.

Digital Pathology Blog asks and tries to answer the following question: Is image sharing “social networking” that should be blocked?

Scott Shreeve writes about his relationship with Twitter in Aint that Tweet?

Berci Mesko thinks you might like and find useful the Twitter directory called Just Tweet It.

Gunther Eysenbach, Editor-in-Chief and publisher of the Journal of Medical Internet Research, presents the research paper “Examining the Medical Blogosphere: An Online Survey of Medical Bloggers” and reflectes on the presentation of Kevin Clauson at the Medicine 2.0 congress in Toronto.

New websites

Medgadgdet informs about Pediatric Care Online, designed around the daily clinical needs of pediatric offices.

Joshua Schwimmer tells us about the new nephrology blog named Precious Bodily Fluids.

Change for the better

Dave deBronkart of e-patinets.net admires extraordinary bravery and integrity of the people from Boston’s Beth Israel Deaconess Medical Center who performed a procedure on the wrong body part and openly shared what happened on their blog.

Medical Education Blog presents a new approach to thinking about how we teach medical students called Application Oriented Curriculum.

There you have it. You read some interesting articles and during the process have boosted your brains, according to new research suggesting that the simple act of Googling may be good for your brain health.

For the end, I would like you to just think about two things. Submitting your articles to one of the future Medicine 2.0 blog carnivals or even hosting one yourself. Everything you need to know can be found on Medicine 2.0 blog carnival.

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