Archives: 5/2007

gps%20sports GPSports: Athletic Training of the Future Coaches and team physicians, would you like to know when a player exceeds his maximum pulse rate or core body temperature during extreme training? Perhaps having real-time monitoring of creatine kinase, blood glucose, lactic acid or pH levels would help you fine tune your athletes while avoiding dangerous medical events. Sound impossible? Dr Adrian Faccione, founder of GPSports, is making such high tech monitoring a reality.

On-the-fly physiological monitoring of athletes is developing to a stage where an elite sports coaching box is looking more and more like a Formula One garage, each player being constantly monitored to ensure maximum performance while avoiding injuries. Speed and conditioning expert Dr Adrian Faccione, founder of GPSports talks to us about the cutting edge of elite athlete management, and the amazing future technologies that are now in development. The original MP3 of the interview with Dr Adrian Faccione is available here.
The GPS-enabled devices are strapped to individual players throughout a game or training session, and measure a number of metrics over time. GPSports founder and fitness training expert Adrian Faccione explains: “We get position, we get speed, we get distance, we get heart rate, we get impacts from when an athlete runs into another athlete. We collate all the impacts, large and small, and we come up with what we call “body load” – which is basically the total physiological stress placed upon the body with all the accelerations and decelerations that take place in a training session or game….gps%20sports%202 GPSports: Athletic Training of the Future
“The real power of this is that you’ll be able to set upper and lower limits for a range of different variables for an athlete. For instance you might say “I want this athlete to run no more than 10km in a game. So as it gets close to that we’ve got a dashboard that shows he’s getting close. Or you might set an upper limit on heart rate, and if it gets above 180 we want to know, and the machine goes ‘ping’ when it does that.
The next step: pattern recognition to tell us what sets special athletes apart. “The accelerometer, these are really tiny little devices, so we may think about developing four or six really tiny accelerometer sensors that you put onto the wrists and ankles and knees and elbows, and that then stream data short-range back to the centralised unit which you may be wearing on your back, and that then streams that back to the sideline. That’s something we may look at in the next 12 to 18 months. So you have a 3-D image of how your player is doing things. You can start to get technical and say ‘did they do that right under pressure,’ for instance.
…”Ultimately in the future, we’ll be able to add more physiological analysis, in particular blood analysis,” says Faccione, “which will be a pretty amazing development. Lactose, glucose, pH, those sorts of things. So say with glucose, straight away you could apply that to a diabetic on the street, or to a super-elite athlete that’s doing an endurance event.” Real-time monitoring of blood glucose, lactic acid and pH are already on the drawing board, as are some other interesting ideas: “There’s a thing called creatine kinase, and that’s a measure of how much muscle damage is being done so if you go into a gym and do a really hard workout, what happens is you get muscle breakdown, and one of the outputs of that is creatine kinase. So before you do your next session you can know exactly what your levels are at – we’ll be able to totally determine how hard, or if you should in fact train at all, for a particular modality.”

Dr. Faccione envisions future advancements that include integrating his products with intelligent fabrics and voice recognition and will produce “next-gen sports clothing that can teach you how to play a sport!” That means your golf shirt can tell you how bad you are…
A must read article at Gizmag
GPSports

RedBlue3DGlasses 3 D Glasses Make Your Fetal Ultrasound Come to LifeIn the beginning, there was only 2D ultrasound…then “3D” was all the rage…before you knew it, mall kiosks were offering 4D ultrasounds…but now some hard working Duke students have developed IMAX style, pop-off-the screen, three-dimensional ultrasound imaging technology.

“To our knowledge, this is the first time it’s been made possible to display real-time stereo image pairs on a clinical scanner,” said Stephen Smith, a professor of biomedical engineering at Duke. “We believe all 3-D scanners could be modified in this way with only minor software changes.”
The new imaging capability can improve the early diagnosis of certain kinds of birth defects of the face and skull and improve surgeons’ depth perception during ultrasound-guided medical procedures, including tumor biopsies and robot-assisted surgeries done through tiny “keyhole” incisions.
The Duke team, which also includes Joanna Noble, an undergraduate student, and Matthew Fronheiser, a graduate student in Smith’s laboratory, reported the findings in an issue of the journal Ultrasonic Imaging dated July 2006, but published in April 2007. The research was supported by the National Institutes of Health.
To demonstrate the new capability, the researchers first generated stereo ultrasound images of a small metal cage. They then advanced to ultrasound images in living animals of a heart valve and blood vessels and needle biopsies of the animals’ brains and esophagi.

The researchers have since recorded ultrasound images of a model human fetus that is traditionally used in the testing of fetal ultrasound imaging devices. (Watch the video, including paired images of both the cage and model fetus. See if you can fuse them without goggles.)
“Thousands of 3-D ultrasound systems in clinics could be upgraded with such new software, and stereoscopic goggles could be issued to them as well,” Smith said. “Keepsake DVDs of the fetal exam could also be viewed at home in 3-D stereo.”
The goggles would soon become obsolete, he added. New monitors capable of fusing stereo 3-D images without them are now in development.

All kidding aside, this is a brilliant idea. Now every parent with some extra spending cash will run to the mall to get their first IMAX style 3D images of junior. Still, we can’t help but wonder what Tom Cruise will have to say about this…
Press Release
(hat tip: MD Buyline)

snore stopper Snore Stopper Shocks in ReviewGizmodo has a very entertaining review on the “Snore Stopper.” The $80 product, manufactured by Hivox, senses when you’re snoring via a microphone and sends a “gentle” shock to try and stop you. The result seems to be unnecessary pain and no end to the snoring.
As an aside, here’s a quick message to gimmicky gadget makers out there. If you want us talking about your product on our site, send us some free samples! Or at least some t-shirts… we can burn them for warmth.
Read the hands on review here
Snore-free flashbacks: Do you have Sleep Apnea? Try Playing a Didgeridoo, Fewer Obstructions for Pillar System,Patents Galore: Implantable Neurostimulators Fight Snoring and Corpse Eye-Proof Scanners, Pillow for Snorers

xfinger Invent Now 2007 Winners: X Finger
The History Channel’s Modern Marvels 2007 Invent Now Challenge produced some amazing medical inventions that took top honors. First, is the X-Finger™, developed by Didrick Medical, is the world’s first functional partial finger prosthesis that is customized for each individual’s specific needs.

The X-Finger™ is the world’s first active-function artificial finger assembly designed specifically for partial finger amputees. The device allows users to regain complete control of the flexion and extension movements of an artificial finger in a self-contained device. It is designed to bend a silicone finger sheath in a realistic manner.
Each X-Finger™ is custom fabricated to accommodate a variety of finger amputation cases. For a free clinical evaluation, simply fax a copy of your patients’ hands to our facility. We will contact you shortly informing you of our capabilities for rehabilitation utilizing our new technology. There is no obligation if you choose not to purchase a device after the clinical evaluation.
Features and Patient Benefits:

  • Body-Powered – Because the device is body powered, there is no need for external power supplies. The components articulate simply by moving the residual finger when available or an opposing finger when needed. The replaced phalanges will follow the natural bending pattern of a finger. Combined lateral and vertical flexion/extension movements can be independently and immediately restored.
  • Easy To Use – The replaced phalanges articulate in a natural pattern when the residual finger moves. This allows users to immediately utilize the device successfully without having to learn to use the device. The finger segments will articulate using the same cognitive process previously used to articulate their fingers.
  • Realistic Articulation – The components of the X-Finger have been designed to not only look realistic during articulation, but to also bend a silicone finger sheath in a realistic manner as well. Spaces left in the grooves of the device when articulated, gently forces silicone finger sheaths to also bend in a natural manner.
  • Low Profile Design – The device has been designed to offer strength in the lowest profile design possible. All of the components of the assembly fit within the confines of a silicone finger sheath. A majority of the stabilizing system which runs along the surface of the hand is less than .045″.
  • Independent Control of Each Finger – Everyone’s individual uniqueness dictates the function and performance expected from their hands. Whether you are at work or play, independent control of each finger is a necessity with today’s lifestyles. We offer the first active-function artificial finger assembly in a self-contained device. The X-Finger will allow the user to regain complete control of the articulation of the device simply by moving their residual finger. Benefits will include typing; playing a musical instrument or anything that requires the full dexterity of a hand.
  • Video
    (hat tip: MAKE, Techzoogle)

    43534trea Treadmill Desk Burns 100 Calories per HourResearchers from the Mayo Clinic have news that doesn’t really surprise us, but is pretty cool nonetheless. They constructed a standing work station with a treadmill, and put obese patients on it. Lo and behold! They burn calories…

    They built what they called a “vertical workstation” — a desk fitted over a standard treadmill. They persuaded 15 obese people to work at this treadmill-desk and measured how many calories they burned.
    James Levine and Jennifer Miller measured how many calories their 15 volunteers burned using exhaled breath but did not determine if the volunteers lost weight.
    On average, their overweight volunteers burned 100 calories more every hour while walking slowly — at 1 mile per hour (1,6 km per hour) — than while sitting in a chair.
    “If obese individuals were to replace time spent sitting at the computer with walking computer time by 2 to 3 hours a day, and if other components of energy balance were constant, a weight loss of 20 to 30 kg a year could occur,” the researchers wrote.

    It’s really strange that they took the time to measure calories burned, but not weight lost. Of course, that means they would’ve had to have an assortment of controls along with strict monitoring of the diet and activity levels of each subject–just to prove what would already be common sense.
    More from Reuters
    …Or go straight to the abstract or full text article (subscription req) in the British Journal of Sports Medicine

     Chatting with the MEDgle.com Founders
    Recently we caught up with Ash Damle, a co-founder of the personalized medical search engine Medgle, and picked his brain about this new site for patients and physicians.

    56765gif Chatting with the MEDgle.com Founders

    What was the original motivation to start a website like MEDgle?
    With the many time constraints placed on physicians, physicians are unable to discuss options or differential diagnoses to patients. Patients feel they lack the knowledge to ask appropriate questions and get relevant answers. Even though 80% of internet users search health related topics currently no tool is available that is easy to use, and provides a list of reasonable options that can empower consumers in their discussions with physicians. Thus MEDgle was conceived to enable an equal and fruitful discussion between physicians and patients with the search results being the starting point for such a discussion.
    How involved are medical professionals in the development of MEDgle?
    Physicians have been very involved from the start from conceiving the need for a tool like MEDgle and the road map that should be followed. Physicians currently enter all data despite their busy schedules. They are involved in determining probabilities for various disease conditions–where data does not exist, they use their experience in the practice of medicine as a guide to determining the frequency of occurrences. Without physician involvement, MEDgle would not exist.
    What problems have you run into during the development stage?
    As in most new ventures time has been a critical constraint. It took us time to determine the algorithms that would give reasonable results; in short, to determine reasonably the frequency of a given condition in the population by age, duration, gender and other factors. We have also been stymied at the lack of publicly available prevalence data in a usable format broken down by the parameters we were interested in.
    What will it take for MEDgle to get out of Beta?
    To get out of beta, we well, need TIME–time to fine tune the results and increase our data base.
    How is MEDgle better than traditional search engines?
    A traditional search engine does not result in a probabilistic list of options to empower the consumer in his/her discussions with physicians. With a traditional search engine, the patient can only enter keywords symptoms or diagnosis. In the case of symptoms, a list of web results are given but no clue as to which diagnoses are relevant and how much so. In the case of a diagnosis, the patient can only search for the diagnosis that has already been determined by the physician. No differential diagnoses are available. MEDgle provides this missing link. MEDgle not only empowers the consumer but also helps the physician think through the list of options.
    How do you see MEDgle being used by lay folks and professionals a few years from now?
    Primarily, MEDgle results will be used as the starting point of any discussion between physician and patient. Health is an important topic for everyone. Given the tools, people will spend the time necessary to educate themselves. We envisage MEDgle being used by both physicians and patients to provide better care. We plan to add other features in the future to enable both parties achieve this goal.
    What additional features do you plan to add in the future?
    Many. But all of them will keep MEDgles focus in mind, as a search for better health. We’ll keep you posted as we roll them out. Also, we welcome any input to better our service both from the physician and patient’s point of view. Please note that we recently launched the Spanish version of MEDgle.
    Do you now or do you plan to use one of the new Digg-like methods to increase the quality of results, or will you try to keep it Google-like, simply algorithm driven? (Perhaps giving medical professionals a free account where they can give a thumbs up or down on a search result and so increase or decrease the value of that result.) It's a great idea to have physicians vote on the order of results--though as you are well aware, three different physicians will probably give more than 3 different lists by order of frequency. This is due to a variety of factors such different patient populations, geography, and the physician's own experience. After all, as physicians well know Medicine is an art as well as a science!! Neither MEDgle nor any other search engine can change that basic premise!
    What potential problems do you see with patients trying to “diagnose”themselves to avoid an office visit? Do you feel that you can strike an appropriate balance between simplicity and medical accuracy across a wide spectrum of users and medical topics?
    MEDgle was never meant to be a self-diagnosis tool (see disclaimer). We hope that patients will read the disclaimers and realize the hazards of self-diagnoses. We strongly feel that the physician is an integral part of the diagnoses chain and MEDgle provides the tools to arrive at that diagnoses through patient physician discussion, and of course lab and imaging where needed.
    56765gif Chatting with the MEDgle.com Founders

    As patients become more involved with their health care, they will demand web sites that him find accurate, reliable information. Will MEDgle fill that void? Let us know what you think in the comments.

    locad med Astronauts to Get Handheld Microorganism Detector Fearing space bacteria and fungi, NASA scientists have developed a highly accurate hand held microorganism detection unit to monitor the health of astronauts and the shuttle.

    You’re one of several astronauts homeward bound after a three-year mission to Mars. Halfway back from the Red Planet, your spacecraft starts suffering intermittent electrical outages. So you remove a little-used service panel to check some wiring.
    To your unbelieving eyes, floating in midair in the microgravity near the wiring is a shivering, shimmering globule of
    dirty water larger than a grapefruit. And on the wiring connectors are unmistakable flecks of mold.
    That actually happened on the Russian space station Mir. When Mir was launched in 1986, “it was as clean as the International Space Station when it was launched,” recounted C. Mark Ott, health scientist at Johnson Space Center in Houston, Texas. And the cosmonauts aboard Mir (just like the astronauts from the U.S. and other nations aboard ISS) followed a regular schedule of cleaning all the space station’s surfaces to prevent the growth of bacteria and molds that could jeopardize human health. dustmite strip2 Astronauts to Get Handheld Microorganism Detector
    In 1998, U.S. astronauts participating in the NASA 6 and NASA 7 visits to Mir collected environmental samples from air and surfaces in Mir’s control center, dining area, sleeping quarters, hygiene facilities, exercise equipment, and scientific equipment. Imagine their surprise when they opened a rarely-accessed service panel in Mir’s Kvant-2 Module and discovered a large free-floating mass of water. “According to the astronauts’ eyewitness reports, the globule was nearly the size of a basketball,” Ott said.
    Nor was the water clean: two samples were brownish and a third was cloudy white. Behind the panels the temperature was toasty warm–82°F (28°C)–just right for growing all kinds of microbeasties. Indeed, samples extracted from the globules by syringes and returned to Earth for analysis contained several dozen species of bacteria and fungi, plus some protozoa, dust mites, and possibly spirochetes.

    Enter, NASA’s Lab-On-A-Chip:

    “The ability to monitor microorganisms would be especially important on long space voyages, not only to check the health of astronauts but also to monitor electronics and structural materials, which can be corroded or otherwise damaged by certain fungi and bacteria,” says Wainwright, the experiment’s principal investigator. LOCAD-PTS is designed so that “astronauts can do the analysis onboard with no need to return samples to laboratories on Earth.”
    Astronaut Sunita “Suni” Williams opened the instrument kit bag, assembled LOCAD-PTS, and then took six readings. “The first two readings were controls to show that the instrument was operating correctly,” explains Jake Maule, LOCAD-PTS project scientist at the Carnegie Institution of Washington. “First she swabbed her palm, which she had first pressed to handrails and other often-handled surfaces that should have had lots of bacteria–and indeed, we got a strong positive reading,” he continues. “Then she sampled some ultraclean water in the instrument that is used to moisten samples, to check that the water was truly clean–and indeed, we got a great negative reading.”

    Press release: Preventing “Sick” Spaceships
    Press release: Lab on a Chip Works!
    (via Technovelgy, /.)

    643554rota Rotavirus Vaccine Goes Sublingual
    Inspired by dissolvable breath mint strips, undergraduate students at John Hopkins in collaboration with Aridis Pharmaceuticals have developed a new delivery system for the rotavirus vaccine in developing nations.

    During a two-semester course, the seven-student team fabricated a thin film that should melt quickly in a baby’s mouth, prompting the child to swallow the vaccine. The dissolved medication is coated with a material to protect it in the child’s stomach. This coating is also designed to release the vaccine in the small intestine, where it should trigger an immune response to prevent a rotavirus infection.
    The novel drug-delivery system is needed because rotavirus is a common cause of severe diarrhea and vomiting in children, leading to about 600,000 deaths annually. Most of these occur in developing nations, where medical services to treat intestinal distress are not widely available. Rotavirus vaccine to prevent this illness is currently produced in a liquid or freeze-dried form that must be chilled for transport and storage, making it very expensive for use in impoverished areas. In addition, newborns sometimes spit out the liquid, a problem that is less likely to occur with a strip that sticks to and dissolves on the tongue in less than a minute.
    To address the drawbacks of the liquid vaccine, the Johns Hopkins students developed a thin film delivery system that would be easy to store and transport and would not require refrigeration. Although further refinement is needed to maintain the viability of the vaccine, the delivery system itself appears sound, and the Johns Hopkins Technology Transfer staff has applied for a provisional patent. The thin film vaccine system was among the undergraduate projects introduced to the public this month at the university’s annual Biomedical Engineering Design Day showcase.
    “The idea is that you would place one of these dissolving strips on the infant’s tongue,” said Hai-Quan Mao, the team’s Johns Hopkins faculty advisor. “Because the strips are in a solid form, they would cost much less to store and transport than the liquid vaccine. We wanted this to be as simple and as inexpensive as possible.”

    Press release: Students Devise Oral Quick-Dissolve Strips for Rotavirus Vaccine …

    The Discovery Channel’s hit show How Its Made has ventured into the wild world of eye surgery to demonstrate how corrective eye surgery. If you’ve ever been curious about this procedure, than this video is for you.

    (hat tip: TechEBlog)