Posts by: Dan Buckland

Thieme Debuts Proprietary eBook App for iPad

Medical publisher Thieme recently debuted their own free iBooks-like app for the iPad. This is an interesting way for medical publishers to start their own eco-systems, allowing institutional and personal subscriptions that don’t rely on a single platform. Already accessible through their web portal, in the future they could expand to Android tablets or whatever else comes along. It doesn’t anchor users to Apple, but it does keep them with Thieme, and prevents the end user from selling a used copy. Like with most electronic media, users want to access their purchases with whatever device they happen to have on hand, and since most physicians are using an iPad for a tablet, Thieme seems to be responding appropriately.

The app itself is pretty basic, serving as both a bookshelf and a portal to their eBook store, but we don’t know that you would want it to do much more. It downloads purchased books through the storefront in the app, or when you sign in with your Thieme username you get access to all of the eBook versions of Thieme books you already own on other devices. The files are saved on the iPad, so you don’t need internet access once the book is downloaded. We looked at three titles that Thieme provided free for review:

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Children’s Hospital Boston’s Innovation Day Showcases Local MedTech

Last week, the researchers and clinicians in residence at Children’s Hospital Boston gathered under the auspices of the Innovation Acceleration Program at CHB for an afternoon of “TED-like” talks and demos. Since we mentioned it here, it was only appropriate that we go to check it out. If you want to watch the whole afternoon of talks, the recording has been posted online. (For a really good discussion of what it takes for a clinician to bring an innovation from idea to practice, watch Dr. Pedro del Nido’s talk at the 2 hr mark).

The point of the sessions was to promote collaboration between the relatively autonomous clinical and research departments at CHB, and pitch the innovation grants available to clinicians and researchers at the institution. Dr. Joseph Madsen MD, one of the recipients of the grants, explained that small innovation grants, which don’t require a lot of preliminary data or extensive applications, are helpful in exploring ideas that otherwise would not have been pursued. Another theme of the talks was that, from an institutional perspective, a great way to support innovation from within is to have a place where innovators can bring napkin-drawing level ideas to establish time of invention and the institutional know how to connect the napkin artist to people who can bring the idea to the world. Two ideas that followed that path were a head wrap for re-warming babies during cardiac surgery thought up by nurse Karen Sakakeeny and an implantable kidney dialysis unit that will be undergoing clinical trials soon originated by Hiep T. Nguyen, MD.

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Can Differential Diagnosis Be Crowdsourced to Facebook Friends?

A paper in the Christmas edition of the Danish Medical Journal attempts to ask whether we can trust our Facebook friends with providing a differential diagnosis. One of the authors, Dr. Peter Hallas, modestly asked that we take a look at his paper, so we jumped at the chance and think he should give himself and his co-authors a lot of credit for studying phenomena that are already occurring.

The study (in Danish) involved asking subjects to post a clinical scenario on their wall and ask their friends for a potential diagnosis. The setup for the paper by Dr. Lars Folkestad and others seems a little artificial, but if you consider that a certain amount of diseases are infectious or genetic in origin then a question to your social and/or family circles is likely to find someone who has had a similar episode and already been diagnosed.

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Study Shows Some Medications Degrade Faster in Space Station than on Earth

The medication locker for a long term space flight may need to be larger than currently thought, a study in the The AAPS Journal concludes. One of the first publications from the Stability of Pharmacotherapeutic and Nutritional Compounds (Stability) project determined that after 28 months of storage on the International Space Station some medications degraded faster than controls stored in as similar environment as possible on the ground.

One of the authors, Lakshmi Putcha, Ph.D, said the differences between the ground and control environments “include, but are not limited to, ambient radiation, excessive vibrational forces, multiple gravity environments and carbon dioxide enrichment; this is in addition to unconventional packaging, resupply operations and other unknowns.”

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Tell NEJM How Social Media Will Change Healthcare; Win Fabulous Prizes

Students or residents who are our readers probably have their own ideas about what the future of healthcare holds in terms of the Internet and social networking. If you can put those thoughts into a 500 word essay or short video, the New England Journal of Medicine might give you a prize and pay for a flight to Boston to attend the 200th anniversary celebration of the journal in March. Submissions start Dec 1 and end after 600 entries have been sent in to respond to the following question:

In the last twenty years, the internet and social networking have brought profound changes in how information is communicated.  How can we harness this technology to improve health?

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SF-based Healthcare Incubator Rock Health Looking for Applicants

If you don’t feel like going to New York for Blueprint’s offer, then you should know that San Francisco-based Rock Health is also looking for applicants for its own competition. We just covered the results from a previous cycle of theirs and it looks like they are doing exciting things. Sean Duffy, founder of Rock Health-funded Omada Health (and fellow Medgadget editor), reminded us that, “They give $20k, don’t take any equity, and give you office space for 5 months.”

Any other incubators you want us to mention?

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NYC-based Healthcare Incubator Looking for Applicants

Blueprint Health, a NYC based incubator for healthcare service companies, is accepting applications for their debut round of competition. Successful team or company will get 3 months of office space in New York, $20K in funding, and infrastructure support in exchange for a 6% stake in the company.

Blueprint will also match successful applicants with mentors in the industry to help navigate the field. Nambi Nallasamy, founder of MedicalPlexus and Ophtho.org, is a mentor for the group and thinks new companies should apply because, “in addition to the entrepreneurial essentials of leadership, ingenuity, and persistence, influencing the healthcare ecosystem requires a unique knowledge base, a specialized network, and, often, legal support. Blueprint Health helps entrepreneurs address these needs, allowing them to focus on building amazing products.”

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DARPA’s Look into Starships Can Inform Our Search for Health

Medgadget editor Dan Buckland spoke at the DARPA 100 Year Star Ship Symposium in Orlando last weekend. Here he relates his thoughts on how blue-sky starship planning is relevant to medical technology today.

The first question most people had when they heard about the DARPA 100YSS Study was, “Why is DARPA interested in how to build a space ship a hundred years from now?” DARPA is known for far out projects, like the Internet itself, but even this seemed far out for them. In the first talk of the symposium, David Neyland, the DARPA Tactical Technology Office Director who came up with the idea, answered the question and provided reasons why we at Medgadget should care about the project. He said that all of the innovations necessary for a successful multi-generational starship would be things the defense department would be interested in as well. Smaller, more efficient power generation, radiation shielding, life support, food generation, life extension, habitats, and even the possible corporate structures of the agency responsible for designing and building the craft, were some of the topics discussed. If you look back through the archives of MedGadget, we care about all of these as well.

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Gadget Notes from the Field: Neurology

Editor Dan Buckland is currently on the wards as part of his 3rd yr of medical school, and will be posting short gadget-related notes. All HIPAA compliant of course.

In my time on the neurology epilepsy inpatient service I’ve seen one patient (and heard of a few others) with focal seizures who had a clever response to the “Can you describe your seizures?” question.  The patient took out his cell phone and showed us a video of it that he took during the last episode. This was great, as it made it much more likely that we could properly characterize the condition in the notes rather than basing it on the patient’s description. This isn’t a new gadget, or concept. Videos of seizures are an important part of an epilepsy work-up, but recently it is more likely for a significant portion of the patient population to be carrying a video recording device with them to capture an event anywhere they are.

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