Posts by: Shiv Gaglani

New Pacifier Gets Premature Babies to Suck

When you think of cutting-edge medical technology, a baby’s pacifier probably does not come to mind. However, Florida State University and Powers Device Technologies announced today the development and commercialization of an innovative, yet simple, medical device for infants born prematurely. The problem is that premature babies often do not develop a skill known as “non-nutritive sucking,” which is critical for breathing, feeding, self-comforting, and growing both physically and neurologically. This behavior begins developing when the fetus is at the 28 week stage, though continues to develop throughout to week 34; hence when a baby is born prematurely, it may not have developed proper form for a breathe-suck-swallow reflex.

The device, known as the Pacifier Activated Lullaby (PAL), is essentially a pacifier that plays music when the baby is sucking on it properly. According to the press release:

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Dr. Oz, Practice Fusion Give Philadelphia a Physical (video interview)

What do one of the most recognizable doctors in America and a rapidly growing electronic medical record (EMR) start-up have in common? Apparently, a commitment to public health and fascination with health data. This past weekend Medgadget was invited to observe Dr. Mehmet Oz, of The Dr. Oz Show, team up with Practice Fusion to screen a few hundred Philadelphians at the Temple University School of Medicine. Dozens of physicians and medical students were on hand to provide a “15-minute physical” consisting of BMI, blood pressure, and waist circumference measurements as well as lab tests including a lipid panel (HDL, LDL, and triglycerides) and blood glucose, made possible by Alere‘s mobile lab device, Cholestech LDX, which synced directly to Practice Fusion’s EMR. This allowed Practice Fusion to generate a real-time “report card” for Philadelphia, which Dr. Oz then presented to Mayor Michael Nutter in addition to taking the Mayor’s blood pressure (135/80) and waist circumference.

We had the opportunity to catch up with Practice Fusion as well as Dr. Oz and his medical unit’s clinical event director, Mike Hoaglin (pictured above with Dr. Oz), to ask them about the screening and what excites them about collecting city-wide data.

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Smart Diabetes Monitor VerioIQ Tracks Glucose Patterns (interview)

Sometimes it seems that there are almost as many diabetes monitors, or glucometers, as there are people with diabetes (well, not really, but you get the point). Furthermore, each one seems to tout a different set of features that differentiate it from the rest. So when we at Medgadget were approached by the people at Life Scan about their new OneTouch Verio IQ Meter, we were curious to learn more. Described as “the first meter ever that looks for patterns of highs and lows—and alerts you, right on screen, when it finds one,”  the VerioIQ is a hand-held monitor with a simple array of four buttons, a color display screen, memory to hold 750 recordings, and bilingual (English/Spanish) capability.

Like most current glucometers, it provides the user a lance to draw blood via finger-prick. This editor was provided with a complimentary review device and found it to be user-friendly, though had to lend it out to a diabetic colleague who was impressed enough with the added features. The key development is the VerioIQ’s PatternAlert system that detects time ranges during a five-day period during which the patient’s glucose is running abnormally high or low, thus virtually eliminating the need for a logbook. For those with extremely well-managed diabetes this is likely not as much of an issue, though it’s clear how patients with more variable glucose levels may benefit.

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Five Questions for Kian Saneii, CEO of Independa

At TEDMED we were repeatedly warned about the problems facing our aging population and how the elderly would require tremendous resources and man-hours to care for. We had the opportunity to speak with Kian Saneii, CEO and Founder of Independa, and learn more about how his company is using technology to help the elderly maintain their independence.

Shiv Gaglani, Medgadget: What does Independa do?

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TEDMED 2012 Day 4 – The ABCs: Artificial Hearts, Big Data, and Chronic Diabesity

With the saying, “All good things come to an end,” in mind, we’ve reached the final day of TEDMED 2012. The tenth session, and first of Day 4, began with a cameo by TEDMED co-creator and serial entrepreneur Marc Hodosh who stayed to emcee the session. First up was legendary cardiothoracic surgeon, Dr. Bud Frazier, and his colleague at the Texas Heart Institute, Dr. Billy Cohn. On a side note, we spoke with Dr. Frazier the day before and when we asked him about advice he would give to medical students and biomedical engineers, he echoed E.O. Wilson’s remark from yesterday: find an overlapping niche and purpose that you can fulfill extremely well. For him that was creating artificial heart pumps, starting first with the pulsatile flow model and then revolutionizing the field by transitioning to the continuous flow model. Drs. Cohn and Frazier began the talk by comparing the pulsatile design of heart pumps to the flapping-wing ornithopters in aviation history. In that analogy, the 747s of heart pumps are the next generation models they are working on that have minimal moving parts and essentially rely on an electromagnet that rapidly spins an Archimedes screw to pump blood throughout a patient’s body. Patients with this device are eerily living without a pulse, which could be confusing for first responders and may require patients to get medical tattoos that say “pulse-less heart pump inside.” This simple and elegant design is long-lasting and, according to the surgeons, is broadly applicable to the hundreds of thousands of patients with failing hearts. When asked about whole-heart transplants, Dr. Cohn responded with the memorable quote:

“Counting on transplants to solve the organ crisis is like counting on the lottery to solve poverty.”

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TEDMED 2012 Day 3 – Wilson’s Principles, Calls to Action, and Finding the Cows

Though TEDMED Day 3 started a little ominously due to an apparent fire at the Kennedy Center for the Performing Arts, we’re happy to say that it turned out to be as enjoyable and enlightening as the days before. The first session (and sixth so far) began with singer and songwriter Jonathan Mann, who regaled the audience with a TEDMED-exclusive song about the 51 Challenges, of which the top 20 would become this year’s official TEDMED Challenges. Later in the day the top 20 were announced and the highest voted challenge was inventing effective wellness programs, and you can see the complete list here: challenges.tedmed.com.

Following Mann was Caltech Professor Frances Arnold who spoke about her work making molecules “have sex” – that is recombining in order to create unique properties that may be medically relevant.

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TEDMED 2012 Day 2 – Rockstar Scientists, and Patients, Aiming to Knock Out Disease

It’s only the second day here at the Kennedy Center and we have to say that TEDMED seems to have pulled out all the stops. The first session of the day began with our favorite nerdy science singer and songwriter, Jill Sobule, but this time she was accompanied by a special guest: none other than NIH Director and leader of the Human Genome Project, Dr. Francis Collins. Rather, given how Dr. Collins played his six string and sang, it’s fair to say that he was accompanied by her. With lyrics like these, the song could alternatively have been called “Disease Don’t Care” or “Knock Out Disease:”

“Disease don’t care if you’re black or white / Disease don’t care if you’re left or right / Disease don’t care if you’re rich or poor / Disease will find a way to come’a’knocking on your door / So come on people won’t you join me please? / Let’s bring it all together and knock out disease!”

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TEDMED 2012 Day 1 – Acrobats, Identity, and Einstein’s Ritalin.

Medgadget’s coverage of TEDMED has one simple goal: to give you a synopsis of each day so that you can get the TEDMED highlights from afar (that is, unless you are watching right along at one of the thousands of TEDMEDLive Simulcast sites). Rather than only pick one or two speakers, or events to cover, we prefer to provide you a recap of the day with an emphasis on the talks you may find more relevant.  For reference, you can view the schedule and the speaker list. If there’s anything in particular you’d like us to cover in more depth, don’t hesitate to let us know by visiting our Facebook page and commenting there or messaging us. 

Medgadget is at TEDMED 2012 in Washington D.C. and we’re excited that we did not have to wait a full year to experience the magic again. Though it’s only been six months since TEDMED 2011 in San Diego, much more has changed than the venue and season. Everything seems bigger and bolder. There are over 1,200 delegates here from all around the globe and virtually every profession you can think of is represented – from the Director of the NIH to the world’s foremost big wave surfer. There are also tons of new programs and features, such as remote simulcasts (TEDMEDLive), the Great Challenges program, attendee scholarships (Frontline), and even a mobile app (TEDMEDConnect) devoted to the 3.5 day conference.  We look forward to reporting on how each of these take form, beginning with Tuesday’s proceedings.

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A Match Made in NEJM: iPad App Review

This year marks the Bicentennial of The New England Journal of Medicine. As the “oldest continuously published medical journal in the world,” NEJM has heralded many great discoveries and advances in medicine within its veneratble pages: to name a few, the first use of surgical anesthesia (1846), the first description of chemotherapy (1948), and the first application of targeted molecular therapies for cancer (2001). Now these and future announcements will be available in an unprecedented form, because on its 200th anniversary NEJM transformed its ink into pixels and its paper into iOS by introducing the NEJM iPad App.

NEJM provided their iPad App to Medgadget for review, and overall we like what see. The following is the breakdown:

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