1. Mobile Medicine
Mary J. Markland
UND SE Clinical Campus Librarian
February 21, 2012

2. Areas to Cover
• Overview
• Professional Medical
• Patient Medical
• Useful for life and business
• Fun

4. Tablets, Readers, Smartphones

5. New Sony Tablet

6. Winners of MID Design Competition

7. What do you need to do?
• Connect to the internet
– All the time?
• Make phone calls?!
• Read books
– Inside or outside
• Access work documents/web sites
• Keep track of life stuff
• Paying for coffee at Starbucks with NFC (near field
communication)

8. • Screen size
• Connectivity
– Data plans are expensive
• Input by keyboard or tapping
• Camera
• Battery life
• Do you need to carry it with you?

9. Nice Guide at Yale Medical Library
http://www.med.yale.edu/library/services/computing/pdahardware.html

10. Comparing E-Readers and Tablets
http://paidcontent.org/table/comparing-e-readers-and-
tablets-november-2011

11. CNET updates tablet test results
January 2012
http://reviews.cnet.com/8301-19736_7-20080768-
251/cnet-updates-tablet-test-results

12. Don’t Forget about HIPAA
• Will you be accessing patient records?

13. Hospitals are lagging
behind
• Reception
• Speed of personal day-to-
day technology has
outpaced hospital budget
planning processes.
• Most hospital systems are
mouse and keyboard
driven
• Are they a distraction
from patient care
(Facebook and email)?
• Distracted
doctors/medical staff in
the OR?

14. FDA Regulations
• The FDA is going to regulate any apps or
devices that display or use patient data
• Problems with junky EHR programs and some
asthma apps that claimed to CURE asthma.

15. “Stealth campaign to get the iPad into
the hands of doctors.”
Robert McMillan Wired 12/5/11
• Company rarely promotes corporate use of
devices
• Created Medical Apps Store within iTunes
• But don’t want to mess with FDA so can’t
promote it as a medical device
• VA looking for bids - 100,000 devices across
152 hospitals

16. University of Chicago
• CIO, Eric Yablonke
• “This is not ‘nice to have stuff’ anymore, this
is life saving stuff.”
http://medchiefs.bsd.uchicago.
edu/iPad.html

18. What about your patients?
• ≈ 11 percent of all adult cell phone users downloaded
an app that helps them manage their health.
• Consumer health apps for the iOS platform will likely
number more than 13,000 by the summer of 2012
• Share of US adults who own tablet computers nearly
doubled from 10% to 19% between mid-December and
early January 2012
• Same surge in growth also applied to e-book
readers, which also jumped from 10% to 19% over the
same time period
Pew Internet & American Life Project
http://pewinternet.org/

19. Mobile devices have:
• Accelerometers
• Compass
• GPS
• Cameras
• Video
• Audio
• HDTV
• Gyroscopes

20. Site vs. App
• App is a piece of software that you download
onto your device. It may or may not need an
Internet connection to work.
• A site is a website that is optimized for use on
a smaller screen like a phone. Usually it’s a
very simple design. You need an Internet
connection for these to work.

21. Finding Apps

22. Android vs Apple
Android Apple
• Maybe not as much scrutiny • Applications are scrutinized
on the apps. There is the more closely
possibility of viruses and
malware. • Claim all apps are locked so
they can’t affect other stuff
• Many different versions of
the operating system on the on the device. Less chance
market depending on your of viruses???
device. • Easier to figure out what
• It’s hard to figure out what version of iOS you have
apps work with what
version of the OS

23. iTunes Store

24. Android Market

25. Library Subscriptions

26. DynaMed
• Download via SkyScape
• Need a serial number
• Skyscape also comes with
– Archimedes calculator
– Outline of Clinical Medicine
(OCM)
• Downloads completely so
works without Internet
connection
• The mobile version lags
the online version by
several weeks.

27. MDConsult
• Special Website
• Create a personal account
at main site
• Caveat: If you go to the
mobile site, it sets a
cookie and might make it
impossible for you to go
to the regular MDConsult
screen (where you could
go to FirstConsult)
UNLESS you go in and
delete the cookie.

28. First Consult

29. VisualDx

30. Other Medical Apps

31. Other Great Lists
• Susan Fowler, Washington University
– http://beckerguides.wustl.edu/mobileresources
• Duke University Medical Library
– http://guides.mclibrary.duke.edu/mobile
• Johns Hopkins Welch Medical Library
– http://www.welch.jhu.edu/internet/mobile_resources.cfm
• Best Medical iPhone Apps
– http://blog.softwareadvice.com/articles/medical/the-best-
medical-iphone-apps-for-doctors-and-med-students-1100709/

32. Drugs
• ePocrates
• Micromedex
• Lexicomp

34. PubMed Options
• PubMed Mobile (NLM)
• PubMed for Handhelds (NLM)
• PubMed on Tap $2.99
• PubSearch Plus $1.99
– Works with EZProxy to get at library subscriptions
• PubSavvy $1.99
• Orkov

35. PubMed for Handhelds

37. Other NLM Resources
http://www.nlm.nih.gov/mobile/

40. • MediBabble • Netter Atlas
• Units Calculator • Medscape
• NEJM App • Blackbag
• Science App • Growth Charts
• Eponyms • DoctorCalc
• Flu Decision Calculator • Diagnosaurus

41. AHRQ ePSS

42. TextPage Lite/TextPage
Free - $4.99

43. iTunes U

44. iBooks

45. • Inkling Textbooks
http://www.inkling.com/features

47. Other Reading Apps
• Instapaper
– Save webpages to read offline
• Kindle
• Overdrive
– Download library books
• Stanza
• NetNewsWire – RSS Feed Reader
– Can send web pages to Instapaper

48. GPS in Medicine
• TED talk – Bill Davenhall
– “Your Health Depends on Where You Live”
– “Geomedicine”
• Locate user and map it against publically
available data for disease
prevalence, chemical pollution.
• Where do you expose yourself to risks?
• Where you’ve lived may determine your
health

49. NYC Condom Locator
• New York Public Health Dept

50. Tracking
• Can you self-manage your health better if you
can track data, aggregate it and see trends?
• Project HealthDesign from UW and Robert
Wood Johnson Foundation
– “Forging a new vision of personal health records
by exploring practical ways to capture and
integrate patient-recorded observations of daily
living into clinical care
– http://www.projecthealthdesign.org/

51. Wireless Body Area Networks

52. Sensors
• No more stethoscopes?
• Bye-bye Holter Monitor
– Replaced by a patch that you send in by mail
• Realtime EKGs
• Vital Signs
• Contractions
• Sleep
• Fetal Heart Rate
• Handheld Ultrasounds

53. • From Corventis
• “Smart Bandaid”

54. Blood Pressure

55. • Diagnose poor balance
when walking
• Future – vibration device
to alert user
• BMI
• Weight
• Balance Score
• Audio output
• WiFi

56. Jawbone UP - $99
• Measures activity, sleep
and nutrition and tells it
all to an app
• The battery lasts 10 days
and works in the shower
• Has silent alarm that
goes off periodically
when the band senses a
little too much down
time.

57. Diamedic Diabetes

58. Asthmapolis
• GPS enabled
inhaler tracks
usage
• Sends text if
forget to take
your medicine

59. • 1.2 million sold

60. FitBit
• Automatically tracks your
fitness and sleep via
tracker in your pocket, on
your waistband, shirt, bra
or wrist
• Walk within 15 ft of base
station and your data is
automatically uploaded

62. Zeo Personal Sleep Coach
• ZQ Score
– Calculates total amount of time
you slept (Total Z) then adds and
subtracts points based on the
amount of restorative sleep (Deep
and REM) and disruptive sleep
(time and duration spent awake)
that you get throughout the night.

63. Accelerometors
• PocketCPR
– Tells anyone how to do
CPR
– Measures rate and depth
of chest compressions

64. Medical Applications
• Surgery – 3D displays, anatomical structures
identified
• Radiology
• Diagnosis
• Education

65. Augmented Reality
• Add a layer of information to the real world
• Uses camera
• Sometimes needs GPS and compass on phone

67. Hallux Angle

68. AirStrip – Cardiology (iPhone) –
Free
• AirStripOB obstetrician app
was the first iPhone medical
app to receive FDA
clearance.

69. Skeletal System Pro II – (NOVA Series)
(iPhone/iPad) – $5.99/$14.99
• visually show detailed areas
of the bone system
• the ability to rotate, cut and
get superior/inferior views
all with the simple stroke of
the finger.”

70. EyeDecideMD (iPhone/iPad) –
Free
• View the eye in 360 degrees.
Rotate, expand, shrink,
annotate, and move the eye in
any direction on the screen!
• View Cross Section, expand or
full.
• See eye anatomy layer by layer
from the outer skin to bone to
eyeball.
• Turn annotations on or off, and
view more information

71. Mobile MIM (iPhone/iPad) –
Free
• Registration, fusion, and/or
display for diagnosis of
medical images from only the
following modalities:
SPECT, PET, CT, and MRI.
• Mobile MIM provides wireless
and portable access to medical
images.
• FDA officially granted the
mobile radiology application a
510(k) clearance, the first
diagnostic radiology app to
receive it, in February 2011

72. VueMe (iPhone/iPad) – Free
• Patient-centered
counterpart to MobileMIM.

73. Anatomy 3D: Organs (iPad) –
$6.99
• 3D models, video, audio
lectures, quizzes and text
• Detailed information on the
brain, heart, stomach, spleen,
pancreas, small
intestines, reproductive
organs, large
intestines, kidneys, liver, skin
and lungs.
• Learn about cells, tissues and
organ systems.
• Diagrams of the organ
anatomy, histology and
location,

74. Gene Z Systems
• Solar Powered
• Genetic analysis
microRNAs in blood
samples
• Detect cancer??

75. Malaria Microscopy
• Send malaria
microscopy images for
remote diagnosis

76. Penultimate
• Extremely cool app that
lets you draw on your
iPad
• Integrates with Dropbox
so you can share the
files between
computers
• Can also email
• Can import photos
• $0.99

77. Lenny the Carb Counting Lion

78. Into the Future
• Eric Topol’s Top Ten Targets for Wireless

79. Apple’s Picks for 2011 Top Medical
Apps

80. Fitness Apps
• iMuscle (iPhone/iPad) –
$1.99/$4.99
– Use it to identify a body part
or individual muscle by
zooming into a 3-Dimensional
human body with the
musculature exposed. Then
access all the exercises
associated with the
development / rehabilitation
of that muscle.
• Gorilla Workout : Athletic
Fitness Training on a
Budget (iPad) – $1.99

81. More Fitness Apps
• Nike Training Club
(iPhone) – Free
• P90X (iPhone) – $4.99
• FitnessClass (iPad) –
Free

82. Lots of Diet Apps
• Calorie Counter: diet &
activities (iPad) – Free
• The Eatery (iPhone) –
Free
– Snap photos of your food
to become aware of your
habits.
• Fooducate (iPhone) –
Free
– Automatically scan a
product barcode, search
for products, or browse
by categories. See
product’s highlights (both
good & bad), compare
products, select healthier
alternatives.

83. Pregnancy (Sprout) (iPad) –
$3.99
• Helpful information
about you and your
baby, Stunning color
images and 3D
models, Weight
tracker, kick
counter, contraction
timer, and Personal
MyBaby and Doctor Says
sections.”

84. Keeping Up
• iMedical Apps
– http://www.imedicalapps.com/
• mHealth Update
– http://www.mhealthupdate.com/
• mLearnopedia
– http://mlearnopedia.com/
• Mobihealthnews
– http://mobihealthnews.com/
• InfoWorld Mobile Technology Channel
– http://www.infoworld.com/d/mobile-technology
• Software Advice – The Medical Blog
– http://blog.softwareadvice.com/articles/medical/

85. Other Useful Apps
• Email
• Calendar
• Address Book/Contacts
• Evernote
• Dropbox – transfer files between devices
• Travel

86. UND Email Setup
http://und.edu/dept/bpos/ipad/ipad.html

87. Gmail Setup
http://support.google.com/mail/bin/answer.py?hl=en&answer=
77702

88. Calendar
• Repeating appointments
• Color coding
• Sharing calendars
• Download & Sync multiple calendars
– I have Outlook (work) and Google (personal)
– Can share Google calendars with anyone
• Customize reminders/alerts

89. Evernote
• Keep track of emails, notes, web pages, lists, draft
documents, audio files across multiple devices, creates tagged
notebooks

90. Dropbox
• Share files between
devices –
laptops, phones, tablets
, desktops, etc
• Windows, Mac, Linux,
Mobile

91. Travel
• Trip Tracker
• Sleepmaker
• Yelp
• TripAdvisor
• Zagat
• Public Transportation
– Metro Tracker – DC
• Translate
• CardStar

94. QR Codes
• Quick Response Code
• 2-D Bar Code
• Take a picture with a
phone and use app to
find out more info
about product
• Price comparisons, E-
tickets, Facebook?
• Can generate your own
codes

95. Wikitude
• Scans your surroundings and adds information
about what’s going on around you
• Uses camera
• Use it in the car too

96. Google Goggles
• Text
– Translation
• Landmarks
• Book cover
– Where to buy
• Artwork
– Websites
• Logos
• Wine