The digital health space refers to the integration of technology and health care services to improve the overall quality of health care delivery. It encompasses a wide range of innovative and emerging technologies such as wearables, telehealth, artificial intelligence, mobile health, and electronic health records (EHRs). The digital health space offers numerous benefits such as improved patient outcomes, increased access to health care, reduced costs, and improved communication and collaboration between patients and health care providers. For example, patients can now monitor their vital signs such as blood pressure and glucose levels from home using wearable devices and share the data with their doctors in real-time. Telehealth technology allows patients to consult with their health care providers remotely without having to travel to the hospital, making health care more accessible, particularly in remote or rural areas. Artificial intelligence can be used to analyze vast amounts of patient data to identify patterns, predict outcomes, and provide personalized treatment recommendations. Overall, the digital health space is rapidly evolving, and the integration of technology in health

Monday, May 25, 2015

Medical Trash Recycled for "Green Science"

Used MRI magnets get a second chance at life in high-energy physics experiments


Hospital MRI



Re-purposed MRI Magnet


Argonne high-energy physicist Peter Winter, who recently won a DOE Early Career Award, is reusing old MRI magnets, like the one seen above, to benchmark instrumentation for new high-energy physics experiments. Credit: Mark Lopez

When it comes to magnets, a doctor's trash is a physicist's treasure.
On garbage day at a New York hospital, perfectly good medical equipment is taken away to make way for newer models. But it isn't going to the dump. Obsolescence is a key stimulus for early retirement of still useful devices
Anyone who has been to a medical facility realizes how much 'one use' devices are used. From IV tubing, catheters. gloves, and sterile fields. There are now one-use disposable surgical knives and instruments. Most of this can be sterilized and plastic recycled into re-usable items.
Along with this 'waste' are electronic instruments, containing semiconductors, rare metals, such as gold and toxic chemicals (mercury). Much of this material is from computers, display monitors.
There are also large devices such as x-ray, CT scanners (computer assisted tomography) and MRI (magnetic resonance imaging)
Most of these devices originated from laboratories focused on physics..It seems just that some of this material be returned to it's birthplace.
When it comes to magnets, a doctor's trash is a physicist's treasure.

Researchers at the U.S. Department of Energy's (DOE) Argonne National Laboratory recently acquired two decommissioned magnets from (MRI) scanners from hospitals in Minnesota and California that will find a new home as proving grounds for instruments used in high-energy and nuclear physics experiments.
The two new magnets have a strength of 4 Tesla, not as strong as the newest generation of MRI magnets but ideal for benchmarking experiments that test instruments for the g minus 2 ("g-2") muon experiment currently being assembled at the DOE's Fermi National Accelerator Laboratory. The Muon g-2 experiment will use Fermilab's powerful accelerators to explore the interactions of muons, which are short-lived particles, with a strong magnetic field in "empty" space.
The experiment relies on highly precise measurements of the strong magnetic field; the magnets will greatly aid these measurements. "As we prepare for the g-2 experiment, we have to have a suitable test magnet to very carefully calibrate our magnetic field measuring probes ahead of time," said Argonne high-energy physicist Peter Winter, who was recently awarded a $2.5 million, five-year DOE Early Career Research Program Award.
To measure and calibrate the custom-built probes, Winter and his colleagues needed a magnet that could provide not only a strong field but one that was uniform and stable. Solenoid MRI magnets like the ones Argonne has acquired are perfect for that purpose.
In addition to their strength, these repurposed magnets offer another notable advantage: originally used as a human patient MRI magnet, they have a wide bore so that large detector components can easily fit inside.
"By using these new magnets, we can fit the entire half-meter-long probe system in the magnet, which will give us a very precise measurement of the intensity of the magnetic fields," Winter said. "These MRI magnets produce a very stable, homogenous magnetic field that is ideal and crucial for getting technology ready for the larger g-2 experiment."
Because the g-2 experiment is so large and requires precise calibration, researchers need to firmly understand any potential interactions between the strong  and the equipment. "We can now validate any equipment in our test magnet, which is incredibly important because it saves time and money when the time comes to actually do the experiment," Winter said.
Because the Minnesota magnet was sitting in storage for a few years, Argonne needed only to pay the shipping costs – a few thousand dollars – to acquire it. By comparison, buying a new magnet to do the benchmarking would have cost close to $1 million.
Even the more involved transport of the second San Francisco magnet was still cost-efficient. "We're saving taxpayer money by finding new and different uses for technology that may not have been intended for physics in the first place," Winter said. "In the future, we will use this new test magnet facility to develop and test large detector prototypes that need to operate in high magnetic fields. We are open for other users across the entire lab to facilitate research that requires strong magnetic fields in a large bore magnet."
The second magnet will become a component in a new spectrometer for studying nuclear reactions that occur in supernovae. This new spectrometer is proposed for the future Facility for Rare Isotope Beams (FRIB), a DOE user facility under construction at Michigan State University. "The acquisition of this magnet would allow us to construct a state-of-the-art spectrometer that uses the radioactive beams from FRIB at minimal cost," said Argonne nuclear physicist Birger Back.
Both magnets have already been delivered to Argonne, and Winter and his team have begun to set up the magnet in the high-bay area of building 366. He expects validation experiments to begin soon.

Sunday, May 24, 2015

A New Generation of Innovators





Young physicians have much to teach their more mature colleagues.

Peer collaboration has increased since the internet developed, resulting in formerly impossible international networking. 

One remarkable thing which distinguishes the new generation of student innovators from their elders is that they are changing the competition paradigm; rather than working secretly and erecting barriers against competitors, they are sharing experiences and learning from one another what works and what doesn't.

The Five Characteristics of Successful Innovators

Scanning this list, my natural inclination was to think of larger-than-life innovators like Steve Jobs and Mark Zuckerberg -- but since that time I've come to realize that there are students on campuses across the country with these very characteristics.

Physician innovators share several key character traits with other innovators.  A Harvard Business Review article by Tomas Chamorro-Premuzic 

A professor of Business Psychology at University College London (UCL) and Columbia University, he distilled the research evidence and proposed five key characteristics of innovators (in addition to creativity):

  1. An opportunistic mindset that helps them notice gaps in a market, and a craving for new and complex experiences.
  2. Formal education or training that is essential for understanding what is relevant and what is not (even though this may be contrary to conventional wisdom).
  3. Pro activity and a high degree of persistence.
  4. A keen sense of when to proceed with caution.
  5. Social capital that enables them to use connections and networks to mobilize resources and build alliances.


A young man named Nicholas (Niko) Kurtzman is symbolic of this new wave of student-led innovation. Niko is a 27-year-old second-year medical student at the Sidney Kimmel Medical College who is studying for exams; he is also a co-founder of two companies:

  • EtherHealth, a company that offers a mobile app for physicians to "crowd source" informal, cross-specialty consultations on complex patient issues.
  • MedX, a free, massive online course for medical students that addresses 30 topics that are essential to physician practice but not taught in medical school (e.g., pay-for-performance, work-life balance)as determined by early-career healthcare professionals and taught by the nation’s experts in health care delivery science and management.
Not surprisingly, Niko describes himself as a very high-energy "people person" who thrives on multitasking and complex problem-solving.
When asked, "Why medical school?" he posits that knowledge of business, product design, and development -- in addition to medicine -- will enable him to help patients on a broader scale.
Unlike his father, a physician-innovator who ultimately opted to work full-time in a successful business he founded, Niko plans a career that encompasses both innovation and emergency medicine.
One remarkable thing that distinguishes the new generation of student innovators from their elders is that they are changing the competition paradigm; rather than working secretly and erecting barriers against competitors, they are sharing experiences and learning from one another what works and what doesn't.
Today, student-led innovation centers are beginning to crop up on campuses across the country, from the University of Central Florida (Center for Entrepreneurial Leadership) to Stanford University in California to Massachusetts General Hospital to the University of Pennsylvania.
One example is the Jefferson Accelerator Zone 
JAZ will serve as "command central" for innovation activities at Jefferson, including events related to the Innovation Engagement Speaker Series, Healthy Hackathons, and other programs under development. We welcome all members of the Jefferson chapter of the National Academy of Inventors with unlimited access to JAZ to foster mentoring of new ideas and commercialization prospects within the Jefferson community. JAZ will serve as a platform to engage and unleash creative, entrepreneurial talent.  
This only one of several university affiliated innovation centers across the United States. These centers are often partnered with local entrepreneurial minded individuals or established business in the fields of engineering, technology, and computer science.



The most apparent advantage of University affiliated innovation centers is that they are located in centers of learning, a fertile ground for creativity, and adjacent to an academic center where students can easily access a center. The innovation center serves as a center and platform for visiting entrepreneurs, and lecturers.





Plant the seed, fertilize it, nurture it












More.......

Friday, May 22, 2015

Meaningful Use People don't work that way


Not only physicians and hospitals apopolectic over the 3 stages of meaningful use.  The software developers and algorithmers are weighing in with their own opinions on meaningful 
use.



"We have all watched HHS and CMS blunder their way through Healthcare.Gov and just heard some wild stuff out of the mouths of data mechanics novices (and recently we heard it at the SEC too with Mary Jo White with markets not rigged) so it’s everywhere around in government.  So now here’s the AMA with a good list of ideas on how to fix some of this and it’s not bad at all as obviously you want to see doctors convert to electronic medical records but some of the folks out there today live too much in virtual values and lose track of the real world, which I call “The Grays”.  The AMA is trying to give forth some suggestions that focus more in the real world versus what has become pretty virtual as Meaningful Use is now and again all models don’t work in the real world as they do virtually.  It’s easy to get side tracked though when you work with data and forget the “real” world exists.  Doctors know it though as they deal with the real world every day and there’s a name for that and it’s called “patients”."
[Medical Quack] 

We have all watched HHS and CMS blunder their way through Healthcare.Gov and just heard some wild stuff out of the mouths of data mechanics novices (and recently we heard it at the SEC too with Mary Jo White with markets not rigged) so it’s everywhere around in government.  So now here’s the AMA with a good list of ideas on how to fix some of this and it’s not bad at all as obviously you want to see doctors convert to electronic medical records but some of the folks out there today live too much in virtual values and lose track of the real world, which I call “The Grays”. 


The AMA is trying to give forth some suggestions that focus more in the real world versus what has become pretty virtual as Meaningful Use is now and again all models don’t work in the real world as they do virtually.  It’s easy to get side tracked though when you work with data and forget the “real” world exists.  Doctors know it though as they deal with the real world every day and there’s a name for that and it’s called “patients”. 

HOW I LEARNED TO LOVE MY EHR, OR AT LEAST LIVE WITH (HIM--HER)

Health Care Professionals are not the only ones who live to learn how to love their software "at the office"

Developers are not inexpensive. They must develop platforms that are flexible enough to be used in many different businesses, one size fits all....suitable for none.

It would be a breakthrough to have true artificial intelligence (AI) as the gateway to business or medical applications.


The correct software can even change your personality and love-life. (at home, or in the office) Two different versions could be offered. Ver.M  and Ver F each for the appropriate gender. Voices can be age adjusted according to the user's preference.

Don't look for this very soon. The challenges of Interoperability makes this look easy. Not only one developer can write code for an entire program. There are specialists for portals, mHealth, differing OSs amd more..