Wed - January 26, 2005

MacPractice doctors' apps coming in March



[Source: MacCentral http://maccentral.macworld.com/]

MacPractice Inc. has announced the forthcoming March release of new Mac OS X practice management software for doctors' offices. MacPractice MD is coming for physicians, as is MacPractice DDS for dentists and MacPractice DC for chiropractors.

permalink: comments: feedURL:http://maccentral.macworld.com/mnn.cgi

I am looking forward to evaluating this Mac OS X native application for managing medical practices.

Posted at 09:19 PM      

SIMpill: Medicine Bottle with SMS Reminders



[Source: Gizmodo http://www.gizmodo.com/]

simpill.jpg imageA South African doctor has developed the SIMpill, a pill bottle that uses SMS to monitor how often pills are being taken and can send alerts to a patient's phone if they have missed a dose by mistake. Each time the cap is removed, a small cellular transmitter in the bottle sends a secure SMS to a central server, which stores information about the intervals in which the prescription should be administered. If something goes wrong with the dosage, the service sends a message to the patient's cell phone, alerting them of the discrepancy. Since many long-term infectious diseases become resistant to medication if they miss a dose, the SIMpill can make it easier to maintain a more structured regimen.

Technology Reminds Sick to Take Pills [AllAfrica via MedGadget]


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This would be a great way for patients with memory impairment to have some method of tracking medication dosing. Even better, for chronic pain patients, this could significantly improve patient compliance.

Posted at 09:17 PM      

Mon - January 24, 2005

Handheld Devices Replace Written Patient Diaries



[Source: The Medical Informatics Weblog http://medicalinformatics.weblogsinc.com/]

There is a burgeoning market in the area of handheld, wireless patient diaries used by pharmaceutical and biotechnology companies in order to monitor patients’ responses to new drug therapies. One company that is experiencing significant growth is invivodata inc., whose eDiary PRO prompts patients in studies to answer questions about their real-time experience with a new drug or product. The FDA is giving this technology close attention, because they feel data collected in patients’ written diaries is not always accurate. The goal is to relay as much accurate data as possible in order to monitor patient reactions to drugs and to make sure they are safe to use.


permalink:http://medicalinformatics.weblogsinc.com/entry/1234000003028595/ comments: feedURL:http://medicalinformatics.weblogsinc.com/rss.xml

Someone really needs to create an open source application with built in extensibility that can run easily on handhelds. It should easily communicate with Windows, Mac OS X, and Linux operating systems. Right now, there are database solutions that can be modified for such purposes, but theses solutions are often inelegant.

Posted at 09:40 PM      

Spinal Epidural Abscess: Appearance on Magnetic Resonance Imaging as a Guide to Surgical Management



[Source: Medscape Headlines http://www.medscape.com/]

Spinal epidural abscess is associated with considerable rates of morbidity and mortality, despite its infrequent occurrence.

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Although fairly rare, this is a potential complication from epidural injections. Being able to quickly recognize and take the appropriate therapeutic measures can mean the difference between complete recovery or permanent paralysis.

Posted at 09:29 PM      

Thu - January 13, 2005

Medical Interns Who Work Long Hours Have High Risk of Car Crashes



[Source: Medical News Today http://www.medicalnewstoday.com]

Medical Interns Who Work Extended duration Shifts Double Their Risk Of Car Crashes When Driving Home From The Hospital. First year doctors in training, or medical interns, who work shifts of longer than 24 hours are more than twice as likely to have a car crash leaving the hospital and five times as likely to have a "near miss" incident on the road as medical interns who work shorter shifts, according to an article in the January 13 issue of the New England Journal of Medicine...

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Yup, that would be very obvious. It happened to me. About two years ago, I had a particularly difficult week of work with a long work hours and a long night of call. When I was about one mile from home, I fell asleep and crashed my truck. Luckily, I was not hurt, but from then on, I made sure to sleep an hour or two before driving home after call.

Posted at 08:16 PM      

Sat - January 8, 2005

Lyrica Relieves Diabetes Pain (Reuters)



[Source: Yahoo! News - Health http://news.yahoo.com/news?tmpl=index&cid=751 ]

Reuters - A new drug, Lyrica (pregabalin) is a well-tolerated, effective treatment for pain in the extremities often experienced by people with diabetes, according to a recent report. In addition to reducing the pain, the drug seems to improve sleep.

permalink: comments: feedURL:http://rss.news.yahoo.com/rss/health

Neuropathic pain can be very difficult condition to treat, partially because of lack of effective medications. Lyrica has been approved to treat the two most common causes of neuropathic pain, post herpetic neuralgia and diabetic neuropathy.

Posted at 10:44 PM      

Sat - December 11, 2004

Video Games Better Than Tranquilizers?



[Source: CBS 2 Chicago: Health http://cbs2chicago.com/health]

Letting children play video games on a Game Boy in the operating room before undergoing surgery can help relax them better than tranquilizers or holding Mommy's hand, researchers say.

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In the right situation and environment, distraction with a GameBoy may work better that some sedatives. Certainly, some children may still fare better with a little sedation, especially younger kids that don't how to play video games. The nice thing about some of the sedatives, like benzodiazepines, is that they cause some amnesia, so some children will not even remember the day of surgery.

Posted at 12:02 AM      

Wed - December 8, 2004

Laptop computers on men's laps may affect fertility of men, warn researchers



[Source: Medical News Today http://www.medicalnewstoday.com ]

US fertility experts warned teenage boys and young men to consider limiting the time that they use laptop computers positioned on their laps, as long term use may affect their fertility... click link for more info.

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D'oh! My PowerBook G4 does get quite warm, but I really never leave it on my lap for a long time.

Posted at 09:07 PM      

Mon - December 6, 2004

One shot gives 2 days post surgical pain relief



[Source: Medical News Today http://www.medicalnewstoday.com]

New single shot epidural DepoDur(TM) the next generation of pain relief after surgery. Beginning today, Endo Pharmaceuticals Inc... click link for more info.

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I have not personally used this, but sounds like a great method of post-operative pain control.

Posted at 09:58 PM      

Wed - December 1, 2004

Racial disparities noted in immune system genes



[Source: Medical News Today http://www.medicalnewstoday.com ]

University of Pittsburgh study focuses on genes regulating the inflammatory responses. Specific variants in genes that encode proteins regulating inflammation may hold a key to explaining a host of disease processes known to cause increased risk of illness and death among African Americans, according to a study from the University of Pittsburgh's Graduate School of Public Health (GSPH)... click link for more info.

permalink: comments: feedURL:http://www.medicalnewstoday.com/medicalnews.xml

While there may be differences in certain genes, it is far more difficult to prove that those genes are responsible for the increased risk to various diseases. Level of education, economic level, and other social issues can have just as large impact. Still, the research is interesting and there needs to be more investigation.

Posted at 10:44 PM      

Mon - November 29, 2004

Bar Coding Prevents 28,000 Potential Errors at California Hospital Chain



[Source: The Medical Informatics Weblog http://medicalinformatics.weblogsinc.com/ ]

barcodeSacramento-based Sutter Health is one of the first hospital chains in the nation to put bar codes on patients and their pills. After using the bar codes for a full year at 10 of its hospitals, Sutter has found that the bar codes averted 28,000 medication mix-ups, out of 2.6 million doses. From the Sacramento Bee:

About 9 percent of the time, or in 2,600 cases, patients were saved from what could have been moderate or serious harm. The impetus for Sutter and a handful of other hospitals to try bar coding drugs was a groundbreaking study, released five years ago this week, that jolted the medical industry with a deadly statistic.
As many as 100,000 Americans a year were dying from preventable medication mistakes in hospitals, according to the report from the Institute of Medicine, prepared by a committee of the nation’s top scientists, doctors, and health policy experts. “That was a call to action,” said Gordon Hunt, chief medical officer for Sutter.
Armed with that study and others that soon followed, Hunt said he was able to persuade Sutter’s board of directors to spend $25 million to put a bar code scanner at every bedside at all 26 of its hospitals in Northern California by the end of next year. At that price, Hunt does not expect a financial return on his investment. “The return is in healthier patients,” he said.


permalink:http://medicalinformatics.weblogsinc.com/entry/1234000820021890/ comments: feedURL:http://medicalinformatics.weblogsinc.com/rss.xml


Considering the relatively cheap cost of implementing such a program, i.e. $25 million, I am surprised that other health systems have not jumped in.

Posted at 09:14 PM      

Fri - November 26, 2004

Stem cell therapy helps patient walk again, South Korea



[Source: Medical News Today http://www.medicalnewstoday.com]

A team of Korean researchers claimed Thursday they had performed a miracle by enabling a patient, who could not even stand up for the last 19 years, to walk with stem cell therapy...

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Although there clearly needs to be more research, it is evident that there is a huge potential in curing many diseases with stem cells. For this reason, I am frustrated by the current administration's lack of forward thinking and neglect of very powerful evidence. The U.S. has a plethora of resources and funding that could place it at the forefront of this technology. More importantly, the U.S. has the potential to make huge advancements and potentially resolve many of the hurdles hampering the field.

Additionally, if the basic science and fundamental discoveries are not created here, there is a huge loss of capital for U.S. industries and more importantly, putting it to use on Americans. At least Californians have stepped up to the challenge and have approved a significant amount of money to perhaps prevent this.

Posted at 11:14 AM      

Tue - November 23, 2004

Pain 'causes brain cell loss'



[Source: BBC News | Health | World Edition http://news.bbc.co.uk/go/click/rss/0.91/public/-/2/hi/health/default.stm ]

Chronic pain may permanently shrink decision-making areas of the brain, researchers believe.

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A relatively small study that raises important questions about chronic pain and subsequent changes in the brain. It is still not clear if these changes are permanent though...

Posted at 11:15 PM      

Mon - November 15, 2004

The ECG-shirt



[Source: Engadget http://www.engadget.com/]

ECG shirt

No offense, but we think the Secret Service might want to pick up the ECG Shirt for Dick Cheney, a t-shirt with two built-in cardiac sensors that can keep track of your heart rate, and then if something catastrophic happens, can use a Bluetooth to connect to a cellphone and automatically send off that data to a doctor or medical center. Just make sure you let them know before you take the shirt off.

[Via BlueSerker]


permalink:http://www.engadget.com/entry/2634286874230407/ comments: feedURL:http://www.engadget.com/rss.xml

An interesting use of Bluetooth.... There is no mention of price, but it can not be cheap.

Posted at 09:30 PM      

Sun - November 14, 2004

Race-Based Medicine Continued...



[Source: The New York Times > Health http://www.nytimes.com/pages/health/index.html?partner=rssnyt ]

Many people, including some African-Americans, have long been uneasy with the concept of race-based medicine, in part from fear that it may legitimize less benign ideas about race.

permalink: comments: feedURL:http://www.nytimes.com/services/xml/rss/nyt/Health.xml

The debate continues... Despite all the controversy, the findings are real and can not be disputed. From the article:

The Food and Drug Administration said it would license the drug if a second trial confirmed the result. The new trial, conducted with the help of the Association of Black Cardiologists, had to be stopped when it became clear the drug was so effective that it would be unethical to deny it to the control group.


Still, doctors must be careful not to simply start using race as a sole basis for treating patients, since in the study there were African Americans that did not respond as well. This information is just another useful tool in a doctor's fund of knowledge to help patients.

Posted at 09:00 PM      

















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