When I think of technological advances these are the things that come to mind.

medGadget “…researchers at University of Florida are reporting that they developed a way to load topical anesthetics into contact lenses to provide extended delivery of pain relief in a uniform fashion.  And since many of the patients that undergo eye procedures have been wearing contacts prior, they’re already used to putting them on. From the study abstract in Langmuir:

Here we focus on creating dispersion of highly hydrophobic vitamin E aggregates in the lenses as barriers for drug diffusion for increasing the release durations. This approach has been shown previously to be successful in extending the release durations for some common hydrophilic ophthalmic drugs. The topical anesthetic drugs considered here (lidocaine, bupivacaine, and tetracaine) are hydrophilic at physiologic pH due to the charge, and so these cannot partition into the vitamin E barriers. However, these surface active drug molecules adsorb on the surface of the vitamin E barriers and diffuse along the surface, leading to only a small decrease in the effective diffusivity compared to non-surface-active hydrophilic drugs. The drug adsorption can be described by the Langmuir isotherm, and measurements of surface coverage of the drugs on the vitamin E provide an estimate of the available surface area of vitamin E, which can then be utilized to estimate the size of the aggregates. A diffusion controlled transport model that includes surface diffusion along the vitamin E aggregates and diffusion in the gel fit the transport data well. In conclusion, the vitamin E loaded silicone contact lens can provide continuous anesthetics release for about 1–7 days, depending on the method of drug loading in the lenses, and thus could be very useful for postoperative pain control after corneal surgery such as the photorefractive keratectomy (PRK) procedure for vision correction.

Cool, simply cool.

Check out the image and rest of the article “Transport of Topical Anesthetics in Vitamin E Loaded Silicone Hydrogel Contact Lenses” at the Langmuir site.

 

Engadget: “the VGo ‘bot — a chest-high roving device that has a display and camera built-in and allows patients and others to interact with a remote operator — is at CES this year to show off its inclusion of Verizon LTE, instead of the WiFi-only model we’ve seen in times past.” So? So this means you’re no longer confined to locations with Wi-Fi. It means you can have telepresence (telemedicine, telepharmacy) anywhere. Need a specialist’s opinion in the middle of nowhere? Ok, just fire up the VGo robot with Verizon LTE.

For those of you that haven’t experience “4G” you’re missing out. It’s quite snappy. I frequently use my Galaxy Nexus to watch movies on Netflix while waiting for my daughter at Volleyball practice. No lag. No buffering. Just a smooth movie watching experience.

 

 

Barcode.com:

imageThe problem addressed by metal RFID of forgotten surgical tools, sponges and towels is a serious one. The Healthcare Informatics Company found in 2008 that in one out of every eight operations, surgical tools are not properly accounted for. Other statistics indicate such items are left inside a patient’s body in between 1 out of every 1,000 and 1 out of every 5,000 operations. When this happens, they can cause infections and require additional operations, putting a patient’s health at risk and costing a hospital time and money. Until now, hospital operating table personnel had to manually count each small item.

The solution comes from a new generation of small RFID tags. These new metal RFID tags are robust enough to be inserted into surgical instruments, towels and sponges at the time of manufacture and can be read from distances of up to two meters. However, they remain compatible with, and safe for the human body. Xerafy, a Hong Kong company specializing in this technology, has recently introduced a new range of such RFID metal tags. Now RFID for surgical instruments allows them to be tracked automatically, through the operation itself and even throughout sterilization and disposal.

Xerafy offers a couple of whitepapers on the subject worth reading. They can be found here.

 

I’ve spent a fair amount of time in rental cars this year, and one thing I hate is trying to figure out the controls. They seem simple enough, except when you’re in a hurry. Whether it’s the cruise control, the wipers, environmental controls, the lights or the radio, it always takes me a while to get things ironed out. Kind of reminds me of the mess healthcare is in; you never know what systems you’re going to get.

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While at the Pediatric Safety Summit in Bellevue, WA this week I had the opportunity to speak with several pharmacists about things ranging from the state of pharmacy practice to how best to use technology to improve patient care and so on. There really is no better way to spur idea generation than to sit down with a colleague and talk face to face.

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My typical travel gear includes:

Lenovo T410S Laptop or Lenovo x201t Tablet PC – I go back and forth between these two machines. The T410S has a bigger screen, faster processor and more memory, but it’s not a tablet PC. The x201t is smaller, easier to use and I can take notes directly on the screen. The smaller size is especially important when I have a long flight; the T410S doesn’t fit well in the cattle-car seats on planes.

Motorola DROID – I love this phone and haven’t seen anything new to convince me to change, although I think I’ll have a Motorola DROID BIONIC shortly.

Kindle DX – Still nothing better than an e-ink screen for reading. Period. When I see a journal article worth reading I simple dump it in a “To Read” folder on my computer. Every so often I move those on to my Kindle DX and read them when I have down time. The DX’s large screen works well for PDFs.

Android Tablet (my rooted NOOK Color) – Games, email and social media in a small package with long battery life.

Verizon MiFi, a.k.a. “Mobile Hotspot” – Simply can’t live without connectivity

I recently purchased an HP TouchPad. It’s turned out to be a really nice tablet. I’ve enjoyed using it over the past few weeks.

On a recent trip to Cincinnati, OH I decided to leave my Kindle DX and Android tablet at home, and take the TouchPad instead. I used it for email, web surfing, social media and games; just like its Android counterpart. I tried using it for reading in place of the Kindle DX. It worked, but found that I like the e-ink screen better.

I’ve heard people say they use their tablets, specifically their iPads, for document creation, editing, etc. I managed to use the TouchPad to compose a blog post for another website while en route to Cincinnati, but I wouldn’t recommend doing it on a regular bases. Sure, I was able to create the post, but there were several things I missed. I’m not a natural writer and many of my blog posts go through several edits before getting pushed to the web. In my opinion a keyboard and mouse work better than a touchscreen for editing a document. Overall it worked, but certainly not as good as a laptop.

So, what’s the final verdict? The TouchPad could easily take the place of my Android tablet and my Kindle DX, but I still prefer the Kindle for reading. And you can forget about using something like the TouchPad in place of a laptop, it’s not even close.

 

I have a thing for laptops and tablets, no question about it. Doesn’t matter who the manufacturer is, as long as it looks cool I’m drawn to it. It’s a good thing I don’t have unlimited funds or I’d have stacks of machines all over the house. While I’m not prejudiced against any particular laptop maker I am drawn to a certain style. For example, I like smaller laptops with screens typically less than or equal to 14-inch, and the thinner the better.
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Cleanroom environments, a.k.a. IV rooms, inside acute care pharmacies compound some of the most complex and dangerous medications used inside a hospital. Unfortunately this area is often overlooked when implementing safety features such as bar-code verification, identification of high-alert medications, advanced training and competency and so on. I was reminded of the dangers of intravenous products by a recent story coming out of Alabama where the death of 9 patients was linked to TPN (total parenteral nutrition) contaminated with Serratia marcenscens.

While IV rooms remain a high risk area they tend to fall off the radar of many hospital administrators when it comes to implementing technology capable of reducing risk. USP <797> tends to get all the glory even though much of the guidelines proposed in this USP chapter have yet to be shown any more effective than diligent hand washing and impeccable technique.
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Earlier today I created a blog post about touchscreen technology for another website. While that piece was informative, it didn’t contain some of the cool stuff I found during my research.
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JAMA: “The efficacy and mechanism of action of games targeting health outcomes are not well defined. Time spent playing entertainment games can enhance psychomotor skills, judgment, and high-level social skills such as leadership and collaboration.3 However, evidence also exists for the negative influence such media exposure can have on the health of children, particularly those exposed to themes of violence and aggression.

Successful entertainment game designs draw on a well-understood set of features, such as a narrative setting that motivates goals, systems of feedback, points, levels, competition, teamwork, trading, and often, self-representation using an avatar. The extent to which a game is engaging (and useful for health objectives) depends on the skill with which these are implemented as a package for a particular audience.”

I encourage everyone to go to the JAMA website and read the rest of the commentary, it’s quite interesting. I think video games have their place in society along with every other piece of technology we’ve developed over the past 20 years. I can attest to the fact that video games can be used to sharpen your reflexes, dexterity and your ability to make some pretty quick decisions. In addition games can be used to simulate complex situations in which different decisions lead to significantly different outcomes. I find value in that. Unfortunately they can also be used to simply kill time and lay waste to ambition and imagination. I don’t find value in that.

How can this all be applied to healthcare? I don’t know. No one knows for sure. One thing I think video game technology is good for is advancing computer software and hardware technology, which in turn trickles down into healthcare; eventually. And that’s certainly a good thing.

© 2012 Jerry Fahrni Suffusion theme by Sayontan Sinha