cell phone med appl

?fa?µ???? t?? ????t?? ???ef???a? st?? ??e?a : 

?fa?µ???? t?? ????t?? ???ef???a? st?? ??e?a ?a?????? Ge?????? ???ast???? ?at????? F?s???? ?at???? S???? ??????

T?µata : 

T?µata ??sa???? ?e???????a ?? (µ?a ?????..) ?fa?µ???? ??G ?pe????ta ?at????? f??e??? ????µ?s??? ?a?????a ?? µ????? (pa????) S?µp??asµa

?e???? d??d?s? .. pa???sµ?a : 

?e???? d??d?s? .. pa???sµ?a 1,8 bn ???ste?

?e???? d??d?s?.. ?a? st?? ????da : 

?e???? d??d?s?.. ?a? st?? ????da

??sa???? : 

??sa???? ? ????t? t??ef???a (??) ???a?e ?????? t? ??? µa? ?a? t?? t??p? ep????????a? t?? a????p?? µe ap?t??esµa ??a p??t?????? a?s??µa asf??e?a? ?a? ßeßa??t?ta?, ??t? p?? de? ??e? ?ata??afe? µ???? t??a st?? a????p??? ?st???a. ?p?te?e? a?aµf?sß?t?t? ?e????? ?t? µe ta ?? ????? s??e? p????? a????p??e? ???? ????? st? ???a??? e?d?p???s?. ?? a??a??? p?? s?µßa????? s?µe?a st?? t?µ?a t?? t??ep??????????, fa??eta? ?a ep??e????? se p??? µe???? ßa?µ? t?? ?p??es?e? ?at????? f???t?da?.

?e???????a ??.. : 

?e???????a ??.. ?a ??a d??t?a ????t?? t??ef???a? (??) pa?????? t? d??at?t?ta: ????µ?? s??des?? ?????? ta??t?t?? ?ts?, a??????? ta µ???? s?µe?a ded?µ??a st?? efa?µ???? t?? ?? st?? ?at????.

?etaf??? data µe KT…. : 

?etaf??? data µe KT…. 2G = 50 Kbps (6 ?b/sec) 3G = 384 Kbps (48 Kb/sec) 3G (HSDPA) = 3,6 Mbps (450 Kb/sec) 3G (HSPA) = 5,8 Mbps (uplink) - 14,4 Mbps (downlink) 3G (HSPA+) = 11 Mbps (uplink) - 28 Mbps (downlink) ~ 2010 LTE = 50 Mbps (uplink) - 100 Mbps (downlink)

PDA : 

PDA G??st? µe p???? ???µata… Personal Digital Assistants Handheld Brand Names Pocket PC Palm Smartphone

PDA’s- Handheld devices : 

PDA’s- Handheld devices Se d?? µ??f?? ???? PDA Smartphone

PDA Operating Systems… : 

PDA Operating Systems… Palm OS Windows OS BlackBerry OS

Native platform application programming interfaces (API's) : 

Native platform application programming interfaces (API's) Symbian http://www.symbian.com/ Windows Mobile 5.0 http://www.microsoft.com/windowsmobile/default.mspx

PDA Features : 

PDA Features Compact Fast Processors Abudant Inexpensive Memory Easy Interface with PC Excellent Battery Life Excellent Readability Wireless Capabilities Phone/Camera/Video/Audio Capability

?? & ???e?at???? : 

?? & ???e?at???? St? pa?e???? ?? pe??ss?te?e? efa?µ???? t??e?at????? apa?t??sa? ?????µata ?????? ta??t?t?? ?a? ep?µ???? s??des? µeta?? sta?e??? s?µe??? (p.?. ??a ??s???µe?? µe ??a ???t?? ??e?a?) ?µ?? ?? te???????e? 3G ?p?? p? ? e?????t??ef???a (videocall) pa?????? p???? t? d??at?t?ta st??? ??at???? ?a ?e?t??????? ap?te?esµat??? ?a? pa?a?????? t?? ?p??es?e? t??e?at????? a?e?a?t?t?? ?????, t?p?? ?a? ?????? (ap?µa??e? pe?????? ??p).

??G : 

??G

?pe????ta pe??stat??? : 

?pe????ta pe??stat???

War is Not Over: : 

War is Not Over: ?? 50% t?? ???s?µ?t?ta? ap? ??? pa?at??e?ta? p??? t? ??s???µe?? American Heart Association and GUSTO-I Investigators, Circulation1994;90:2658–2665. ? s????t?ta ?a?at?f???? a????µ?a? e??a? ?????te?? e?t?? ??s???µe??? All emergency medical services (EMS) and dispatch systems should have trained and dedicated staff and defibrillator. Circulation 2002;102:1-172

S?µa?t???? ?a?????te? st?? ?atepe????sa F???t?da : 

S?µa?t???? ?a?????te? st?? ?atepe????sa F???t?da ? ?????? p?? apa?te?ta? ?a ft?se? ? as?e??? st? ??s???µe?? ?a? ?a e?etaste? ap? t?? ?at??. ? eµpe???a t?? ef?µe?e???t?? ?at???. ? e??p??sµ?? ?a? e?e?d??e?s? t?? ??s???µe??? p?? µetaf??eta? ? as?e???.

Out-of-Hospital ECG may be Underused : 

Out-of-Hospital ECG may be Underused Out-of-Hospital ECGs earlier diagnosis faster treatment cost- effective may be underused ( <3% transmitted in Japan (2000) Out-of-Hospital Facility Triage <75 years of age high risk for mortality severe LV dysfunction signs of shock pulmonary congestion contraindications to fibrinolysis Circulation. 2000;102:I-1 *Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

?pe????ta ?a?d????????: ???e?at???? µe ?? : 

?pe????ta ?a?d????????: ???e?at???? µe ?? Monitor X-Rays ??t???????? G?at???

?pe????ta & ???e?at???? µe ?? : 

?pe????ta & ???e?at???? µe ?? ??a????? monitor ?pe????ta

Ongoing Field Test : 

Ongoing Field Test

Bench Test to Check Performance : 

12 Lead ECG (10 Sec, 500Hz sampling, no compression) ?s?e??f??? ??T 12 Lead ECG Recorder ??G 3G Mobile (PC Card) PC 120KBytes Bench Test to Check Performance

Result (1) Standard: Layer by Layer : 

Result (1) Standard: Layer by Layer IEEE 802.11b (Wireless LAN) RS 232C (Serial) 10BASE-T (LAN) 3G Mobile W-CDMA TCP/IP MFER MPEG-4 JPEG FTTH IP Network (MOPERA) (OCN) MFER TCP/IP

Medical Waveform Format Encording Rule (MFER) : 

Medical Waveform Format Encording Rule (MFER) Flexible ECG, EEG, BP, SpO2, etc Simple vs HL7, vs DICOM vs IEEE1073 (ISO11073) Open Specs Source Codes Standard Future ISO ? Free http://ecg.heart.or.jp/En/Index.htm MFER (12 LEAD : 79KB) JPEG (12 LEAD : 90KB)

Result (2)Field Test in Suita, Osaka : 

Result (2)Field Test in Suita, Osaka 12 Lead ECG (MFER encode) 120kbytes/10sec (500Hz), 24-29sec Patient Monitor (HR, ECG, BP, O2): < 1 sec delay Live Video (motion JPEG) 160x120 (2.8kb): 98.8kbps, 3.1fps, delay 2sec 320x240 (11.1kb): 87.5kbps, 1.0fps, delay 3sec (1) Nov 4-5, 2003, (2) Dec 16-17, 2003, (3) Mar 9-10, 2004

Available Bandwidth and Transmission of Signals : 

Available Bandwidth and Transmission of Signals

How About Our Performance ? Out-of-Hospital Facility Triage : 

Local Hospitals Onset of AMI Direct Adm by Ambulance 88min Mortality: 3/49 (6.1%) Indirect Admission 228 min Mortality: 4/17 (23.5%) AMI <24hrs from the onset 122 cases Direct Adm by Oneself >240 min 56 cases How About Our Performance ? Out-of-Hospital Facility Triage

?at????? f??e??? : 

?at????? f??e???

?at????? f??e??? : 

?at????? f??e???

?at????? f??e??? (ape?????s?) : 

?at????? f??e??? (ape?????s?)

?at????? f??e??? (ape?????s?) : 

?at????? f??e??? (ape?????s?)

PEPID Wireless Mobile Technology : 

PEPID Wireless Mobile Technology

???????? efa?µ???? s?µe?a… : 

???????? efa?µ???? s?µe?a… Point of care decision tools Drug references (s????te??) Clinical diagnostic tools Calculators Anatomy and physiology references Patient education tools Web research (smartphone) Personal & work schedule management

Slide 47: 

Emergency Physician Suite Primary Care Plus Clinical Rotation Companion

Slide 48: 

Pre-Hospital Emergency Care Suite Portable Drug Companion Drug Interactions Medical Calculators

Slide 49: 

Lab Manual Pediatrics Module PEPID OnCard Tungsten E2

Slide 50: 

RN Clinical Nursing Oncology Nursing Suite Critical Care Nursing Suite Student Clinical Companion Suite

Web – ??ß??????e? (databases) : 

Web – ??ß??????e? (databases)

Textbooks on PDA : 

Textbooks on PDA Topics and tools are not integrated Difficult to find information fast Editions of standard textbooks & pocket manuals Repurposed for PDA Screens Loss of graphics and formatting Editions usually not updated Priced individually, usually not as a package Dated

PDA Decision-support programs : 

PDA Decision-support programs Easy to navigate - can find information fast Interactive databases designed for handhelds, not books on PDA Content formatted to reflect clinical decision making process Information is constantly updated More information on current diagnosis and therapy Programs are customized for the healthcare professional (nursing-focused vs. physician-focused)

Slide 57: 

http://www.epocrates.com/

Personal Digital Assistants and theReduction of Medical Error : 

Personal Digital Assistants and theReduction of Medical Error Harvard Health Policy Review, 2004 Given today’s advances in technology and the need for effective and efficient point-of-care solutions, PDA and integrated software solutions are clear choices to decrease medical error and cost, and improve overall patient care.

Drug Databases : 

Drug Databases Sponsored by pharmaceutical industry – “package insert”? Toxicology database? Integrated into disease/condition content? Information on interactions? Drug to drug (prescriptions & OTC) Drug to herbal Drug to food

Laboratory Manual : 

Laboratory Manual

????µ????se? : 

????µ????se? AirStrip OB® is composed of a free standing system in a hospital labor and delivery unit that interfaces with GE’s Centricity Perinatal (CPN/QS) centralized monitoring system. Physicians then use PDA’s or Smart Phones that are pre-loaded with AirStrip OB® software to remotely and securely access real time waveform (fetal strip), numeric and other charting data from CPN via a wireless internet connection. The internet connection is typically established using the cellular modem that is built into the Phone Edition PDA. The ability to view this critical data at will, and not rely on nursing interpretations over the phone, allows physicians to be proactive, troubleshoot problems before they arise and provide better overall, more comprehensive and more efficient medical care for their patients.

Real-Time Remote Access to Labor and Delivery via a Cell Connection : 

Real-Time Remote Access to Labor and Delivery via a Cell Connection http://www.airstripob.com/

Slide 67: 

O? pa??de??µa a?t?? t?? ???? ?p??es??? µp??e? ?a a?afe??e? ? ???s? «e?f???» a?t???? ????s?? ??s??????? p?? ?d? d?at??e?ta? st? e??te????. ?? a?t??e? a?t?? ????? t?? ??a??t?ta ?a ?ata???f??? ta ep?peda ???????? st? a?µa t?? as?e???? ?a? ?a e?????? a?t?µata ??s?????? ?ta? a?t? apa?te?ta?. ?? a?t??e? a?t?? ep?????????? µe ???s? te???????a? GSM (µ?s? Internet) µe t?? ?e??p??ta ?at??, µetad?d??ta? ?a? ?aµß????ta? p????f???e? ap? a?t??. ???µa, ?ta? ? ??s?????? p??s???e? st? t???? t??, e?d?p??e?ta? ? ??s??e?t?? t?? as?e???? p?? pa?ad?de? t?? a?a??a?a p?s?t?ta ????? ? as?e??? ?a ???e? t? pa?aµ????.

????st??? ßa?????a? ?a? ?? : 

????st??? ßa?????a? ?a? ??

Slide 69: 

????? ?t?µa p?? ???s?µ?p????? a???st??? ßa?????a? ?a? ?????a?? eµf?te?µata e??a? p??? p??a?? ?a µ?? µp????? ?a ???s?µ?p????? ?? e?a?t?a? t?? ???t???? pa?eµß???? p?? µp??e? ?a p???e??s??? a?t?. ?a???e? t?? ??e??e? p?? d?e???a?a? ?? eta??e?e? ?atas?e??? ?? ?a? t?? p??sp??e?e? t?? ???µ?st???? a????, t? p??ß??µa e?a??????e? ?a ?f?stata?.

Slide 70: 

??a eta??e?a ?atas?e??? ?? d?µ??????se ??a ß????? ?atast???? pa?eµß???? p?? s??d?eta? st? ?? ?a? ap?t??pe? t?? d?µ??????a pa?eµß???? sta a???st??? ß????µata. Ost?s? ? ß????? a?t?? de? µp??e? ?a ???s?µ?p????e? pa?? µ??? µe e????sta ??.

?? µ????? (pa??? ?) : 

?? µ????? (pa??? ?)

S?µp??asµa : 

S?µp??asµa ? ??a te???????a t?? KT d?µ?????e? p???? ??a ded?µ??a, µe ß?s? ta ?p??a ? p??sßas? st?? p????f???e? ?a? ta ?at???? ded?µ??a e??a? p???? ?e?????. ? ??a??t?ta e??? ?? ? e??? PDA, ?a s??d?eta? ape??e?a? st? Internet ?p?? ?a? a? ß??s?eta? ? ?at???, t?? d??e? ??e? d??at?t?te? t?? ?p??e? ?a?e?ta? ?a e?µeta??e?te?. ?a??? ta p????f????? s?st?µata t?? ?p??es??? ??e?a? te????? ?a e??p??????? µ?s? t?? Internet, ?? ?at??? ????? t? d??at?t?ta p??sßas?? sta ?at???? a??e?a p?? t?????ta? sta ??s???µe?a ? ta ??afe?a t???, µe t? ???s? ??

S?µp??asµa : 

S?µp??asµa ? ?a?da?a e?????? t?? ?? ep?t??pe? t?? asfa?? µetaf??? t?? ded?µ???? ?a? t? d?at???s? t?? ?at????? ap????t??. ?? ??at??? ape?e??e?????ta? ap? t?? a????? t?? f?s???? t??? pa???s?a? µe ap?t??esµa: ??? ?µes? ?a? ?a??te?? a?tap????s? se ???d?p?te ?at???? p??ß??µa ??? ?a??te?? p???t?ta ???? as?e??? ?a? ??at??? ??? e??s??s? t?? ?at????? a?e???t?ta ap? t?p?, ???? & ????? µe f???? ?a? e????? t??p?. ?? d??at?t?t?? t?? staµat??? e?e? p?? staµat? ? fa?tas?a ?a? ? ???s? t?? a????p??.