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Thurs

12:51Thursday, January 14

TEKTIC 3G

January

2010

Vol.2Issue1

IN THIS ISSUE: Page 2 -FOREWORD FROM THE STEERING COMMITTEE - Page 2 - iPHOS ALL iN ME - Page 4 - INTERVIEW WITH DR.CAMERON NORMAN - Page 7 - THE 2.0 FACT

MUSINGS OF A HYPERCONNECTED WORLD - Page 8 - A HANDFUL OF USEFUL MEDICAL APPSHE iPHONE - Page 9 - HEADLINE IN eHEALTH - Page 10 - ELLUMINATE - Page 10 - FOCUS OF

MIND:BOY INTERRUPTED....

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HAPPY NEW YEAR! We are very excited this month to present and issue eaturing the iPhone. Since itsntroduction in the summer o 2007, the iPhone has been more or less embraced by the public with itsunctionality and wide selection o applications with both practical and rivilous activities. Furthermore,with the expanded liscencing agreements between Apple and various mobile phone providers, it isbecome increasingly pervasive in our society. Furthermore, it has provided many useul apps and istarting to be embraced by the medical community. Tis issue will provide some real lie accounts on

how the iPhone is being utilized in the medical setting as well as highlight some apps that have beenpopular with health practitioners worldwide.

We are also very excited to eature an interview with EKIC member Dr. Cameron Norman. It is ttinghat he be eatured in this issue with his extensive experience working with the internet and social mediao engage the youth. Te iPhone and many other smartphones are ICs that have denitely increased the

use o social media by allowing its owners to access these websites through a data plan or Wi.

We hope you enjoy the interview as well as this iPhone edition o the ICr!

****IMPORTANT ANNOUNCMENT!*******

For all ounding members, EKIC ravel Funding applications are dueJanuary 31, 2010. you have not already submitted an application do so soon! Tese unds will supportravel and dissemination costs related to your EKIC unded projects. Applications up to

$1,500 will be accepted. All travel expenses must spent by June 1, 2010. Have questions?

Email Jen (jennier.c@ubc.ca) or more inormation and the application orm.

iPhone - iTs All iN MeBy Farida Hussain

Health proessionals have taken to their iPhones like kids take to candy. Eyes light up when I request a quick chat aboutthe gadget. As one doctor playully pinches his way into a map o the neighbourhood, I eel slightly embarrassed - its litalking to someone about an old lover...

1T

TEKTIC 3G

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r. Allen Rowley, radiologist at the UBC Faculty oMedicine uses the iPhone on his shits at the VGH. He uses

applications (apps) like NettersFlash Cards or reerence whilereviewing a patients symptomsand test results. I could lookit up on my computer or in abook, but with the iPhone Icould be walking down the streetand have a thought about oneo my diagnoses. I can then pullup an image o the poplitealnerve and reer to my notes on

the patient... Te portability oclinical reerence material is keyto the success o the iPhone. Forone doctor in Croatia, the iPhoneis better than his inormed pocketguides because its the same size,but much easier to use!

Popular among most healthproessionals is an app calledEpocrates a reerence guide thatcould potentially standardize therapidly expanding knowledgebase or all medical practitioners.It is tailored to the workow odoctors and caregivers, and is aneasily searchable clinical reerenceto disease highlights, denitions,initial therapies and treatment.

Dr. Mark Nigro Clinical Proessor,

Urologic Sciences, UBC &VCH switched rom his trio tothe iPhone. For Dr. Nigro, theiphone is more about logistical

ommunication than decision support. Im always in a hurry.With the iphone I dont accidentally hang up no dropped

alls, and its much easier to dial and receive calls.

Bob McKeever has programmed a utility connecting thecentral schedule database and individual iPhones or the

Urology dept. at VGH. Tis gives doctors access to on-tonline schedules o ongoing and uture seminars, meetinoperations, out-patients and clinics on a two-way interathat is automatically updated every 5 minutes. Never behas hospital scheduling been so streamlined, supported, aeasy to relay. By the end o February, 2010, all doctors indepartment will carry an iPhone. According to Mr. McKthe beauty o the iphone lies in just how easy it is to codeor. He can customize apps based on doctors requests. Foexample, i a doctor wants to view only the summary sheo all his patients, an app can be developed specically o

that purpose.

For Kim Campbell rom UBCs department o Midwierythe iphone is her baby. LOVE my iPhone. I use it every at work or at play. She recommends the iphone to enablstudents to have point o care inormation and guidelinethat oster sae and timely advice and interventions. TeiPhone has tools or diagnostic aid, obstetrical and neonaresources, and calculators. Additionally, the contacts calkeeps us organized, the email unction keeps us in touchGPS helps us nd our clients, and the games keep me awwhen Im waiting or...anything!

Convergence = Convenience. All the good things abouthealth communication technology have come together inpocket-sized package with an eortlessly slick interace. TiPhone boasts a camera to record clinical ndings, wi ole-sharing, and the capabilityo being a stethoscope, ablood sugar monitor, and lotsmore. With over 700 medical

apps or clinical decisionsupport, it may well be just

what the doctor ordered.

1ary 14

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How did you end up working ineHealth? More specifcally workingn health promotion with the youth?

was training to be a communitypsychologist and doing a placement withhe Waterloo Region District School

Board and working in a program or thoseyoung people considered to be highestisk in the region who were not in care orustody, but were not yet 16. Part o this

amazing program was that each student gotnternet time each week when they couldog in and sur around or school projectsand just to discover. Tis was the mid 90so the Web was very new and most people

didnt really know how the platorm couldbe leveraged or problem solving; the ocuswas on inormation provision. In a pre-Facebook, pre-Google, non-Youube era,hese young people were able to navigatehrough the Web and nd other young

people who could help them nd housing,work, and provide social support duringhose times they didnt have any. Tey wereo good at this at a time when there wereo ew tools to help them navigate throughhe Internet. Tis did more to inuence theocial determinants o health than anythinglse Id ever seen with this population.

Yet, it wasnt about the technology,ather it was how it helped them makeonnections and learn that mattered.

What was defning momentn your career which led youo where you are today?

Tat time at the School Board was pivotal. there is one pivot point, Id say it washe case with this one young boy who waseriously delayed in his ability to read (he

was about 5 years behind in reading romhis peers). For some reason, he got reallyinterested in chat groups or teens and

was so captivated by the opportunity tomeet others like him that he camped outat the steps o school at 7am and stayingaterwards until school closed just so hecould get some extra time online. At thattime most o the Net was text-based sothe only way to use it eectively was tolearn to read. Well, this young kid wound

up improving his literacy levels by threegrades in two months because he was sointerested in the world on the Internet.Tis was one case where I came to seewhere the uture was and I wanted to bea part o it. Harvey Skinner was doingresearch at the University o oronto

with what was then eenNet, a projectI later took over as the lead investigator(and is now called the Youth VoicesResearch Group) and I made the transition

rom psychology to public health . Itwas oundational or me in seeing theimportance o literacy and the sheerinnovation and skill o youth in leading the

way or how networks can inuence ourworld and be leveraged to promote health.

Do date, what do you consider yourbiggest proessional accomplishment?

My work on literacy and health -- a themethroughout my research -- is something

Im most proud o. As a teacher as wellas a researcher, I nd the concept oliteracy as so undamental to our work,yet it is also so taken or granted. It hasbeen real honour to be able to helpshit the dialogue just a little on makingeHealth more accessible to a broaderaudience through literacy. Te eHealth

Literacy Scale that I developed is now use around the world and in multiplelanguages and that blows my mind. WI was invited to Washington, DC toaddress the Institute o Medicine aboueHealth, literacy and communicationand know that my contributions woulbe shaping US health policy or thecoming decade, I was gobsmacked.Its been attering and humbling.

What was your biggestproessional hurdle?

Getting people to understand eHealththe context in which it can be used. Eas late as 2001, I was still getting eedbon grant submissions rom reviewersquestioning why anyone would botheusing the Internet to solve health proband that it was just a novelty. Now, pescratch their heads and wonder whywitter would be useul (i they know

it is at all) or think time spent on socinetworks is just goong around. We othought that about email and now looat it! Carving large chunks o real estain a grant application just to explain tbasics is really a hurdle to getting the ko research support necessary to build kind o programs o work that is innorelevant and accessible to the world

without being too piecemeal. But thatinnovation work or you; its not all u

I you werent a researcher/educator,what would you be, what proessionwould you be in (ie, what areyour other areas o interest)?

I might have been a science journalist.love to write and engage in dialogue w

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eople and so journalism in the Web 2.0a would have suited me perectly! Ourse, there isnt a whole lot o moneyit now and, with blogs and witter

nd such, I suppose Im pretty close toeing one right now! Most o my careeruestionnaires in school suggested Idake a good clergyman and there are

ays which the idea o become a non-etworked monk sounds quite appealing.

What is your one (or two) avoritechnological developmentom the past 10-15 years?

ne is witter. I am really big on itecause it is so simple, yet so powerul ascommunication and sharing medium. Iso love to be wrong sometimes and Iought it was a silly idea at rst (Facebook

pdates without the unctions),ut then as I got to learnore about it I ound mysel

ptivated by what it could lead. Te other is the iPod and

unes. It really is an amazinging when you think about

ow its transormed how weperience media and howeven though we had laptopsnd MP3 players -- it was theod that ushered in an era o

ortable media and completelyhanged the way I connect

music, access lectures, andten to radio programs, nowaking them more accessible.

Where do you see technologytting in with healthcare0 years rom now?

Te simplest things areoten the ones that stick. Ithink technology is goingto allow the public to drive

the healthcare agenda, sel-care and diseasemanagement and innovation and take itrom the hands o technocrats and healthproviders. ools like witter, Facebookand their evolved next generations willdo this. Tis is a very good thing in myeye. It allows health proessionals thechance to go back to applying knowledgein a particular context and ocus on therelationship with patients, while engaging

them as allies rather than having to keep allthat inormation on hand. Oddly enough,this technology could allow the clinicalencounter to be more human. By this Imean creating space where proessionalseel comortable using I on the job allthe time and enabling them through Ito connect to their patients away rom

the clinical setting, it will make thetime spent together more meaningul. dont think this is utopian either. Righnow, there are too many systems andcultural barriers that prevent this romhappening well, but that will change.

Youth Voices Research

ell us about one key issue or eventthat inspired the Youth Voices?

Te pivotal moment came when welost our unding or a provincially-runproject to disseminate the Smoking Ziprogram (a Web-based intervention osmoking cessation that wed developedand even did a large randomized trialon). Tis let us stuck with a re-vampe

website and 1000s o printed guides,but no way to disseminate them....

Continued Next Page...

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It was at that moment that I realized we had to get out othe technology development business -- something wed

done or 10 years. Tere were so many good tools out thereat the time and I elt that we could make a bigger dierencein health care and public health by understanding howexisting (and whenever possible, ree) tools could be utilizedto support public health proessionals and helping groupsuse them more eectively to engage youth. Since then, wevebeen more like a social innovation, action and design researchrm. Tat was when we went rom eenNet to becomethe Youth Voices Research Group and we havent lookedback, except with ond memories o those early days.

What stage is the project at currently?

Our current evolutionary stage is ocused on integrating systemsthinking principles with technologys power to connect diversegroups who wouldnt come together normally to tackle bigchronic disease problems. Tese are the complex problems thathave no one cause and require a diverse set o perspectives tosuccessully address like ood systems health and tobacco control.

Weve tested and rened a model around integrated learningcommunities that connect groups as diverse as business leadescientists, unders, and health care practitioners with youth

leaders using a web o tools like Facebook, Ning, and wittersimultaneously and in ace-to-ace unconerences. Its a lot o

What can we look orward to seeing rom it in the uture?

Coming back to my interest in literacy and my continued intin social media, we are about to rollout the rst o what wehope will be a series o multi-platorm knowledge translationinitiatives. o be specic, we have a report we did or the PubHealth Agency o Canada on transitions in youth and were pmuch done with it. But rather than just send the report o thput it up on a website and leave it alone, we are going to crea

a Youube version o it, do some interviews with youth, andcreate witter-sized nuggets to be released at the same time add it all to a social network on Ning where the public can acomments, edits and create new versions o the report. Its thpublic who paid or it and were in public health so why not this stu accessible to everyone and not just the eggheads like

What was your frst job?

Flyer delivery boy andthen as a dishwasher in arestaurant. My dog lovedit when I came home aterthat dishwashing job andit, more than any jobIve ever had, showedme the value o a dollarand a hard days work.

I you were stuck ona desert island withonly three things(inanimate objects),what would they be?

1) My iPod (assuming Idloaded it up with podcastsand had a battery chargerwith it!). 2) My espressomachine with burr grinderand 3) my coee roaster(all assuming that thisdesert island also hada coee plantation onit!). Id be wired literallyand fguratively!

What is your GuiltyPleasure/Indulgence?

I have an abnormalpassion or croissants.Not the stale ones that we

usually get at conerences,but the kind made withso much butter than acardiologist might passout just thinking about.

What is one thing withtechnology that younever expected themto be able to do? (romDr. Elaine Chong)

What a great question.Id say: inspire me toexercise more. I have aNike+ system wristbandthat tracks my stats onmy runs and uploads it

to a website as part o acommunity and even hasthese little avatars thatmake un o me when Idont run regularly. I nevethought something likea computer could makeme do physical activity.

I you had a question orthe next TICr Interviewee,

what would it be?

What technology giveshealth the biggestbang or the buck?(here or globally)

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THE 2.0 FACTOR:Musings of a

HyperconnectedWorldby Francisco J Grajales IIITopic: Ciscos 2010 eHealth Predictions

Te rst decade o the 21st centuryis here! For the agog-types, it is theinamous year o the White iger

nd the 21st Winter Olympic Games, which will take placeour beautiul Vancouver, British Columbia. With this rstticle o the year, I wont ocus on your New Year resolutions

the gadgets that can help you keep them in check; rather, Illow Nostradamus in predicting a ew changes to our elds

eHealth and echnology-Enabled Knowledge ranslation.ast year we saw the Netbook, e-Book Reader, and Apphone (short or mobile phone with a downloadablepplication) prolierate. Tis year, my BluetoothED ball shows our transormations coming:

(Web 2.0 AND Medicine)PubMed. We will see the rstponential growth o peer-review literature relating to

Web 2.0 in medicine. Figures 1 and 2 (see below) wereatured in a recent article published last year by allow tweep and emerging technologies librarian @anderson.1 I believe the data speaks or itsel.

Augmented reality (AR) comes to your pocket. I you areondering what AR is all about, dont worry, chances are that youe not alone. In essence, it is the nexus o physical and sensory

worlds with web-based inormation. For exampAED4EU ( http://bit.ly/2OCpA) is an appliccreated by a riend o mine, @zorg20, which al

anyone who nds a person in cardiac arrest to ptheir phone andwhile using thecamera; GPSand Internetdata merge

on the screen (right) to helpyou can nd the closestsparky (Automatic ExternalDebrillator). Tis will ultimatelydecrease time-to-shock wherethere is a 10% decrease in the

likelihood o resuscitationwith each passing minute.

3. Embedded sensors get cheap!Wearable sensors like the tbit(www.tbit.com ) allow you to track sleep, exercise, caloriesburned, and wirelessly upload your data to the net automagicabest o all, they cost less than a hundred dollars. Tus, we willa ubiquity o sensors come into the market that allow you to to your dog, wie, and kids lives to the step. We will also see aincrease in the number o clinical trials that use these gadgets.

4. Social media policies come out o the closet. 2010 willbiurcate our social media use. Health regions, universities, anproessional health-related associations will do one o two: A)run away and deem Facebook/witter the source o all eviland ban the use o Social Media almost completely; or B) th

will train their sta to use social media in a responsible manneand allow an enhanced patient-clinician relationship. An earlyexample o this is McMaster Universitys new Medical Schoolpolicy where, any medical student or sta who uploads a pictuin an inappropriate environment, or that, which propagatesalcohol use, will automatically be placed on academic probatio

As the old Mexican saying states: We will see, said the blindman. In the meantime, have a very successul New Year!

[1] Anderson et al. An Online and Social Media rainingCurricula to Facilitate Bench-to-Bedside Inormationranser. Positioning the Proession: the enth InternationalCongress on Medical Librarianship (2009) pp.

http://bit.ly/2OCpAfhttp://www.fitbit.com/http://www.fitbit.com/http://bit.ly/2OCpAf

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A Handful of Useful Medical Apps for the iPhone

By Nelson Shenn the second hal o 2009, Mobclix ound that health care applications (apps) more than doubled rom 616 apps to 139

With so many apps, how would one go about compiling a op X (insert number o choice) list o medical apps? A simpsearch o op 10 iPhone medical apps yields approximately 14 million hits with each claiming that their top 10 app ls the real one. Tis list is not a top ten list nor is it comprehensive, it is simply a list o apps that a health care proessionshould take note o should they have a urge to populate thier iPhone with some medical apps.

1. Epocrates - Epocrates appears to be the most popular medical app or health practictioners. Epocrates is adatabase o over 3300 medications that includes inormation on dosing, adverse eects, drug interactions, pricand pictures. It also has a unction that allows users to make several types o medical calculations. Price: $0 - $

2. MedCalc - As the name implies, this app is a medical calculator that contains more than 40 types o calculaand scores. Examples o calculations include: Absolute Neutrophile Count (ANC), Body Mass Index (BMI),Fractional Excretion o Urea (FEUrea), Mean Arterial Pressure (MAP), MELD Score (Model or End-Stage LiDisease), Oxygenation Index, and many others. Price: Free

3.AirStrip OB - AirStrip OB allows obsteritricians to monitor patients statuses, such as babys heartbeat remoAlthough this application is ree, it requires that the hospitals install the AirStrip Sotware Suite. Price: Free

4.Anatomy Lab - Tis app is a study tool that provides medical students and practitioners with a virtual cadavand allows them to dissect and view various structure and layers o the cadaver. It also provides users with

inormation on the dierent structures and allows them to jot down some notes about it. Price: $9.99

5. Te ECG Guide - Te ECG Guide is also a study tool used to help students and practitioners read andinterperate Electrocadiograms. Te app provides a detailed breakdown o the ECG and provides in depthexplanations o normal and abnormal cardiac unctions. Te app also contains many examples and quizzes to aciliate learning through usage. Price: $4.99

6. ICD9 Consult- Tis app is a quick reerence guide to the Internatonal Statistical Classication o Diseases Related to Health Problems Code. It helps classiy diseases, their symptoms, abmormal ndings, and causes oinjury or disesase. Price: $14.99

7. CliniPearls - Developed through EKIC unding, this app will provide physicians with provides up-to-datevidence-based guideline inormation at the point-o-care. Look or this app in iunes later this year. Tis app also be eatured in an upcoming issue o ICr. Price: BD

_____________________________http://www.astcompany.com/blog/lydia-dishman/all-your-business/8-great-medical-apps-healthcare-proessionals

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Headline in eHealth:

he top selling iPhone medical app of 2009y Brian Dolan

pple recently announced the top selling apps, songs, games andodcasts rom 2009 in an iunes eature it called iunes Rewind009. Perhaps surprisingly, one medical iPhone appade the list o the top 30 selling iPhone applications2009: Proloquo2Go. Te app, which costs $189.999,

ppears among apps that generated the most revenue in009, which seems to be how Apple created a list o theop Selling apps or the year.

eres how the app describes itsel: Proloquo2Goa new product rom AssistiveWare that provides all-eatured communication solution or people who

ave difculty speaking. It brings natural soundingxt-to-speech voices, up-to-date symbols, powerul

utomatic conjugations, a deault vocabulary o over000 items, ull expandability and extreme ease o use

the iPhone and iPod touch.

ther apps in the list include Major League Baseball,NN, ESPN, AOL AIM, Family Guy and more.oloquo2Go must have sold a number o apps to

ake the list even at number 23 o 30, it outsoldSPN, Family Guy and ESPN among tens oousands o others. No small eat.

o how did a relatively obscure app rise above the rest?erhaps one article rom a major newspaper this allelped out: Proloquo2Go was the ocus o a New York

imes eature, entitled Insurers Shun Multitasking Speech Dethis past September:

Kara Lynn has amyotrophic lateral sclerosis, or A.L.S., which attacked the muscles around her mouth and throat, removingability to speak. A couple o years ago, she spent more than $8to buy a computer, approved by Medicare, that turns typed winto speech that her amily, riends and doctors can hearStill, advocates argue, advances in computing and easy-to usespeech sotware have opened doors to use cheap mainstreamalternatives. Indeed, the price drops have made it possibleor A.L.S. assistance groups to buy dozens o netbooks, installspecialized sotware like Proloquo2Go and lend them to client

For at least a brie time, Proloquo2Go became the ace o Medand insurance reorm or text-to-speech devices in the U.S.Following the eature, amed lm critic Roger Ebert, a papillathyroid cancer survivor, wrote the imes to criticize the insurapolicy: Its stupid o insurance companies to insist on an ine

device costing 10 timemuch, he wrote.

Proloquo2Go certainldeserves the honor obeing the top medicalapp or 2009 as the ap

clearly demonstrates tdisruption wireless hedevices and apps arebeginning to create.

will tell i and when thdisruption will translainto a more inormedreimbursement policy

Source:http://mobihealthnew

com/5753/the-top-seliphone-medical-app-o2009/

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Boy InterruptedWednesday, January 20th, 2010 - 7:30pmUSA 2009. Directors: Katie Cadigan, Laura Murray

Every parents worst nightmare is, unquestionably, the death o their child thevery event experienced by Dana Perry in 2005 with the suicide o her 15-year-oldson Evan. A documentary lmmaker by trade, Dana sought solace by creating a

lm to try to understand the mind o a boy who asked in his suicide note only tobe orgotten. In this, her Mothers Lament, Dana takes us back through 15 years o home movies and photographsto paint a portrait o a child who was dierent and even obsessed with death rom a very early age; the darkesto souls, she calls him. Home movies o Evan at seven show him demonstrating how he might hang himsel rom hisbunk bed. His rst suicide attempt, at age 11, landed him in a treatment acility, where he was diagnosed with bipolar

disorder an echo o another amily tragedy, the suicide o an uncle, years earlier. For Evan, medication and therapyseemed to be helping; as he moved into adolescence, things seem to be going well or the rst time in years. Te blowwhen it comes, is devastating. Colour, 92 mins.

Mournul, pained and beautiully put together (John Anderson, Variety).

Deeply absorbing . . . Boy Interrupted is hard to reckon with, but even harder to shake o (Scott Foundas, LAWeekly).Post-screening discussion with Judy Davies, Jude Paltzer and Dr. Jana Davidson.

Co-sponsored by Mood Disorders Association o BC (MDA), Te Josh Platzer Society, theCrisis Centre and the Child & Adolescent Response eam (CAR), Vancouver CommunityMental Health Services.

For more inormation, tickets, ull reviews, and trailers, visitwww.ramesomind.ca.

Frames o Mind is a monthly ilm evenounded by Dr. Harry Karlinsky, EKICmember, utilizing lm and video to promoteproessional and community education on

issues pertaining to mental health and illness

Would youlike to haveyour projectprofiled inthe T ICr,present yourproject at anupcoming

Elluminate session, or have anannouncement to make? Please email

Jennifer Cordeiro atJennifer.c@ubc.cafor more details.

he TICr is Made Possible Through the Partnership o the Following Insitutions:

Check the January TICr orwww.TEKTIC.cafor the Next Elluminate Session!

mailto://jennifer.c@ubc.camailto://jennifer.c@ubc.cahttp://www.tektic.ca/