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High-tech health

How digital medicine is improving patient care

By Tracie White

Illustration by Bryan Christie

Photography by Timothy Archibald

As digital technology has become more portable, easy to use and affordable, it has begun to capture the minds of medical researchers. From new imaging tools to mobile devices, Stanford researchers are exploring how to use technologically advanced tools to fill gaps in patient care. And it’s begun to make a difference.

The following four stories show ways researchers at Stanford are exploring the use of new technologies to solve old problems. An emergency room physician uses tablet computers to train community health care workers in underserved rural areas of Haiti and India. Radiologists transform holograms to assist in breast tumor removal. Heart doctors are dovetailing on society’s obsession with smartphones to try “pinging” people off the couch and onto their feet. And researchers are using Google Glass to provide at-home therapy for children with autism.

“There is a revolution in health care that is in large parts driven by technology,” said Michael Halaas , associate dean for industry relations and digital health. “There are a lot of great ideas emerging about how to transform health care that are digitally driven, but they need to be validated and thoughtfully introduced. We remain focused on developing digital health tools that can improve health while keeping the human element that is vital to care delivery.”

E-curriculum

Years ago,  Ayesha Khan ’s grandfather was hit by a semitruck as he rode a bicycle along a road in rural Pakistan. With no emergency response system in place — no 911, no ambulance service — he lay severely injured by the side of the road until someone eventually drove by and delivered him to the hospital. After 30 more minutes, he died in the waiting room without receiving care.

Now Khan, MD, a  Stanford emergency medicine  physician, uses digital devices to address these kinds of voids in care in the developing world. Working first in Haiti and now in rural India, Khan and her team have developed an app-based curriculum to train community members in basic health care delivery — from half a world away at Stanford.

“My grandfather, he died in this sort of unceremonious way,” said Khan, Stanford Medicine clinical assistant professor of emergency medicine, who immigrated to the United States from Pakistan when she was 3. “Where my family comes from has somewhat inspired me. I’m passionate about health equity.”

By studying animated, spoken lesson plans accessed on digital tablets, completing a work book and passing the tests provided on the tablet, health care workers with limited education have been successfully trained in first-line treatment for acute complaints. These providers are now controlling bleeding, and stabilizing airway obstructions and seizures.

They diagnose and treat urinary tract infections, sexually transmitted diseases, broken limbs, skin infections, fever, upper respiratory infections, diarrhea and high blood pressure. They care for severe wounds. And they triage patients toward more intense levels of care when necessary.

“My desire was that the program we created not rely heavily on people flying back and forth; that’s just not sustainable,” Khan said. “We developed an e-curriculum so that the program was not dependent on live trainers.”

Currently, five health care workers ages 19 to 21 who grew up as orphans are providing first-line care for patients within their community of 28,000 in Haiti. In rural India, 54 women from the states of Uttar Pradesh and Bihar provide care to patients in the 54 villages where they live and now work. Four local facilitators in India used the app to train the women, who are considered past childbearing age and are seen as a burden in their communities.

“This project has a twofold advantage,” Khan said. “It provides health care to communities without it, and it employs people marginalized within their own communities.” The workers are paid through the community where they work, and a Stanford grant helped fund their training. “Now that we see the program working, I’m so eager for the chance to grow,” said Khan, adding that she’s exploring opportunities to expand into Kenya. “There is so much scope for it to help around the world.”

Reading minds

Nine-year-old Alex, who has a high-functioning form of autism, has always had difficulty making eye contact and understanding social cues, traits that are typical of someone with his disorder. Making friends has been a challenge, particularly on the playground.

“In preschool, he was hit with a mallet and kicked in the face by children. They were upset with him, and he couldn’t see it coming,” said his mother, Donji Cullenbine. “Children were very scary for him.”

About a year and a half ago, Stanford researchers hooked Alex up with a Google Glass visual headset, which he thought was really cool. It helped teach him how to read other people’s emotions through their facial expressions.

The new form of behavioral therapy uses a Stanford-designed app paired with Google Glass to help children distinguish between eight classical facial expressions indicating happiness, sadness, anger, disgust, surprise, fear, contempt or neutral. The wearable computer links to the smartphone app through the local wireless network. The device has a glasses-like frame with a camera to record the view of the person wearing it, a small screen and a speaker for verbal cues.

“Within a couple of weeks, he started to flick glances at me. I had tried for years to get him to engage with my face, but he never stayed for more than a second.”

Researchers designed three different formats to help engage kids. The first is “free play,” which gives auditory clues about the emotions of others. The other two are games — “Guess My Emotion,” in which parents act out emotions for the child to guess what they are, and “Capture the Smile,” in which the child tries to elicit a certain emotion from the parent or other caregiver. Alex particularly liked the “Guess My Emotion” game and free play. The app seemed to his mother to make a difference.

“Within a couple of weeks, he started to flick glances at me,” said Cullenbine, who agreed to have Alex participate in a clinical trial in 2017 to test the new home-based therapy. “I had tried for years to get him to engage with my face, but he never stayed for more than a second.”

The clinical trial included 14 families, each with a child who had been clinically diagnosed with autism. The children used the Google Glass setup over a 10-week period, according to the study, which was published in Digital Medicine in August.

One-on-one treatment with a trained therapist has been shown to be effective in treating autism, but a shortage of therapists means many children aren’t being treated early enough, said Dennis Wall , PhD, the study’s senior author and Stanford Medicine associate professor of pediatrics and of biomedical data science.

A window of opportunity is being missed, and that’s where Wall hopes this new digital health-based therapy can step in.

“The only way to break through the problem is to create reliable, home-based treatment systems,” he said. “It’s a really important unmet need.”

Results from early clinical trials have been overwhelmingly positive, Wall said.

“We’re seeing improved eye contact, emotional awareness, an ability to understand and appreciate emotions,” he said. And comments from parents have reflected this early success. “Parents said things like, ‘A switch has been flipped; my child is looking at me.’ Or, ‘Suddenly the teacher is telling me that my child is engaging in the classroom.’”

By the trial’s end, Alex recognized emotions so well in others that one day at home he exclaimed: “Mommy, I can read minds!”

“I thought, ‘He got it!’” his mother said. “He understands there is information on people’s faces that he can interpret.”

Couch potatoes

Doctors know exercise helps prevent heart disease, but trying to motivate people to get off the couch is no easy task. MyHeart Counts, an iPhone app developed by Stanford researchers, not only collects massive amounts of research data from smartphone users to study cardiovascular health, it also pings them when it’s time to stand up.

“We are giving them customized prompts to encourage them to exercise,” said Anna Shcherbina , a graduate student in biomedical informatics on the MyHeart Counts team. “We’re trying to determine which prompts work the best to encourage exercise.”

If a user sits for more than an hour, for example, the Stanford MyHeart Counts app sends a reminder to get up even if just for a moment. Users who set daily goals of 10,000 steps will get a friendly prompt on the days they fall short, such as, “You are at 115 steps now, and you need 9,885 more to reach your goal. Walking to your next appointment will help you reach your step goal.”

The app also presents users with graphs that show how they compare with other users in terms of daily step counts, how happy they are, how much they sleep and even how many vegetables they are eating.

“Consumer adoption of smartphones really has opened up this whole new world,” said Steve Hershman , PhD, a member of the MyHeart Counts team and director of  mHealth in cardiovascular medicine at Stanford Medicine. “It’s amazing the volume of information researchers can get from these apps. And they’re also just sort of fun to use. They help make research more human.”

The app, which now collects such data as daily activity levels, blood pressure, cholesterol and cardiovascular health from 50,000 users in the United States, Hong Kong and the United Kingdom, was designed in 2015. It was one of the inaugural mobile health apps launched on Apple’s ResearchKit platform.

“It’s amazing the volume of information researchers can get from these apps. And they’re also just sort of fun to use. They help make research more human.”

Researchers published their first study based on data collected from 49,000 MyHeart Counts app users in  JAMA Cardiology  in December 2016. The study found that use of apps for collecting large amounts of health care data could transform cardiovascular research. Results also showed that among groups of subjects with similar activity levels, those who were active throughout the day, rather than in a single, relatively short interval, reported better levels of cardiovascular health with lower rates of chest pain, heart attacks and atrial fibrillation. The next research study is expected to be ready for publication soon, Hershman said.

Today’s 2.0 version of the app also includes an added consent module that allows users who have a 23andMe account to securely share their genetic information with Stanford researchers. “At first it was just a way to collect data for medical research,” Hershman said. “Now we’re really hoping to change people’s health.”

Holograms in surgery

Looking to increase precision during the surgical removal of breast tumors, a Stanford research team developed a technique that brings holographic images into the operating room.

Surgeons refer to MRI images on computer displays to help guide their incisions, but there is still quite a bit of guesswork because tumors come in various three-dimensional shapes and sizes.

As a result, either too much tissue gets removed or too little, said Bruce Daniel , MD, professor of radiology and director of IMMERS , the incubator for medical mixed and extended reality at Stanford.

“The surgeon can’t always tell what’s what,” Daniel said. The team developed a mixed-reality system using Microsoft’s HoloLens headsets to reflect a three-dimensional image of a patient’s tumor, based on MRI scans, directly on the diseased breast. The surgeon looks through the headset, which includes a holographic computer, and aligns a floating holographic image of the tumor onto the surgical site. The goal is to use the tools to increase the precision of the removal of the entire tumor, leaving as much of the healthy breast tissue as intact as possible, said Brian Hargreaves , PhD, Stanford Medicine professor of radiology and of electrical engineering and co-director of IMMERS.

“It gives me X-ray vision,” said Amanda Wheeler , MD, clinical associate professor of surgery who is participating in a pilot clinical research study of 10 patients that uses the new system. Prior to surgery, Wheeler puts on the headset, then uses markers to sketch the reflection of the hologram onto the patient’s breast. “It helps me plan the surgical site, making sure I’m getting as much accuracy as possible. I love it.”

Among the 300,000 women who are diagnosed yearly with breast cancer, about half are eligible for radiation and a lumpectomy that removes the tumor and leaves the remainder of the breast intact, the American Cancer Society reported. But deciding whether to have a lumpectomy rather than a mastectomy — total breast removal — is often difficult. It’s further hampered by the fact that 20 percent of women who have lumpectomies require a second surgery because the surgeon didn’t remove all the cancerous tissue the first time.

“Because this new method helps surgeons determine exactly where to cut out the cancerous breast tumor, it should reduce the number of second surgeries,” Daniel said.

Tracie White

Tracie White is a science writer in the Office of Communications. Email her at [email protected] .

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The Information Technology in Medicine Essay

Modern healthcare, being primarily focused on providing quality patient care, cannot exist apart from information technology. For this reason, medical employees are now obliged to learn how to beneficially use technology as well as practice proper communication with patients on the subject of its use in the process of treatment. The discipline, which will be analyzed in the course of the paper, is aimed at defining major tools necessary for providing quality healthcare to the community. Thus, the most significant insight acquired during the course is the high necessity of learning how to convey the importance of information technology to the patients in the simplest way possible.

To begin with, it is necessary to dwell upon the notions that should be processed by the students throughout the course. The subject’s primary goal was to introduce the most common technologies now used in healthcare and their significance to the sphere. Another part of the course was dedicated to the nuance of proper communication with patients using both technology and interpersonal communication.

Before the course enrollment, I considered information technology to be more of an arbitrary helping tool rather than part and parcel of medical practice. However, by the end of the course, I have discovered that the proper use of technology tools can potentially help save hundreds of human lives. Researchers claim that such tools as the Clinical Decision Support System (CDSS) prevent doctors from making false diagnoses due to cognitive overload (Ancker et al., 2017). Besides helping medicals focus more on the treatment process, it is also a key tool for the precise statistical data, crucial for the further development of healthcare across the state.

Another crucial aspect obtained during the course is the ability to assess personal strengths and weaknesses when it comes to cooperation with information systems. As a result, I have discovered that my major strength is the ability to adapt to technology use quite quickly. This benefit also concerns almost all young specialists who are used to information technology from an early age. Such knowledge puts more adolescent specialists at a serious advantage in terms of healthcare system development. However, the skills of fast learning do not concern some patients who are to be educated on the use of technology tools during their treatment process.

According to the researchers, effective patient education is the key to successful treatment due to the patient’s willingness to collaborate (Jimenez & Lewis, 2018). Hence, I believe my major weakness to be the ability to communicate with patients in a way beneficial for their desire to be educated. Despite various already existing methods on patient education, there is still a strong need to develop further research on the topic in order to make it more productive.

In my opinion, the development of healthcare informatics is now rapidly moving towards its zenith due to the beneficial environment. The strategies of further researches are now being planned for the next decades. However, automatized systems of clinical history have introduced the issue of privacy for both patients and medical employees (Iyengar et al., 2018). For this reason, I believe sustaining privacy while maintaining technological advancements in the medical sphere to be one of the most significant topics for further investigation. Moreover, the field of healthcare informatics develops too fast for educators to adapt to the process.

As a result, many specialized educational establishments fail to provide proper students’ preparation on the subject (Ashrafi et al., 2019). Hence, another subject of further investigation should be the methods in which students could be informed of the information technologies used in the field.

Speaking of my personal evaluation of the competencies aligned to the course, the progress is definitely visible by the end of the course, but there are still a lot of details requiring reconsideration. My understanding of the outlines introduced in the course syllabus, including the ability to analyze major programs and methods of computer-human interaction critically is clear and exhaustive. However, in order to maintain the obtained knowledge and skills, there should be more practical tasks, which may help build on the progress. The most valuable output I realized throughout the course is the fact that subjects concerning medicine and technology require constant and comprehensive learning in order to remain relevant in the field.

Taking everything into consideration, it may be concluded that the course of healthcare informatics is an integral part of medical education in the context of the 21st century. In the following reflection of the course, some of its major constituents and outputs were introduced and analyzed. When it comes to personal knowledge and skills gained, the most significant discoveries are the necessity to continually improve on the subject in order to realize how to convey the information to the patients. Even the most advanced technology may be of no help if the patients are not willing to collaborate. Further research on the subject includes more methods for patient education and examination of privacy maintenance.

Ancker, J. S., Edwards, A., Nosal, S., Hauser, D., Mauer, E., & Kaushal, R. (2017). Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. BMC medical informatics and decision making , 17 (1), 36.

Ashrafi, N., Kuilboer, J. P., Joshi, C., Ran, I., & Pande, P. (2019). Health informatics in the classroom: An empirical study to investigate higher education’s response to healthcare transformation. Journal of Information Systems Education , 25 (4), 5.

Iyengar, A., Kundu, A., & Pallis, G. (2018). Healthcare informatics and privacy. IEEE Internet Computing , 22 (2), 29-31.

Jimenez, Y. A., & Lewis, S. J. (2018). Radiation therapy patient education using VERT: a combination of technology with human care. Journal of medical radiation sciences , 65 (2), 158-162.

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More From Forbes

How advanced medical technologies are changing the healthcare landscape.

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By James McDonough, a dad, explorer and entrepreneur who is expanding human health potential at EDISON BIO .

For most people, including busy entrepreneurs, the concept of “taking care of your body” has usually meant visiting a doctor once a year and going over some routine lab results. However, advancements in medical technology are rapidly and drastically changing the healthcare landscape to go well beyond this elementary approach.

Today, settling for a quick five-minute annual with a physician is no longer the only option. Genomics, cancer blood tests, MRIs, sleep analysis and many other innovations now allow patients to gain the most comprehensive picture of their health ever available. As a result, these advancements in technology are revolutionizing the healthcare system to become more proactive, personalized and convenient than ever before. 

Proactive 

Traditional healthcare systems are often criticized for their reactionary approach to medicine; health issues are addressed only once they’ve developed enough to become problematic. 

But the development and increased accessibility of medical technology give patients the chance to treat diseases at their onset, giving them a higher chance of successful recovery. 

For example, some healthcare innovators have begun offering full-body MRI scans as part of their executive health exams — exams designed for high-achievers such as entrepreneurs, CEOs and senior executives. These safe and painless procedures can detect multiple abnormalities before the onset of symptoms occurs, including brain tumors, spinal deterioration, pulmonary lesions, heart disease and more. Similarly, new cancer blood tests can test a patient’s blood sample for over fifty different kinds of cancer in their body at once. With these technologies, patients can be more confident that diseases aren’t growing in their bodies undetected.

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It’s not new knowledge in the healthcare community that treating diseases earlier is better. However, with the advancements in medical technology in the last few years, it is now more possible than ever to invest in proactive care that empowers patients to do just that. 

Personalized

Because advancements in medical technology allow for more testing opportunities, healthcare companies can now capture billions of data points for an individual patient and use them to provide more personalized care. 

For example, quantitative data from biomarker and genomic testing can be aggregated and analyzed to uncover an extensive and comprehensive understanding of a patient’s health. And by looking at a patient's entire health story and health history, providers are then able to provide more personalized care. 

This incorporation of data collection into medicine underscores the shift toward a more holistic and individualized approach to healthcare. It is no longer one-size-fits-all when it comes to a patient’s wellness and health outcomes. Innovation in technology allows doctors to not only understand their patients more comprehensively than ever, but also to provide them with personalized care like never before. 

As an entrepreneur, you know that time is money. And technology has allowed healthcare to become incredibly more convenient for those who need it most. 

Long gone are the days of wasting time driving to and waiting around in a physician’s office. Instead, the innovation of telemedicine allows for patients to receive care through their phones or computers in real time. 

Some advanced healthcare companies even offer to come to their patient’s home or office for any testing that needs to be completed — saving the patient time and hassle. Online portals also make the patient’s health data easily accessible, giving them the ability to share that data with specialists, trainers or even family members. 

No longer is the healthcare landscape marked by wasted time and piles of paperwork. Telemedicine gives patients the ability to seek care on their own time and access their health information all in one place. 

The Future Of Care

As advancements in technology continue to develop, so will the ways that we care for our bodies. Patients will continue to turn to companies whose incorporation of technological innovation into medicine allows patients to take control of their health like never before. Increasing longevity and improving performance has never been easier with a healthcare system that is changing to become more proactive, personalized and convenient for you.

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Home — Essay Samples — Life — Nurse — Medical Technology: Nursing

Medical Technology: Nursing

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Published: Dec 18, 2018

Words: 1130 | Pages: 2 | 6 min read

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Essay About Medical Technology

Medical digitized records, powerful imaging devices, small sophisticated tools – medical technology plays an important role in modern healthcare system and significantly alter the provision of care.

The world of medical technology is vast. It includes all the medicines, instruments, procedures, and support systems necessary to provide care. Recognized medical experts indicate that medicine become increasingly dependent on the technology. They already became a part of hospitals and even invade our homes.

According to the experts, the technologies are used in all medical fields.

Doctors and specialists use them both for the prevention, diagnosis, and treatment as well as for the rehabilitation or home care. For example, doctors use vaccines to prevent disease outbreaks, medical imaging for early detection, or laboratory tests and screening for diagnoses. In addition, there are supporting technologies, such as sterilization, and those relating to infrastructure of hospitals, particularly for ensuring the power supply in case of failure. Without this technology, about 80% of care could not be provided.

Technology Term Paper

Medical technology is often associated with big expensive devices such as scanners, the magnetic resonance imaging, and nuclear medicine imaging systems. However, these devices represent only a small part of the medical arsenal of a health facility. The park equipment also includes thousands of small instruments and medical devices. It is in this area where there is the largest number of innovations.

In many other sectors there are important technological advances, including laboratory analysis. For example, development in genetic testing allows to predict the risk of certain cancer types.

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Drug technologies also demonstrate considerable progress. Today, drugs are used not only to treat patients, but also to prevent diseases, reduce symptoms, and improve quality of life for people with chronic disease. This change affects spending on drugs. According to the Canadian Institute for Health Information, the cost of drugs has increased from 288 million in 1975 to six billion thirty years later, which represents 22% of health spending in Quebec.

In short, if medical technologies improve the quality of health care and health care delivery, they also pose many challenges to be faced.

As it was mentioned above, medical technology plays today a very important role in healthcare system. Students, who want to write their research project on medical technology, have to thoroughly study the origins and evolution of the phenomenon. They will have to find and process a great deal of information from reliable and verified sources and present clearly their own ideas on the matter.

If you want to write a good research proposal, you have to take advantage of free sample research papers on medical technology. These free papers can guide you through the complex process of scientific text writing and show you how to structure your paper.

Are you looking for a top-notch custom written research paper on Medical Technology topics? Is confidentiality as important to you as the high quality of the product?

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Home / Essay Samples / Information Science and Technology / Modern Technology / Technologies In The Medical Field

Technologies In The Medical Field

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