Browsing by Author "Armstrong, David G"
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- ItemFaceTime for Physicians: Using Real Time Mobile Phone-Based Videoconferencing to Augment Diagnosis and Care in Telemedicine.(2011-05-11) Armstrong, David G; Giovinco, Nicholas; Mills, Joseph L; Rogers, Lee COBJECTIVE BACKGROUND Telemedicine has even in its infancy had an impact on the provision of healthcare particularly in rural communities However this often relies on an expensive and ponderous infrastructure that reduces the rapid use and spontaneity for consultations METHODS Using postoperative and intraoperative examples we describe the use of one rapid and widely available technology iPhone FaceTime Cupertino California RESULTS The device in allowing one button connection similar to making a phone call reduced the need for preplanning that is generally required for real time telemedicine consultation CONCLUSIONS The ability to communicate quickly with something that is an afterthought has the potential to alter how we work with our colleagues and patients Just as with the iPod in music and the laptop in computing it is not the change in technology but the change in form factor and ubiquity that alters this landscape
- ItemA heads-up display for diabetic limb salvage surgery: a view through the google looking glass.(2014-08-30) Armstrong, David G; Rankin, Timothy M; Giovinco, Nicholas A; Mills, Joseph L; Matsuoka, YokyAlthough the use of augmented reality has been well described over the past several years available devices suffer from high cost an uncomfortable form factor suboptimal battery life and lack an app based developer ecosystem This article describes the potential use of a novel consumer based wearable device to assist surgeons in real time during limb preservation surgery and clinical consultation Using routine intraoperative clinical and educational case examples we describe the use of a wearable augmented reality device Google Glass Google Mountain View CA The device facilitated hands free rapid communication documentation and consultation An eyeglass mounted screen form factor has the potential to improve communication safety and efficiency of intraoperative and clinical care We believe this represents a natural progression toward union of medical devices with consumer technology
- ItemLeveraging mobile health applications for biomedical research and citizen science: a scoping review.(0000-00-00) Schmitz, Hannah; Howe, Carol L; Armstrong, David G; Subbian, VigneshObjective This systematic review aims to analyze current capabilities challenges and impact of self directed mobile health mHealth research applications such as those based on the ResearchKit platform Materials and Methods A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses PRISMA statement English publications were included if 1 mobile applications were used in the context of large scale collection of data for biomedical research and not as medical or behavioral intervention of any kind and 2 all activities related to participating in research and data collection methods were executed remotely without any face to face interaction between researchers and study participants Results Thirty six unique ResearchKit apps were identified The majority of the apps were used to conduct observational studies on general citizens and generate large datasets for secondary research Nearly half of the apps were focused on chronic conditions in adults Discussion The ability to generate large biomedical datasets on diverse populations that can be broadly shared and re used was identified as a promising feature of mHealth research apps Common challenges were low participation retention uncertainty regarding how use patterns influence data quality need for data validation and privacy concerns Conclusion ResearchKit and other mHealth based studies are well positioned to enhance development and validation of novel digital biomarkers as well as generate new biomedical knowledge through retrospective studies However in order to capitalize on these benefits mHealth research studies must strive to improve retention rates implement rigorous data validation strategies and address emerging privacy and security challenges