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Medical Students’ Perceptions Regarding the Impact of Mobile Medical Applications on their Clinical Practice (RE: JMTM 2014, 3(1):46-53)

Posted on Jul 16, 2015 in Letter to the Editor | 0 comments

Ahmad Fayaz-Bakhsh, MD, MSc, PhD1, Sara Geravandi, BSc2

1Health Information Management Research Center, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran; and School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; 2School of Public Health, Teharn University of Medical Science, Tehran, Iran

Corresponding Author:

Journal MTM 4:2:51–52, 2015


In February 2014, an original article, titled, “Medical Students’ Perceptions Regarding the Impact of Mobile Medical Applications on their Clinical Practice” was released in Journal MTM. The survey was conducted on all 169 medical students in their first clinical year of the International Medical University (IMU) in the city of Seremban, State of Negeri Sembilan, Malaysia. Data was collected by using a self-administered questionnare. The questions were formulated from a list of desired qualities in medical applications (apps) which has been published by Visser BJ and Bouman J. The students’ perceptions regarding medical apps, the impact of medical apps on clinical practice and the characteristics of an ideal medical app were explored. It was found that the prevalence of medical students who owned a smart device was about 88% and 87.5% had medical apps installed on their smart devices. Data was analysed by using SPSS software version 20. The results showed most students had positive perception towards smart devices and medical apps and agreed they have positive impact on their studies and clinical practice.1

Yencode – its application in dentistry

Posted on Jul 16, 2015 in Perspective Pieces | 0 comments

Moidin Shakil, MDS1, Karteek Durbakula2, Kulkarni Spoorti2, Maji Jose, MDS1

1Department of Oral & Maxillofacial Pathology, Yenepoya Dental College, Mangalore, Karnataka, India; 2Post Graduate Student, Department of Oral & Maxillofacial Pathology, Yenepoya Dental College, Mangalore, Karnataka, India

Corresponding Author:

Journal MTM 4:2:48–50, 2015


Quick Response Codes are used in modern day lifestyle for various purposes. Yencode (QR Code) is an innovative approach in recording and maintenance of slide details. Having an access to slide information from any part of the world with mobile QR Code scanner software will enable in early diagnosis and effective treatment. Yencode is a boost to retrospective studies as it saves a lot of time and problems encountered in recollecting old details and minimizes manual efforts in retrieval of information.

Test-Retest Reliability of the SWAY Balance Mobile Application

Posted on Jul 16, 2015 in Original Article | 0 comments

Ryan Z. Amick, PhD1, Alex Chaparro, PhD2, Jeremy A. Patterson, PhD3, Michael J. Jorgensen, PhD4

1Department of Human Performance Studies, College of Education, Wichita State University, Wichita, KS; 2Department of Psychology- Human Factors, Aging, Perception & Performance Laboratory, College of Liberal Arts and Sciences, Wichita State University, Wichita, KS; 3Department of Human Performance Studies, Human Performance Laboratory, Center for Physical Activity and Aging, College of Education, Wichita State University, Wichita, KS; 4Department of Biomedical Engineering, College of Engineering, Wichita State University, Wichita, KS

Corresponding Author:

Journal MTM 4:2:40–47, 2015


Background: The SWAY Balance Mobile Application is an FDA-cleared balance testing system which uses the built-in tri-axial accelerometers of a mobile electronic device to objectively assess postural movement. The system was designed to provide a means of quantitative balance assessment in clinical and on-field environments. The purpose of this study was to determine the intrasession and intersession reliability, as well as the minimum difference to be considered real, of the SWAY Balance Mobile Application.

Methods: 24 individuals (15 male, 9 female; aged 25.96 (±5.78 years)) performed the SWAY Balance protocol twice per testing session over a period of three testing sessions. Each testing session was separated by a minimum of seven days. Interclass Correlation Coefficients were calculated as an indication of the test-retest reliability. The minimum difference to be considered real was calculated to determine the minimum score change necessary to indicate an actual change in balance performance.

Results: Mean SWAY Balance scores ranged from 86.90 (±14.37) to 89.90 (±11.19). Repeated measures ANOVA revealed no significant mean differences between SWAY balance scores of the experimental trials (F(5,115) = 0.673; p = 0.65). Excellent reliability was found (ICC(3,1) = 0.76; SEM = 5.39) with a minimum difference to be considered real of approximately 15.

Conclusions: Results indicate that SWAY provides excellent overall reliability. However, it may be appropriate to have subjects perform a familiarization trial at the beginning of each testing session. Additionally, SWAY may demonstrate a ceiling effect when assessing balance improvements in those who already demonstrate good balance.

iOS Applications (apps) for Attention Deficit Hyperactivity Disorder (ADHD/ADD): a preliminary investigation from Australia

Posted on Jul 16, 2015 in Original Article | 0 comments

Kavindu Kumaragama1, Pradeepa Dasanayake, MBBS, MD, FRANZCP2

1Undergraduate in Biomedicine at the University of Melbourne, Victoria, Australia; 2Consultant Psychiatrist, The Melbourne Clinic, 130 Church Street, Richmond, Victoria, Australia

Corresponding author:

Journal MTM 4:2:33–39, 2015


Background: Mobile health tools are currently available for both clinicians and patients. However, there were no published articles related to Attention Deficit Hyperactivity Disorder (ADHD) applications for smartphones or tablets.

Aim: Provide information in relation to apps available from iTunes store for managing ADHD.

Methods: A literature search was performed. The Australian iTunes App Store and Google were searched with the keyword ADHD. Only apps from the iTunes Store were downloaded and tested. Categorisation was done in order to elucidate their functionality.

Results: 32 apps were found and compared in ratings, functionality and cost. There were no customer ratings or reviews on any of the ADHD applications. Applications were categorised according to functionality. The cost ranged from free to $10.49.

Conclusion: Apps specific to ADHD are available for suitable electronic devices. These provide education assistance with diagnosis and monitoring of the condition. The basic costs range from free of charge to $10/-. Information is provided to assist in selecting applications based on the need of the user.

mHealth Clinic Appointment PC Tablet: Implementation, Challenges and Solutions

Posted on Jul 16, 2015 in Original Article | 0 comments

Carol E. Smith, PhD, RN1, Ryan Spaulding, PhD2, Ubolrat Piamjariyakul, PhD, RN3, Marilyn Werkowitch, BSN RN4, Donna Macan Yadrich, BS, MPA5, Dedrick Hooper, BS6, Tyson Moore, BSN, RN7, Richard Gilroy, MD8

1School of Nursing and Preventive Medicine & Public Health Department, University of Kansas Medical Center; 2Center for Telemedicine and Telehealth, Interim Associate Vice Chancellor, Institute for Community Engagement, University of Kansas Medical Center; 3School of Nursing, University of Kansas Medical Center; 4School of Nursing, University of Kansas Medical Center; 5Interventionist, School of Nursing, University of Kansas Medical Center; 6Center for Telemedicine and Telehealth, University of Kansas Medical Center; 7School of Nursing, Children’s Mercy Hospital, University of Kansas Medical Center; 8Department of Gastroenterology and Hepatology, University of Kansas Medical Center

Corresponding Author:

Journal MTM 4:2:21–32, 2015


Background: Patients requiring daily intravenous (IV) home parenteral nutrition (HPN) would benefit from in-home professional observation to improve self-care, to assess, detect and prevent serious complications.

Aims: The study aims are to assess the viability and utility of conducting mobile healthcare (mHealth) videoconference assessments with patients managing lifelong daily 12-hour IV nutrition infusions in their homes. The challenges and solutions to implementing mobile personal computer (PC) tablet based clinic appointments are described.

Methods: A wireless Apple iPad Mini™ mobile touch-screen tablet computer with 5 mega-pixel camera was loaned to patients. Each tablet had Polycom RealPresence software and a fourth generation (4G) mobile telecommunications data plan. These supported audio-visual mobile videoconferencing encrypted connections between health professionals in their offices and HPN patients and their family members in their homes. Patients’ and professionals’ evaluations of their mHealth clinic experiences are collected.

Results: Patients (mean age = 41.9, SD = 2.8 years) had been prescribed 12-hour home parenteral nutrition (HPN) infusions daily due short bowel disorders. Patients had been on HPN from 1 to 10 years (M = 4, SD = 3.6). Evaluation of clinic appointments revealed that 100% of the patients (n = 45) and the professionals (n = 6) indicated that they can clearly hear and easily see one another. The mHealth audio-visual interactions were highly rated by patients and family members. Professionals highly rated their ability to obtain a medical history and visual inspection of patients. Several challenges were identified and recommendations for resolutions are described.

Discussion: All patients and professionals highly rated the iPad mHealth clinic appointments for convenience and ease of communicating between homes and offices. An important challenge for all mHealth visits is the clinical professional’s ability to make clinically accurate judgments about what they observed and heard from the patients. Following our solutions for obtaining clear visuals with the iPad can improve ability to make clinical assessments.