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Posted on Oct 9, 2013 in News | 0 comments

STDs, HIV & a lack of privacy

With the global focus on personal privacy after the revelation of the PRISM program, an unlikely source of a potential security hazard and it could be in your pocket. Smartphones and apps have become ubiquitous in the modern world with far reaching applications, including apps designed to aid the care and prevention of HIV & other STDs. A letter to the editor in the Journal of Medical Internet Research has highlighted that while apps can offer many benefits, each individual risks exposing a wide range of private information to the creators of the apps through the “permissions” the app requests.

Put simply, an app generally has to “request permission” from the user to access certain features, like calendar, phone book, or GPS location, that maybe necessary for optimum performance. While apps may genuinely need access to location data to make suggestions such as the closest sexual health clinic, the issue of confidentiality arises when the app is not created by a named health professional. With over 100 different permissions requested by apps, it is often overwhelming for the user to understand which apps are accessing what data and the ways there are utilising it.

With the significant social implications for an individual being diagnosed with HIV or contracting a STD, apps that provide information or advice at the expense of personal data being sent to third parties are a significant risk to the user. With recent findings suggesting top health apps are sharing data with up to 70 third parties, user caution is highly advised. The author of the letter advised that user should check to see whether the developed of any HIV/STD app, or any app in general, is a reputable body or health professional. Even after checking, users are urged to only accept the app “permission requests” if they are happy to provide the type of data requested.

Original letter: http://www.jmir.org/2013/10/e222/
Evidon research: http://www.evidon.com/blog/healthy-data-set

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Posted on Sep 11, 2013 in News | 0 comments

Will Apple’s Touch ID Fingerprint Recognition Revolutionise mHealth Security?

With the announcement of Apple’s iPhone 5S, the new “Touch ID” fingerprint scanner represents an evolution in mHealth security.  As previously discussed in our Editorial over a year ago, one of the growing concerns around the use of mHealth are security issues.

Given the lack of clear guidelines, and poor support from hospitals, many clinicians have patient related information on their personal smartphones.  These can vary from clinical photos taken for documentation and communication with other clinical staff, to emails containing sensitive information.

With hardware encryption, enabled by default on many new smartphones, this means that lost phones cannot have data extracted from them without the correct passcode.  Together with a strong passcode and solid encryption, data on a lost phone is generally quite secure.  However the issue is that over 50% of smartphone users do not have a passcode enabled, and as such a lost phone with clinical data is a catastrophe.   Speaking to clinicians who were yet to enable passcodes on their mobile devices, the main reason was the simple hassle of typing in a passcode so often.

With the introduction of Apple’s Touch ID fingerprint recognition, there is no longer an excuse not to have a “passcode” (this time in the form of a fingerprint) on your smartphone.  The new Apple iPhone 5S has a fingerprint recognition module built into the “home” button on the iPhone.  After registering your finger print, simply touching the home screen button will unlock the device for you seamlessly.  Should the phone be lost, without your fingerprint, the contents of the device will be secure.

Healthcare workers now have a convenient, and highly secure way to protect clinical data on their smartphones.  Apple’s new Touch ID technology is a great step forward in the field of mHealth security, and will undoubtedly protect sensitive clinical information.

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Posted on Sep 4, 2013 in News | 0 comments

Misfit Personal Activity Tracker

There are currently many personal activity trackers on the market, including the Nike Fuelband, Jawbone Up and our recently covered, Withings Pulse. Another new entrant to this market is the Misfit Shine. Misfit Wearables is a new company, which unlike the other companies, has only one product available – the Shine.

There are also many differences with the Misfit Shine. It was funded on the crowdfunding site Indiegogo in January, and it has an interesting mechanism of attaching on to clothing. One has to attach a band or clasp to the device in order to wear it, though it does come with a sport band and clasp. According to its website, each Shine consists of 1,560 laser drilled holes which help make it waterproof, yet visible. Currently, the Shine can record activities of walking, running, cycling and swimming, though more are expected in the future.

According to Matthew Diamond, the Medical Lead at Misfit Wearables, the Shine was designed to be extremely wearable and elegant”. Part of this included the design and attachments, making wearing the Shine suitable for all types of events, and also using a disposeable battery that one changes only 2-3 times a year rather than recharging every day.

Diamond also suggests that for patients, Shine serves as a reminder to be mindful about being active, and health professionals can utilise the data from Shine to see accurate, quantitative information about how active their patients are, rather than relying on patients’ own observations. However, like all other current personal activity trackers, there is no formal system presently available for health professionals to use.

The Misfit Shine is currently available to order online along with its various attachments, at a price of $119.95.

http://misfitwearables.com

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Posted on Aug 27, 2013 in News | 0 comments

Augmented Reality Surgery using iPads

Tablet computers are being used more in clinical medicine, and surgery is no exception. A recent article by a Reuters journalist documents the experimental use of an iPad with augmented reality during a liver tumour resection surgery.

Augmented reality is the use of a device’s camera and other sensors to visualise supplemented information, in this case the blood supply of the liver. Augmented reality has already been widely used in other fields including interior design, navigation and tourism. In this surgery, information about the blood supply was first obtained using a CT scan, then using software developed by Fraunhofer MEVIS, the operator is able to determine the location of the tumour itself, along with the blood vessels surrounding it.

Similar systems are already utilised in surgery, such as neuronavigation in neurosurgery and knee joint replacements in orthopaedics, however this is the first time where an iPad is utilised instead of the navigation machines, which are often extremely large. This would potentially save much money and convenience for future surgeries.

https://www.journalmtm.com/2013/tablet-computers-in-surgery/

http://blogs.reuters.com/photographers-blog/2013/08/20/inside-the-isurgery-operation/

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Posted on Aug 19, 2013 in News | 3 comments

PEEK Smartphone App for Portable Eye Exams

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One aspect of mobile health that cuts costs and also increases availability of medical tools is using smartphone apps. PEEK, or Portable Eye Examination Kit, is a smartphone app in development to try and make available high quality tools available conveniently in developing countries.

It consists of a smartphone app that utilises the camera, LED flash and display to test multiple aspects of the eye exam including visual acuity, visual field, colour vision and many others. While currently not available for download, there is currently a large cohort study in Kenya comparing the effectiveness of PEEK with conventional tools. During this time, the app is also updated constantly to improve on problems encountered in real world testing. Details of patients can also be recorded and tagged using GPS with the PEEK app.

While it may still be a while before this app is available for general use, it does show that dramatic improvements in healthcare can come from something as simple as a smartphone app.

http://www.peekvision.org

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Posted on Jul 30, 2013 in News | 1 comment

Volume 2 Issue 2

 


The Editorial Board at the Journal of Mobile Technology in Medicine is proud to present Volume 2, Issue 2, published in July 2013. Mobile technology in Medicine is a rapidly developing area, and we hope to continue accelerating research in the field. We look forward to your submissions for Issue 3.

Editorial


001 Unusual Utilisation of Mobile Technology in Medicine
R. Halim

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