The Palmdoc Chronicles

Tuesday, August 30, 2005

Clinical Pediatrics -- MobiReader Version 2006

Clinical Pediatrics -- MobiReader Version 2006 has been released by Pacific Primary Care

Application Description
Topics include: Adolescent medicine, Behavioral & Developmental issues, vaccinations, well child visits, fever work-ups, emergencies, PALS, pediatric syndromes, sleep disorders, GI, nephrology, urology, many orthopedic conditions, dehydration, dermatology, ENT, growth, puberty, routine examinations. Pediatric medicines and dosing. Neonatal care, breast feeding and much more.


AFAIK it should be compatible with iSilo too.

Gmail in your Palm

Mobile Docs love email on the go. I have had occasion to respond to urgent email regarding clinical matters while on the road and even at the airport!
Gmail is "almost" open to the public and you can actually sign up for a Gmail account if you have a US mobile phone. (If you don't then email me for an invitation - while stocks last!) Don't you just love the 2 Gb space!
Buit how do you get Gmail on your PDA?
One way is via your browser and you can use sites like Pocket Gmail
However, did you know you could access Gmail with with your Palm's Email client?
Doc Tamil of PalmX has put up a web page which shows you Step by Step how to get GMail On Your PDA via GPRS
The example uses Versamail but should work with most PDA email clients. Great job Doc Tamil!

Thursday, August 25, 2005

eMedicine: Consumer Health

Skyscape has produced another Consumer orientated PDA product eMedicine: Consumer Health

eMedicine's Consumer Health - written by physicians for patients and consumers - is continuously updated and provides the most current information on thousands of diseases and disorders. Each topic is reviewed by 2 physicians and a PharmD and covers a full range of health issues affecting men, women and children with special sections covering first aid and emergencies as well as exercise, nutrition, and weight management.

Wednesday, August 24, 2005

Speed writing

Doctors are always in a hurry. One of the things which slows down our use of PDAs is the input.
I have tried and use both PalmOS and Windows Mobile input systems. The latter has more options for input but for ease of use I still prefer PalmOS Graffiti as it allows input not only in the "silk screen area" but also Full screen graffiti. This is in contrast to the Pocket PC where the Graffiti input is limited to a fixed area at the bottom of the screen. Full screen writing on the PPC is limited to a slow character recognition system.
Ed Hardy of Brighthand has started to an Editorial on How to Speed up Your Text Entry. Ed didn't mention a couple of things though:
One of the nice things about the PPC is there is a small builtin dictionary which prompts you to complete There are 3rd party applications for PalmOS which give you options to do this too (Word Complete and TextPlus). I have tried the latter but in the end I am sticking with good old Graffiti Shortcuts.
There are things in development as well, like a new system of writing on a PDA using pattern recognition, as mentioned by Dobbs

So does writing on a PDA frustrate you? I konw some of my colleagues have been in the initial stages but I can assure you after a bit of practice, you'll improve in time. Learn to use Palm's Graffiti shortcuts as it really saves a lot of time.

Sunday, August 21, 2005

Eponyms updated and Traube's space

Andrew Yee has updated Eponyms
Version v1.84 now contains 1580 eponyms - it's available for Palm and Pocket PC.
So if you want to know what Rovsing's sign is (as well as 1579 other Eponyms) - then grab this freebie now!

On a related note, one of the annoying things I find in my part of the world, is the misinterpretation of the eponym "Traube's space". Many are taught wrongly that it corresponds to an area of resonance in the 9th, 10th and 11th space anterior to the left mid-axillary line. While correct that if dull, it may suggest splenomegaly, this is NOT Traube's space. Hopefully Andrew Yee's Eponyms has this and defines it correctly.

Traube's space

Also known as:
Traube's semilunar space
Associated persons:
Ludwig Traube
Description:
A crescent-shaped space about 12 mm wide, just above the costal margin. It is due to gas in the stomach which produces a vesiculotympanitic sound.

Saturday, August 20, 2005

CreativeAlgorithms

Justine from CreativeAlgorithms wrote in:
I happened to notice some of your blog entries when I was looking on Palm Addicts. You were recently discussing Palm date calculators and travel applications. Coincidentally, we are a small developer of Palm apps and have two apps that fall into these categories.

Let me start by introducing myself: I'm Justine Pratt, 1/2 of Creative Algorithms. We are a husband and wife team. We wrote Date Wheel a while back and I used it to count down when I was pregnant with my two kids. I also used it as a program manager for determining lead time (my husband originally wrote it for me, as a replacement for my plastic wheel). While it's not freeware, we've been told it has one of the best UI of the date calculators out there. FWIW. :)

We also have an app, Trip Boss, that is designed to keep track and record all your trip data. We have a major upgrade coming out soon thatwill even better enhance the itinerary section, adding custom itinerary entry for common itinerary items, such as airline travel, car rentals, and hotels. We even added a meeting planning section to this--a lot of customers wanted to plan their agendas for traveling within the program. (I noticed you mentioned planning for conferences.) I recently used Trip Boss when I attended a PalmSource developer conference.


Thanks for sharing your PDA apps Justine. I have heard of your apps but have not used them before and yes, they sound like they are good alternatives for the PDA toting doctor who needs to work out Dates and also plan trips.
PDA users may also be interested in the CreativeAlgorithm's freeware Calorie factor.

Tuesday, August 16, 2005

This might be it...

treo700 Well, this could be my next Palm, if this rumour proves to be true. The specs of course are not known, but give me at least a 64MB Treo, decent battery life, BT 1.2, then I might be sorely tempted - especially as my SE phones ( T610 and T68i) are exhibiting some unhealthy symptoms like suddenly resetting and going bonkers from time to time. I don't even mind the external antenna though as this model is a little curvier than it's predecessor and the antenna a bit more stubby and less obvious.
I read in the same PIC thread that the silly external antenna is there to pander to the American misconception that an antenna sticking out means better reception (I also like the comment that it could be there so they know which way is up). In Europe and Asia, external antennae on phones are so passé, so I sincerely hope Palm finally gets the message and loses the external antenna if it hopes to boost global sales.
I used to be a little reticient about getting a smartphone but now that hospital administrators are less uneasy about cellphones around the premises, I think it's not a bad idea.....

DermMeister released!

Andrew Schechtman announces that the full and unabridged version of DermMeister is now available for download from the
MeisterMed website and from the Medical iSilo(tm) Depot.

A free dermatology Atlas for your PDA!

Date calculator II

I stand corrected as Go has provided a useful tip in the comments to my post on the Date Calculator : it's still available on the WWW! Great news!

Go says
You can find Dates! Ver.2.11 on the web as below.
http://www.tucows.com/preview/34704
And I find a comment about Dates! on
http://www.lawtechguru.com/archives/2004/01/09_great_date_calculator_for_your_palm.html
that I think you found the blog already.
Japanese doctor made a date calculator, but it has some calculating bug
especially about month and date.


Thanks very much for the tip Go! I really Googled and Googled for Dates! and somehow I could not locate it. I did not think of looking in Tucows but thank goodness for Tucows and their mirror sites!
Jeff Beard in the quoted blog advises people to backup their Palms before installing Dates! as it was written in 2000 for Palm OS 3.5
I can tell you I have it running on my T3 and T5 without any noticeable problems - and that is testimony to the original author's coding. YMMV though, so it is better to be safe than sorry and backup before trying any new software.
Btw, Go has a great blog which has a Palm Medical software category and even if you don't understand Japanese, http://translate.google.com comes to the rescue, and this is only a click away if you use the Googlebar extension for Firefox: Go's Palm Medical Software Blog (translated to English)

Sunday, August 14, 2005

Date calculator

Puppymaniac wrote me an email as feedback for Haemoncrules:
Please add a date calculator to the program - It would be very useful for counting number of days since last cycle of chemo and especially days since transplant. Thank you.


Thanks for the suggestion P.
I do use a date calculator myself and one of the gems is Dates (last version 2.1, freeware by one Marty Wilber and I am afraid nowhere to be found on the WWW anymore - email me if you are desperate ;) ) This wonderful program allows you to calculate the number of days or weeks from a particular date, and can work out the future date for a set number of dates or weeks. This is great for what you want - counting the number of days from the last cycle of chemo or days post-transplant. I also use it to work out a future appointment date "x" number of weeks from a particular date. There is even a Datebook button which will jump to the Datebook application (built-in or the one mapped to your Datebook button). It works in OS 5.x still as far as I can tell.

DTThere is one more Date calculator, a freebie called DateToolz written by yours truly. Its more amateurish compared to Dates but it gets the job done, even if I say so myself ;)

I haven't bothered incorporating a date calculator in Haemoncrules as this app does everything already and I find it easy to switch from HOR to Dates (I highly recommend McPhling as a very fast application switcher; or you can also try the freebie Switch5)

Saturday, August 13, 2005

MD on Tap

Pubmed on Tap has now been renamed MD On Tap and the latest version 1.7 is now available for download from the National Library of Medicine
MD on Tap is an application for PDAs that retrieves MEDLINE® citations directly from the PDA through a wireless connection to the Internet
Versions for both PalmOS and PPC are available.
Freeware

Tuesday, August 09, 2005

Plan that conference with your Palm

I was reading in Chip magazine recently on using the Internet to plan for an overseas trip. Well it was remarkably similar to how I do it - but it's much simpler really with a Palm PDA. Many of you will travel overseas 1 or more times a year to attend a medical conference and if you have a PDA, I can assure you life is much easier.

mobimateThe most essential app I believe is Worldmate. This is the jack-of-all-trades application for the world traveller. It has built-in world clocks so you can keep track of your local time, calculate time differences, set alarms etc. Need to look up the weather in your destination? No problem. When you sync, Worldmate updates the weather forecast. You could do that online too if you have wireless Internet access (e.g. via Wifi or GPRS). Check currency? No problem as well since Worldmate updates the rates via the Internet too. Its invaluable as a tool to calculate the equivalent in the local currency. I also find the Packing list useful to keep track of things to take along on the trip.There's lots more like International area codes. If you have the Pro version, you could even subscribe to Flight schedules but I haven't tried that.


I have SplashID with me to keep my confidential data - bank accounts, credit cards, passport numbers, etc. so these vital bits of information are always available and encrypted in a secure format. My Palm's contact database has the credit card service centre numbers and other key contacts (amongst my 5000+ contacts!) so that is invaluable to me.

Next - Maps. Don't want to get lost at your next destination? You have a choice of Mapopolis where you can purchase Maps online. If you have a Bluetooth GPS unit, then with Mapopolis and the appropriate map, you definitely won't get lost! There's also the free Metro which is a subway guide to more than 300 cities around the world. Still not covered? What I sometimes do is download or scan in maps and just use my Palm's Imageviewer to view the digital image of the map.

Next, the conference itself. I usually like to organize myself way before the meeting. I use Agendus as my Calendar replacement and as you can see in this particular meeting (the 10th World Myeloma Workshop in Sydney 2005) I attended, I've already keyed in the sessions I planned to attend. The Notes field of each meeting is used for me to enter my own notes. Don't bother about trying to input notes with Graffiti or your stylus. Get a portable keyboard. It's much much faster. The PDA + portable keyboard is a much more mobile solution than a notebook which is bulkier.
If you want to try a dedicated Lecture note-taking application, I suggest you try Lecturemate and I blogged about it here.

Lastly I use my Palm PDA to keep in touch with home. Not by espensive voice calls but by SMS. I confess I have sent/received messages in the midst of attending conference lectures before (phone was in silent mode of course!) If you have a Pocket PC with Wifi access, you could even use Pocket Skype to save on phone calls.

That's all I can think of for now. If you have any tips on how you use your PDA while attending conferences, do chat with me in my little forum

Sunday, August 07, 2005

Clinical Nephrology 2006 v2

Pacific Primary Care have updated their popular and value-for-money iSilo reference Clinical Nephrology 2006 v2 in PalmGear
Application Description:
Topics include: acute & chronic renal failure, edema, hypertension, acid-base physiology, hematuria, proteinuria, rhabdomyolysis, electrolytes, urinalysis, cystic diseases, cancer, RTA, drug dosing in renal failure, cystic casease, renal drug toxicity, electrolytes, labs, kidney transplant and more much, much more...

My next Palm

As we approach the last quarter of 2005, I eagerly anticipate Palm's (no longer palmOne) upcoming models. Palm traditionally releases a high-end model sometime in October.
I am currently back to using my faithful T3, after Palm Asia graciously replaced my out-of-warranty digitizer-gone-crazy-again and screen-suddenly died-on-me-yet-again T3. The T3 is still working well, but as a loyal Palm user, I always look forward to new PDAs with the features I want.
The Lifedrive is not for me simply because of size. It is just too big for my pocket. I need to carry a PDA in my pocket - otherwise I won't be using it as often as I should.
The Treo650 is also not for me as there is far too little Ram.

I am looking forward to these:
1) A Treo Smartphone with at least 64 MB (preferably 128MB) Ram and running Palm OS6 (well I don't really mind frankengarnet if that's all they'll release). Hopefully it'll have 3G support and not only Edge. Wifi is optional. Lose that silly antenna, Palm! It's sooooo ugly.
2) A T3 with better battery and builtin Wifi. There are some rumours about an upcoming Palm model with all the bells and whistles but 300+ MHz processor. We'll see.

What I DON'T WANT to see is Palm releasing a model running Windows Mobile. This will certainly dismay alot of your loyal customers. Please think carefully.

Saturday, August 06, 2005

LabAid v1.0

This one is for you guys in the lab - LabAid is out of beta and 1.0 has been released. Freeware.

Description:
This software lets you search amino acids by their single or three letter code as well as by mRNA codons.

Friday, August 05, 2005

Epocrates on an expansion card

Well only a partial solution.
From Epocrates Customer Support:
Question
Does Epocrates work on an expansion card?
Answer
If you are a Palm/Windows user with Dx or Essentials, you can now store Dx on your memory card. To do this, you will need to re-download the latest version of the software from your My Account page and choose the Memory Card as the location for Dx. To do this, go to www.epocrates.com and click on My Account. Sign in if needed and then look for the download button next to DX or Essentials. When you click it you will go to a new page that allows you to choose Expanded Memory or Main Memory as the destination for DX. Follow the remaining on screen instructions to save the file to your desktop and continue with the installation as you normally would. Our server will automatically place the files on the card during the first AutoUpdate.
Currently, our applications are not compatible with the Sony memory stick or memory expansion cards on a Pocket PC mobile device.


Thanks to mel for the heads-up.

Thursday, August 04, 2005

Free Cancer Prediction Tools for your PDA

Leo at MedPDA.net has made another great discovery. The Memorial Sloan-Kettering Cancer Center has made available a whole bunch of free cancer prediction tools. What's even better is that you get not only online (flash) versions but if you provide your email address, they will send you a link for downloading versions for PalmOS and PocketPC!

Wednesday, August 03, 2005

New releases from Skyscape

Well I think these are new. Haven't spotted these earlier.

Current Practice Guidelines in Primary Care 2005
Special PDA/Desktop Bundle - only $19.95!
Description:
Now available for the PDA or Desktop PC as a compendium of the most current clinical practice guidelines in primary care. Perfect for on-the-spot consultation in the clinic or on the wards, this reference features updated guidelines for screening and primary prevention and treatment recommendations in a readily accessible, easy to follow format.
Key Features:
* Updated with the latest screening, prevention, and treatment guidelines for over 60 common conditions
* NEW guidelines address managment of metabolic syndrome, palliative and end-of-life issues, prenatal care, and smoking cessation
* All guidelines updated and annotated with new studies
* Immunization schedules for children and adults, including influenza update for 2004/2005


Bethesda Handbook of Clinical Oncology, 2nd Ed
Description:
The Bethesda Handbook of Clinical Oncology, Second Edition is now available in PDA format for quick, easy consultation at the bedside. Prepared by clinicians from the National Cancer Institute and other leading institutions, this handheld reference covers all malignancies and offers busy clinicians practical guidelines on daily patient management. The user-friendly format features tables, charts, bullet points, and algorithms.
Coverage includes:
* Interactive Flow Charts help walk you through a decision - NEW
* New chemotherapeutic agents, dosages, and treatment regimens
* The latest clinical trials data
* Entries on targeted therapies and complementary and alternative medicine in oncology

Sunday, July 31, 2005

Medical PDA Forums

One of the inevitable aspects of using PDAs is that you'll run into some problem sooner or later and apart from support and help from the manufacturer, another good way to get help is from a fellow PDA user.

If you are lucky enough to have a good friend who uses PDAs you could get personal help but do that too often and you might strain the friendship ;).
For instance, I get enough calls from hospital and the last thing I need is a phone call (especially at odd hours) asking for help in PDA matters!
A better way is to share the knowledge and experience online with other PDA users and online forums are an excellent way to achieve this.

I have revamped the links in the template on this webpage to useful Medical PDA forums which I am aware of. These are sub-forums and I don't know of any specifically Medical PDA only forums but please email me if I missed out any.

* I have started a Medical/PDA Computing sub-forum in the MMR Forums. The MMR Forums are new and will hopefully grow over time and serve the local (Malaysian) medical community well, but everyone from the global village is invited to participate.
* DocsBoard is a US based Doctors discussion site and has an excellent Handheld section. I am also participating there and you can get plently of useful feedback from very experienced medical PDA users in that forum.
* Leo of MedPDA.net has linked the Technology (Computing/PDA) section of the Student Doctor Network Forums and this looks like a good place for medical students to visit and discuss PDAs and computers.
* Doctors' Gadgets has a Medical PDA and EMR Forum - it doesn't seem very active but hopefully this blog post will increase traffic there.
* Finally, there's a Palmdoc's Discussion Forum where I'll be posting personal viewpoints and some other links. If you are a regular reader of my blog, you are most welcome to participate and ask questions or post comments there. I'll do my best to answer your queries.

Online forums while being a good thing can be abused. Like anything else, if there are no rules and if anyone behaves as they wish, then it will be no better than a gutter free-for-all community. For this very reason, I have left a local forum and will no longer post or contribute there as long as there are members who don't know how to behave or follow moderation.
For those new to the Internet, email or Forums, you should take sometime to read Netiquette 101 which spells out quite a few rules on decent online behaviour.

So go out there and join the forums but do respect their rules, post responsibly and do contribute to the global knowledgebase on PDAs.

Saturday, July 30, 2005

Medical Physics Calculators

Melvin Astrahan has also released Medical Physics Calculators 1.0.1


Application Description

The STP program calculates the atmospheric temperature and pressure correction factor to reference conditions for ion chamber measurements. Other calculators include a gap calculator for adjoining radiotherapy fields and an equivalent square & circle field calculator.

Freeware

Thursday, July 28, 2005

Free brachytherapy calculator

Melvin Astrahan has released a freeware utility:

MammoSite HDR Calculator 1.0.2

Quality assurance calculator for MammoSite brachytherapy implants. Based on AAPM TG-43. Academically developed, not affiliated with Proxima Corp.
Requires MathLib. Freeware


If you are in the Oncology field, you should check out the other freebies by this author, including TNM Staging and TDF Calculator

Wednesday, July 27, 2005

Nursing Central

Unbound Medicine has launched Nursing Central™

Nursing Central is designed around clinical nursing activities. Two F.A. Davis nursing manuals of diseases and diagnostic testing are at the heart of the Nursing Central package. They are supported by the best-selling Taber's Cyclopedic Medical Dictionary and Davis's Drug Guide, the winner of the 2005 Handango Champion Award for Best Industry Application.
Unbound's unique platform adds a powerful search engine, personalized literature retrieval, journal alerts, and PDA, Web and Wireless support. The extensive content and features make Nursing Central an all-in-one mobile solution for nurses whether on the job or in training.


I'm glad software publishers aren't neglecting the Nurses - an important area since I believe PDAs have a big role to play in helping nuirses ni their daily work.

Tuesday, July 26, 2005

Medical translator

Communicating with patients is of course very important and sometimes one can't wait for the hospital translators. There are some "talking dictionaries" for PDAs but there are precious few designed specifically with the healthcare professional in mind.
Well there's a new software called arpadi® which was developed for just this reason:
it's billed as "a mobile interpreter for Palm OS and Pocket PC, arpadi® enables medically sound, instantaneous communication between doctors and patients of different language affiliation"
Description:
arpadi® knows more than 400 of the most important medical formulations and questions used in clinical practice – in 13 languages – which can be read on the display and heard in the native language of the patient!
With the help of arpadi®, doctors are now able to make reliable diagnoses across the language barrier and to coordinate treatment directly with the patient – simply by reaching into a pocket, without having to depend on amateur translations, without the awkward use of dictionaries, and without having to wait for interpreter services!

I hope the software author can extend the translation capability to include Asian languages.
The ultimate tool of course would be a Star Trek like Universal Translator. How far away are we from this dream gadget I wonder?

Saturday, July 23, 2005

Williams Manual of Hematology

At long last, someone (Skyscape none other) has released Williams Manual of Hematology in PDA format.
A portable, quick-reference guide with clinical information on over 100 hematologic diseases and their management. Based on the new Sixth Edition of Williams Hematology, this reference presents concise information on etiology and pathogenesis, clinical and lab features, differential diagnosis, treatment, and prognosis.

Features:

* Etiology and pathogenesis
* Clinical findings
* Laboratory findings
* Differential diagnosis
* Most recent advances in treatment and management


At $44.95 for the desktop/pda bundle I think it's a bargain!

A herb causing low platelets

Recently a patient of mine with Acute Promyelocytic Leukemia who is off maintenance treatment now, developed a dropping platelet count. A recent PCR for PML-RARA which detects traces of his leukemia is negative. A drug history shows he has been taking Cordyceps and Milk Thistle.
I looked up the former using Lexi-Natural Products for Palm OS and lo and behold, there is a theoretical effect on platelets. Not all Natural product databases have complete data - and Skyscape's Natural Medicines Comprehensive Database 2005 does not mention this.

Once again, the Palm PDA has come to the rescue when looking up drug information and it is increasingly becoming more useful when dealing with herbal and alternatvie medicines.

I would be interested to hear how using PDA based drug databases have helped you in your daily practice. I'd appreciate if you could head over to my mini-forum and follow-up in this thread (you have to register for free in the forum to participate)

Thursday, July 21, 2005

Monday, July 18, 2005

Skyscape Food Guide

Skyscape Food Guide is a free release from the reknown medical PDA publishers.
Based on The U.S. Department of Agriculture (USDA)'s MyPyramid food guidance system, this handy handheld tool will help you choose the foods and the amounts that are right for you. The Skyscape Food Guide puts all the detailed nutritional and diet information, useful tips, and easy-to-use interactive tools of the USDA's MyPyramid system right into the palm of your hand. Receive personalized guidance on what and how much food to eat from each food group by simply entering your age, gender and physical activity level.

Friday, July 15, 2005

Dermmeister

Andrew Schechtman has announced that DermMeister will be released in August 2005.
Its a Dermatology PhotoAtlas for your PDA and to my knowledge it's the first one there is. The great news is that this will be free and it looks to me like it will be another winner for Meistermed.
Great job, Andrew!

Saturday, July 09, 2005

Essentials of Diagnosis & Treatment in Surgery

Skyscape has released Essentials of Diagnosis & Treatment in Surgery in Palmgear.

Essential coverage of surgery! This pocket guide features bulleted, high-yield information on over 400 common surgical diagnoses. With key equations and formulae, a clinical pearl per topic, plus references, this reference truly is essential in critical care.
The Quickest Review to Surgical Diagnosis:
* Short, bulleted points for 400 surgical diagnoses
* Key equations, calculations, and formulae
* Includes orthopedic, reproductive, renal, cardiovascular, GI, and respiratory problems; and other common conditions


Has anyone ever seen surgeons refer to PDAs in the OT? ;)

Tuesday, July 05, 2005

Emergency Room Basics - another independent publisher

Derek Chai has updated Emergency Room Basics 3.01I in Palmgear.
This is an iSilo ebook/document. iSilo is still the defacto reader for a lot of medical references (Mobipocket's reader is also compatible). Publishing text in iSilo format is a cinch using the free iSiloX converter.
Pacific Primary Care are already successful publishers. There are also lots of iSilo books (many free) available from MeisterMed's iSilo Medical Depot.
I think if you are a medical doctor serious about carrying medical references with you, iSilo is a must.
You should also think about converting your own references to iSilo format. You could share it with others or even become a publisher yourself!

Friday, July 01, 2005

Davis's Drug Guide with Auto-Updates 2.1

Davis's Drug Guide with Auto-Updates 2.1 has been updated in Palmgear

Davis's Drug Guide, the best-selling drug reference produced by F.A. Davis, is now delivered via Unbound Medicine's award-winning handheld platform. This comprehensive and up-to-date resource provides need-to-know information on thousand of brand name and generic drugs.
Via Unbound Medicine's CogniQ" platform, this leading drug reference will stay up to date simply by synchronizing your handheld. There is no need to download large installer files and re-install the entire application, as is required by other products. Instead, only new or changed medications will be sent to you quarterly, and they will be downloaded automatically the moment they become available!


Just in case you missed the news, this application won the Handango Champion Award Winners for Best Industry Application this year.
Congrats, Unbound!

Wednesday, June 29, 2005

The Washington Manual® Infectious Diseases Subspecialty Consult

Skyscape has released The Washington Manual® Infectious Diseases Subspecialty Consult 8.0.3:

Prepared by residents and fellows, this handy consult reference covers the full spectrum of infectious disease problems. It offers clinicians valuable assistance in determining what infections the patient is at risk for, where and how (s)he acquired the infection, how to evaluate and manage the patient, and what complications to expect. Information on infections of each organ system includes an approach to that organ system. Other topics covered include bioterrorism, sexually transmitted diseases, brucellosis, systemic mycoses, immunizations, and antimicrobials.

Sunday, June 26, 2005

Breast Ca,

Dr. Harvey Katzen has suggested I add in the Gail Breast Ca. model to Haemoncrules but after looking at Philip Cheng's excellent freeware BreastCa 1.0, I don't think I could do better!

BreastCa is a breast cancer risk prediction tool for the Palm Computing Platform. In particular, it is designed to be a fast, easy-to-use, and accurate implementation of two commonly-used models of breast cancer risk prediction: the Gail and Claus models.

Haemoncrules 1.9

Version 1.9 has been updated in Palmgear.
What's new:
- the MDS prognostic score had an error as pointed out
by Dr Ivanov Vadim of Institut Paoli-Calmettes,
Marseilles. This has been corrected.
- added a Febrile Neutropenia Risk module.
For more details (version history, list of modules etc.) please visit the HaemOncRules Homepage
I have also made some changes to the HaemOncRules homepage, listing instructions for Pocket PC users who wish to run HaemOncRules on a Windows Mobile device.

Friday, June 24, 2005

Oxford Handbook of Clinical Medicine, 6th Ed.

Skyscape has released the Oxford Handbook of Clinical Medicine, 6th Ed.

Description:
The Oxford Handbook of Clinical Medicine covers all areas of internal medicine and provides rapid, on-the-spot access to evidence-based clinical management. Its characteristic style - combining incisive guidance with wit, a lucid style, and memorable epigrams - has been popular with generations of medical students and junior doctors the world over. There are a host of new features in this edition: new sections on common acute medical symptoms, and clinical skills; a new 'cheat sheet' on commonly used drugs; and more ECGs. There are numerous other updates and improvements throughout, many suggested by extensive market research.
A new junior co-author has ensured that the text is just right for its market and tells medicine 'as it is'; and a panel of senior readers has approved every section. The Oxford Handbook of Clinical Medicine is an utterly reliable 'friend in the pocket', any time of the day or night!


While Harrison's may be the popular General medicine reference in North America, across the pond, it's the Oxford Handbook of Clinical Medicine. Glad to see it updated in Skyscape

Valuable lessons

Skyscape has user story in Valuable lessons from an oncologist who maximizes learning with a Palm

I have used Griffith's 5-Minute Clinical Consult 2005 since I was an Intern, and now as a 2nd year oncology fellow, I have been using AJCC Cancer Staging Handbook & Calculator and Physicians' Cancer Chemotherapy Drug Manual 2005 constantly. Having the resources instantly accessible to me while seeing patients has helped teach me more treatments and staging that I otherwise wouldn't have learned. Taking out a book in front of a patient is not quite as acceptable as quickly looking down at my Palm for the answer. Having the resources at my fingertips has definitely helped make me a better doctor, and as a visual learner, helped me learn more quickly. My textbooks are back in my office for reference later, but on the go, I rely solely on my Palm resources.

-Elizabeth Cartwright, MD
Medical Oncology Fellow at the National Cancer Institute at NIH in Bethesda, MD


How many times have I looked up references in front of patients now using the PDA. I think this is not only "more acceptable" as Dr. Cartwright puts it, it is far less embarassing! Moreover, using a PDA still has a "wow" factor which impresses patients.

Also spotted in MobileHealthData: Hand-held Takes Physician to School

As a working mother, Catherine Carrigan, M.D., often found it difficult to squeeze in time for her required 50 hours of continuing medical education. So Carrigan, a solo bariatric care physician based in Finley, Ohio, jumped at the chance to take some courses through a new PDA-based application from San Mateo, Calif.-based Epocrates Inc.
She's been using the MobileCME software, which was officially released in May, for about six months. During that time, she's used the application to take 12 different medical courses. The courses, which take about 15 minutes to complete, are offered by several U.S medical schools.
Carrigan has used the application on her Clie PDA from New York-based Sony Corp. of America to take courses such as "Sudden Cardiac Death in Athletes, "Botox Approved for Primary Care Use" and "Fiber Supplements in the Diet." Each time Carrigan docks her PDA, the software receives updates on which courses she's taken and lists any new course offerings.


So have you found the Epocrates MobileCME service useful? I have. Hopefully my local CME organiser will accept the Epocrates MobileCME points.

Thursday, June 23, 2005

palmOne releases update patch for the T5

Well, well. I thought it would never happen, but better late then never.
All you people using a T5 can now head over and download the T5 1.1 update
The most important thing to me is that 3rd party backup programs now seem to work properly. Backups, especially if you carry with you precious clinical/medical data, are extremenly important.
Now doctors with T5s have a stable reliable PDA with little fear of data loss - you have NVFS which retains data even in the event of battery drain, and now reliable backups to your SD card.
Kudos to palmOne.
Palmdoc may be moving back from his T3 to the T5 again ;)

Wednesday, June 22, 2005

Viewing native PDF documents part II

This is a continuation of Viewing native PDF documents (part I ) on your palmOne PDA.
After a bit of experimentation with tips from 1Src, I got Picsel Browser to work full screen on my T3 i.e. display as 320x480. This is so much better as it will show more information at a glance.
The key tools you'll need are Codediver and either Zlauncher or Powerrun


Instructions

Method 1:
You have to be running Zlauncher.
1. Click on the PicselBrowser icon for some time
2. Select Move to Card
3. Click on the icon again
4. Select Shortcut
5. You can now find PicselBrowser* (the shorcut in CodeDiver.
6. Set VirtualSilk to Force + Long + Long
7. Click on the PicselBrowser icon again for some time
8. Move to RAM
To delete the shortcut, DO NOT use Zlauncher.. Delete it via the FileManager to delete only the shortcut. Otherwise, you may have to reinstall the databases again.


Method 2 (the one I used)
I don't use Zlauncher but I used Powerrun to move Picsel Browser to card (and thereby get the shortcut). After setting CodeDiver to work on the shortcut, I then used POwerrun to move Picsel Browser back to Ram.


Screenshots:





Why native PDF viewing?
It's so convenient and much faster!
Say you get emailed an article, and you can now save the PDF attachment to your SD card and launch Picsel Browser to view it.
When you go to the online version of your favorite journal, you can now download the PDF to your SD card (a card reader is very handy here) and then open it up in Picsel Browser for reading later.
Efficiency is the name of the game. If palmOne is serious about marketing to business and medical users, they should consider bundling Picsel Browser with their PDAs. Until this happens power users now have a temporary working solution ;)

Healthy living

PAcific Primary Care has released Healthy Dieting and Exercise as freeware

Description:
This text gives many great examples on how to get started on healthy eating, regular physical fitness and details stress management for persons of all ages.
This text is directed toward health care providers to assist them in the education of their patients.
Feel free to distribute it to all your patients as even non-medical personnel may also find a lot of useful information, however there may be many technical terms or abbreviations that make it difficult to read.
This text will review basic nutrition as well as common fad diets and give an introduction to stress management and exercise techniques that can be used to enhance longevity.

Sunday, June 19, 2005

Be yet WISER

Well that's my alma mater's motto.
WISER is also the acronym for "Wireless Information System for Emergency Responders" and is a Palm OS-based system designed to assist first responders in identifying and dealing with hazardous material incidents. The system provides access to 390 of the over 4,700 hazardous materials from NLM’s Hazardous Substances Data Bank (HSDB), and allows users to find information either on known substances or to use the system to identify an unknown substance.
WISER is currently available for PalmOS and Pocket PC and is available free from the National Library of Medicine

Saturday, June 18, 2005

Sanford Guide 2005 PDA edition

The new Sanford Guide 2005 PDA edition is now available for download.
The PDA version, for both Palm and Pocket PC platforms, contains the complete contents of the 35th edition of The Sanford Guide to Antimicrobial Therapy.
The new features for Sanford Guide 2005, PDA edition include:
* Searchable version of the complete index only one tap away at all times
* Easy hyperlinks to move through the reference content quickly
* Dynamic hierarchy for rapid navigation of the contents
* Quick look-up of abbreviations
* Special table presentations to pinpoint the answers you need
* A new Jump-To feature to allow even faster navigation
* Bookmarks to enable frequently-accessed material to be found quickly
* Create Notes to customize information on your own PDA

I find the last one interesting as custom Notes are always handy in any Medical PDA reference - all authors should incorporate this feature!
Another big advantage not highlighted, that the PDA version has over the book version are the fonts - I find the book version's fonts so tiny they are barely legible! OK even with my multifocal glasses it's a struggle so I very much appreciate the PDA version and rate it above the book version anytime!

Thursday, June 16, 2005

Journal RSS feeds in your PDA

Since last year I have been using Plucker as my preferred RSS viewer on my Palm. The RSS feeds are "fetched" using Sunrise which is (currently) a free app. Plucker is Opensource so is absolutely free as well.
What we have is a dearth of Medical Journals available as RSS feeds. I do subscribe to some of them as emailed table of contents (e.g. Blood and NEJM). How I wish they were more readily available as RSS feeds.
Well my wish has come true as our friend Leo, over at MedPDA.net has come up with a clever way to use Pubmed to generate RSS feeds from medical journals.
Leo has a list of Journal titles which I find very handy since he and I are in the same field ;). Leo has also kindly shared his technique in this page.
Pocket PC users are also not left out as there is a free Plucker compatible reader for Windows Mobile called Vade Mecum
Here are some screen shots (hosted by Flickr) showing Vademecum and some Medical Journal RSS feeds:


The sizes are a little large since I set the link depth to 1 but probably 0 will do.


Blood Journal as an RSS feed!

Monday, June 13, 2005

Trauma and Toxicology

Pacific Primary Care have released Trauma and Toxicology 2006

Application Description
Topics include: Updated ACLS, ATLS, BLS, PALS protocols for quick acces. Complete detailed tx, w/u or Anaphylaxis, Trauma (head-to-toe), Oncology Emergencies, Psychiatric (Suicide, Violence, Acute Psychosis), Toxicology evaluation, Common Toxidromes, Toxic Food Ingestions, Inhalational Injuries, Marine Injuries, Animal & Insect Bites/ Stings, Burns, Radiation, Sexual Assault, Substance Abuse, Foreign Bodies, Pediatrics (PALS, Fever, ...), Cold Injuries, Drowning, Heat Injuries, Flying & Diving, Hyperbaric Medicine, Altitude Sickness, Intubation, Asthma and much more.
Other features: Multiple illustrations, referenced, detailed treatments and workups.
Edited by a board certified Emergency Physicians with >70 yrs of clinical experience.

Sunday, June 12, 2005

Viewing native PDF documents

Many medical journals publish their articles in PDF format.
For Palm users, we have the choice of using Adobe's Acrobat viewer for PalmOS or Repligo. The latter is shareware but better than Acrobat.
Both suffer the setback of having to run a converter on your Desktop in order to view it on your PDA.

Well I have good news for you. There is now a way to view Native PDF files on your Palm PDA.
Full details and lots of screenshots can be seen here

In the meantime here are some sample screenshots:

Image hosted by Photobucket.com

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Another Epocrates MobileCME review

pdaMD.com has another excellent Epocrates MobileCME review by Peter Berman.
They also have updated PDA Medical News if you're starved of that......

Thursday, June 09, 2005

What's your new upgrade and UTD

Kent "Ectopic Brain" Willyard has got a Treo 650. Congrats Ken! It's a nice smartphone but for me it has one very serious shortcoming: too little user available Ram. Sure you can Powerrun some apps but once you have Epocrates, Avantgo, IBM Java VM, CJKOS and a few other Ram hungry apps installed, there isn't much room for more. 23MB ain't enough for me. The other concern I have is some reports of sudden soft resets happening. This would be most annoying to me and would defeat the main function of a phone which to me must be absolutely reliable as I use it for communicating with the hospital. This is why I have still shunned convergence devices until I am sure they are rock stable and dependable.
OTOH, you might consider the new LifeDrive. 4GB under the hood is amazing. There are concerns about speed (or rather lack of it) though some new apps like Sharkcache may help speed things up a bit. Already medical publishers like Skyscape are bundling the LD with their apps (see palmOne LifeDrive™? Mobile Manager plus $130 in Clinical Decision Support Tools FREE!).
Well, I am using my trusty T3 for my daily work. My Lifedrive equivalent is a Dell Aximx50v with a 2GB CF card and 512MB SD card. I've finally been able to run Uptodate PocketPC version - something still missing from PalmOS and I hope the UTD publishers will seriously consider supporting PalmOS now that Palm in the LD has the storage capability (LD & UTD users please write to them - I have!)

I find myself using UTD more frequently during rounding nowadays since I have it now (FYI I often do carry two PDAs with me, which is why Dockers MobilePant™? for me is absolutely de rigueur)

Here's a screenshot of UTD in action:

Image hosted by Photobucket.com

I'll bet you didn't know Potassium iodide could be used to treat Erythema nodosum ;)

Saturday, June 04, 2005

Eiweight

One of the formulaes missing from Medcalc is the ability to calculate body fat.
There's a freeware app which can do this and track your weight as well : Eiweight

Description:
This software is for recording weight and bodyfat.
This software can indicate weight and the rate of body fat by graph.


This reminds me of Fatcalc which I wrote and which also has the ability to track your weight and measurements including body fat (albeit non-graphical). I have withdrawn Fatcalc from Palmgear due to issues I have with them. Thanks to all who donated (it was donation ware to a Leukaemia charity) but I am sorry to say that I have not been able to get a single $ from Palmgear as they have insisted on mailing me cheques in US$ in tiny amounts despite my written instructions to the contrary. What happens is if I were to bank in the US$ cheque in my local bank, the bank commission would be many times the amount! As it was donationware, and to honor those who have donated, I shall be making a personal donation to the Leukaemia fund. I am thinking of re-releasing it as freeware at a later date once I have the time to re-write the code.

Thursday, June 02, 2005

Unbound's Medicine Central

Press Release:
Charlottesville, VA, June 1, 2005 — Today, Unbound Medicine, a leader in information for healthcare providers, announced the release of Medicine Central™. Designed especially for internists, primary care providers and trainees, Unbound’s new resource combines premier reference content with powerful literature management tools—all easily accessible using a personal digital assistant (PDA), a wireless device, or the Web.
With Medicine Central, clinicians configure their own comprehensive suite of disease, drug, and diagnostic test information by first selecting a core medical text—5-Minute Clinical Consult, Harrison’s Manual of Medicine, or CURRENT CONSULT Medicine. Other highly regarded titles from McGraw-Hill, Lippincott Williams & Wilkins, and F.A. Davis complete the package. Medicine Central enhances these premier titles through Unbound’s award-winning platform, which includes personalized journal tracking and literature searching.
"Regardless of physical location, nomadic clinicians can get quick answers to clinical questions or keep up with the literature," said William Detmer, MD, president and CEO of Unbound Medicine. "Users have the freedom to select their favorite medical reference and get the information they need on both the Web and their handheld device of choice."
Medicine Central joins Unbound’s Anesthesia Central™ as part of a new product series that provides all-in-one mobile solutions for individual practitioners in targeted specialties. Like the related institutional product, Unbound Central™, it combines the powerful and user-friendly features of the Unbound platform with respected clinical content.
For more information about Medicine Central please visit the Unbound Medicine store

Sunday, May 29, 2005

Skyscape 320x480 support

The latest Skyscape versions of their popular medical applications for PalmOS now (finally!) support 320x480 resolution which affords a view of more text at a glance. This is a boon for devices like the T3 and the T5
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Screenshot of PalmOS version

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Screenshot of PPC version

Previously with only 320x320 support, the PalmOS versions displayed less text per screenful compared to the PPC versions. Now they are about the same.
I notice though that the search on the T5 is still slow as previously reported

Saturday, May 28, 2005

Loading up the LifeDrive

Now that a Palm PDA has oodles of storage space, I wasn't suprised to read that vendors are now taking advantage and loading clinical apps on it.
From MobileHealthData:

Redmond, Wash.-based PDA Verticals Corp. will embed 1,000 LifeDrive PDAs from Milpitas, Calif.-based palmOne with clinical reference applications tailored to various specialties. The vendor will display and sell the PDAs at health care industry trade shows.
PDA Verticals will load each of its LifeDrive PDAs with up to seven clinical reference applications. The vendor also offers remote management and updates to the software, as well as the addition of other hand-held applications at a physician's request.


PDA Verticals

Two more medical applications which currently are available only on WM that I would like to see ported to PalmOS are UpToDate (currently you can only access it wirelessly from the Palm) and DiagnosisPro.

The ultimate PDA for free?

I was intrigued to see a post in The Book of Joe about The ultimate PDA — and it's essentially free.
Anyway before you get overly excited, it's really nothing - just index cards and a binder clip, dubbed the "Hipster" PDA!
Here's something even cheaper and more "handy":
Image hosted by Photobucket.com

I really can't recommend either to doctors ;)
The big argument against traditional PDAs has been that if you forget to charge your PDA, then you lose all your data (especially if you forget to or don't bother to backup your data either on SD or Hotsync, something many of my colleagues are guilty of!).
Well fear not for the latest generation of PDAs from PalmOne now use non-volatile Ram which retains your precious data even if the charge runs out. The only way the data is lost is by a hard reset. I think this is a big plus and I'll put up with any bugs the NVFS might have but at least it shows PalmOne is still pioneering the way and Microsoft has some catching up to do here - though WM2005 will support this feature.

Friday, May 27, 2005

Clinical Orthopedics

Pacific Primary Care has updated Clinical Orthopedics in Palmgear.

Application Description
The topics included: everything orthopedic you can imagine, from head to toe. It includes emergency procedures, diagnostic procedures, detailed therapeutic and rehab info as well as many illustrations. This text is very extensive, it covers a vast amount of information. Great for any primary care physician, resident or even a medical student.

Thursday, May 26, 2005

OnTimeRx

OnTimeRx 2.5, is an award-winning Medication Reminder and Healthcare Schedule Manager. Now updated for the PPC platform. It's of course also available on the Palm and I would recommend it highly for all and encourage doctors to beam the app to their patients if they have PDAs. I have!

Wednesday, May 25, 2005

Pepid

Pepid - Portable Healthcare Expertise in the Palm of your hand, has been updated to version 6.1 as of April 2005.
Various "suites" to suit your specialty are available - both on PDA as well as Online.

What's New in PEPID
Version 6.1
April 2005

Introducing! evidence-based medicine
PEPID's value as a research tool is enhanced by monographs developed by PEPID and the Family Physicians Inquiry Network (FPIN). Nearly 200 Clinical Inquiries from practicing physicians are now linked to medical and pharmaceutical content within PEPID PCP and CRC software.

Introducing! PEPID OnCard
Installs and updates just got easier! Now it's simply plug 'n play with a PEPID OnCard. Avoid the hassles of slow connections and firewalls. Get your favorite PEPID content delivered to you door on a memory card. Click here learn how easy it is to keep vital reference information current.

Improved New navigation enhancements
Now get even quicker access to critical information with our improved navigation and toolbar. With over 10,000 entries, the PEPID index has always been the fastest way to information. Now we've made it even faster by colorizing drug topics in blue; bolding and capitalizing keywords.

6.1 Highlights

* Major update with content additions and system improvements.
* All suites include:
1. Major content updates and revisions (see individual products for details).
2. 37 new drugs, 36 new interaction generators.*
3. Beer's criteria for medication use in elderly.
4. Improved PocketPC performance enhancements for quicker data access.
5. Palm performance enhancements for better usability.
6. See individual products for more specific software update information.

Sunday, May 22, 2005

NFP

NFP v2.6 has been released on Freewarepalm

Description:
A freeware program for tracking fertility, known as the Sympto-thermal Method, Fertility Awareness Method, Natural Family Planning, or Ovulation Method.
NFP is a program designed for Palm OS that allows a woman or a couple to track her fertility using a set of simple daily measurements.
NFP can be used either to avoid or achieve pregnancy.
It can be an effective chemical-free method of contraception, or it can be an inexpensive method of conception.


Freeware but do be warned that Natural Family Planning methods are not foolproof and have the highest rates of failure if you are relying on it to avoid pregnancy.

Thursday, May 19, 2005

ProfileMD Classic

"Easy way to keep up with 10 surgeries, 5 doctors & 23 prescriptions a month. I'd be lost without it"

I guess if you are in the same boat as this satisfied user, you would appreciate software like ProfileMD Classic - now updated to version 1.04
Description:
ProfileMD Classic is a FREEWARE personal health record that can give you instant access to your medical history in case of emergencies, physician office visits, or anytime you need the details of your medical history around-the-clock, anywhere in the world from your PalmOS PDA.
ProfileMD can help reduce medical errors by providing rapid access to accurate medical information.
ProfileMD can help cut down on redundant tests, procedures, treatments, and vaccinations by recording this crucial information.

Well I sometimes wish my patients would be more accurate and forthcoming with details of their medical history and if more patients had PDAs running software like this I am sure your doctors would be well pleased.

Wednesday, May 18, 2005

FitnessPlus

FitnessPlus sounds like a fantastic free program for all you fitness fanatics (not couch potatoes like me!)

Description:
FitnessPlus is a comprehensive and powerful fitness tracking software for Palm OS, Windows, and Windows Mobile devices.
Your can use FitnessPlus for diet and exercise tracking to achieve weight loss or weight gain goals, or simply to track your overall fitness and daily nutrition intake.

Lifedrive goes Live!

It's official. The LifeDrive is real since it now appears in palmOne's website. It belongs to a new category of devices palmOne terms "Mobile Managers".
You can view a cool Product Tour

A couple of things missing from the Specs page - does it have 32MB ram or 64MB ram? Does it support USB2.0? The latter I think is important since the 4 GB drive is built in and if you want to transfer a large video clip (not necessarily for entertainment - maybe an angiogram clip or something!) transferring over USB 1.1 would be painfully slow compared with 2.0
I have a 2 Gb CF card for my Dell Axim x50v and it's a cinch removing it and plugging it into my USB 2.0 card reader for those extra large files.
PIC mentions it has 64MB Ram and supports USB 2.0 so this sounds good.

I personally think this device will be great for doctors and healthcare providers - especially if you have wireless connectivity where you work....

Tuesday, May 17, 2005

Concise Guide to Drug Interaction

Skyscape has released Concise Guide to Drug Interaction Principles for Medical Practice Cytochrome P450s, UGTs, P-Glycoproteins, 2nd Ed. on Palmgear.

An understanding of drug interactions has become essential to the practice of medicine. Since publication of the first edition of this Concise Guide in 2001, our increasing pharmacopoeia - coupled with prolonged human life spans - has made polypharmacy commonplace.
Like the first edition of this unique pocket reference, the Second Edition is written expressly for clinicians. With four new contributors, this bestseller includes expanded sections on both phase I and phase II metabolism, updates of existing chapters and tables, new graphics, and extensive Web site references. Brand-new chapters discuss P-glycoproteins, "minor" cytochrome P450 enzymes, pain management with narcotic and nonnarcotic analgesics, prescribing guidelines, and medicolegal issues.


To be honest, checking on doses and using Epocrates' Multicheck drug interaction checker is more than enough for me! But if you want to go into the nitty gritty, then perhaps you could check this out....

Friday, May 13, 2005

New free Palm medical programs

Spotted in Ectopic Brain....

Dr. Beren of CZR Technologies has released 4 free medical applications:
Abnormal Pap Smear
Drugs in Pregnancy
Depression
Abnormal INR

Frank Shann's Drugdoses for PDA

Sanjay, my paediatrician colleague who just got a Tungsten E2, is now getting into the thick of PDAs. He asked me about Frank Shann's DrugDoses - a Pediatric drug reference which originates from Australia. I initially looked for it without success but Dobbs managed to locate it! Thanks Dobbs..

The website is DrugDoses for PDA and you can download and evaluate a PDA version (Palm and Pocket PC) of Frank Shann's booklet

Description:
It has never been so easy to have a copy of Drug Doses with you at all times! The PDA version (for Palm and PocketPC) of the booklet takes less than 350k, and it gives you an enormous amount of information.
The PDA version contains all the drugs that are in the booklet, but you can find them much faster. In addition, you will also be able to download updated versions of the database every few months.
The PDA version also gives you access to a lot of other information. We have included many current laboratory values, a useful cardiology database and a calculator that will help you give the correct doses when you are resuscitating a child.
The PDA versions are developed by Dr O. Karam, Geneva, Switzerland.



If you want a review, you can head over to Swiss-Pediatrics.org, but if you are not fluent in French, then with the help of Google, you can read an English version here

Thursday, May 12, 2005

Guidelines for the Treatment of Psychiatric Disorders

Skyscape has a new title out, Quick Reference to the American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders, Compendium 2004:

Description:
Contains Quick Reference Guides (QRGs) to all of the published APA Practice Guidelines. QRGs are created by abstracting the crucial information from the text of the full guideline, with greatest emphasis placed on retaining the material most directly relevant to the treatment decision making, and are intended for day-to-day work with patients.

Saturday, May 07, 2005

Clinical Neurology 2006

Pacific Primary Care have released Clinical Neurology 2006

Application Description:
Topics include: evaluation of weakness, neuropathy, myasthenia gravis, demyelinating disease including MS and Guillain-Barre, carpal tunnel, cerebellar disorders, movement disorders (tics, Tourette, dystonia..), tremors, Parkinsons, cerebral palsy, ALS, seizures, strokes, headaches, coma, cervical spine problems, low back pain, radiculopathy, sciatica, myofacial pain, sacroiliac dysfunction, ankylosing spondylitis and pseudo-neurological syndromes. To help you manage and treat anything that walks through the door. It is constantly updated, adding the latest and greatest medical management, drugs, dosages, and evidence based medical pearls.

Lifedrive: a great PDA for doctors?



The Palm PDA community is alive with anticipation of palmOne's new "Lifedrive" expected to be announced sometime the second half of May.
I think this will be the one medical PDA users will think of upgrading to (that is if you have been holding back), simply because it has 2 key features: dual wireless (the Wifi being the missing link in previous palmOne models other than the T|C) and a huge 4 GB storage which will be great for multimedia files. Now radiologists can consider putting images on the PDA. Large medical references should be no problem - perhaps UpToDate can finally come up with a PalmOS version and not only PPC. It's still a rumor but the drum beats are getting louder :) Posted by Hello

Thursday, May 05, 2005

New Skyscape releases

Nurse Oncologists are precious. If you are an Oncologist and have a good team of nurses, then make sure you keep them.
Perhaps reward them with the latest update from Skyscape :
2005 Oncology Nursing Drug Handbook

I haven't used this but I guess if you are a trainee at the MGH, you might be interested in the PDA version of The Massachusetts General Hospital Handbook of Internal Medicine, 2nd Ed.

Palm Pediatrics

A colleague of mine just got his first PDA - a palmOne Tungsten T|E2 which is one of palmOne's newest PDAs and one which I think is value for money given the specifications. Well, it's never too late!
Right now he's discovering what he has been missing but he has asked for more links and suggestions to put in his Palm.
I can suggest two good sites for Pediatricians:

Pediatrics on Hand

PedsPalm.com

Welcome to the world of PDAs, Sanjay!

If anyone has any other Pediatric PDA links, please let me know.

Tuesday, May 03, 2005

Depression PHQ-9 Beta

Statcoder has released Depression PHQ-9 Beta on Palmgear.

Application Description:
The Patient Health Questionnaire (PHQ-9) The Patient Health Questionnaire contains a brief, 9-item, patient self-report depression assessment specifically developed for use in primary care (PHQ-9). The PHQ-9 has demonstrated usefulness as an assessment tool for the diagnosis of depression in primary care with acceptable reliability, validity, sensitivity, and specificity. The nine items of the PHQ-9 come directly from the nine DSM-IV signs and symptoms of major depression.



This is another great freebie from the creator of numerous other PalmOS medical applications. Statcoder a.k.a. Andre Chen has not released any version for the PPC, but has also taken note of StyleTap as he has put up this page of info on running Statcoder apps on the PPC

Medcalc on a PPC



Screen shot of Medcalc running on a PPC.  
Medcalc is probably the best free medical calculator running on a PDA. It was available only for PalmOS but PPC users can now run it using Styletap. Screenshot courtesy of Wooikok - thanks.
Posted by Hello

Monday, May 02, 2005

Haemoncrules on a PPC (II)



Wooikok confirms that Haemoncrules works on the PPC using StyleTap. Here's a screenshot (provided by Wooikok - many thanks)
Posted by Hello

Sunday, May 01, 2005

Epocrates Mobile CME Review

I have provided a walk-through and a small review of the new Epocrates MobileCME service which is a free add-on tool for all Epocrates users
I would highly recommend you install this if you are an Epocrates user. It's user friendly and of great educational value even for those of us outside the USA where the CME points submitted to AMA would be meaningless (hint, hint Epocrates, please go truly International!!)

Sample screenshot from the review:

Ultimate Anesthesia Quick Reference

The Ultimate Anesthesia Quick Reference was recently updated in Memoware. This is a free iSilo pocket anesthesia reference.

Description

Contains lists, charts, checklists, guidelines, etc.
# Respiratory Events and Treatments.
# Cardiovascular Events and Treatments.
# Metabolic, Electrolyte, and Hematologic Events and Treatments.
# Neurologic Events and Treatments.
# Subspecialty Anesthesia Reference: cardiac, vascular, pulmonary, obstetrics, pediatrics, regional, pain, coagulation, medications.

Quick-tap hypertext links to related pages. Any page can be accessed through the Table of Contents or the Alphabetical Index.

Saturday, April 30, 2005

Epocrates MobileCME

Epocrates wishes to remind users of their MobileCME service

Epocrates® is thrilled to announce a new way of earning CME credits – the MobileCME™ learning system. Clinicians can now earn CME credit conveniently from their handheld device any where, any time.

MobileCME from Epocrates is unlike any other program because you can

* Complete CME programs any where, any time
* Read articles, answer questions and request your certificate, all from your mobile device
* Learn from esteemed faculty and other leading researchers
* Use your down time to stay current, earn and document your CME credits

The MobileCME continuing medical education solution is available at no charge for all Epocrates Essentials, Epocrates Rx Pro and Epocrates Rx users and enables you to take CME on your Palm OS® or Pocket PC OS handheld device, wherever you are, whenever you have time! MobileCME is also compatible with Palm OS users syncing to a Mac computer.

Friday, April 29, 2005

Haemoncrules on a PPC

Want to be able to run Haemoncrules on a PPC? Well I haven't ported it over yet :P but if anyone wants to try, they can install StyleTap which claims to be able to run PalmOS applications on a Windows Mobile device..

Anesthesia Central

Unbound Medicine has launched Anesthesia Central, a collection of PDA, Web and Wireless apps for Anesthetists. Unbound bills this as "A premier collection of disease, drug, test, procedure, and literature information for anesthesiologists, critical care specialists, nurse anesthetists, and trainees. Includes access on PDA, Web & wireless devices via Unbound's award-winning platform!"

Thursday, April 28, 2005

Splinting Manual for PDA

MeisterMed has released Splinting Manual for PDA which is a free iSilo reference which makes full use of the graphics and text linking capabilities of iSilo

Adapted from the Ortho-Glass® Splinting Course Manual (Fifth edition) by MeisterMed with the permission of the publisher. Includes indications, techniques, and step-by-step instructions with illustrations for applying nineteen types of splints to the upper and lower extremities. A handy refresher for those who don't put on splints every day. Will also be a great teaching tool for medical students and residents.

Wednesday, April 27, 2005

Phatnotes as your peripheral brain

Back in November I blogged about Memoleaf being another way to organize your Palm Memos. Memos are a great way to keep Pearls, sinppets of info and are a great replacement for those Index cards (I sure hope Jim Zaslavsky is reading this!).
What if you are an owner of a Pocket PC? One of the worse things about Windows mobile is the horrible PIM organisation. Memos are stored as individual text files in My Documents and it is simply terrible if you try to use these "Notes" as your Peripheral Brain. You'll need a third party app and one that seems to be popular is Phatnotes which functions as a Notes replacement for Pocket PCs. If you get the Professional edition, then the nice thing is there is also Phatnotes for PalmOS. So if you are an owner of both a Palm and a PPC, you can keep your Notes/Memos synched easily between both devices. The setup will install a Phatnotes Desktop module (you can import Outlook Memos into the Phatnotes desktop) and this will sync with both the Palm and PPC. Neat!

Screenshots:

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Phatnotes on a PPC

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Phatnotes on a Tungsten T3

A couple of new cardiology titles

Dx/Rx: Valvular Heart Disease
Dx/Rx: Coronary Thrombosis

are a couple of new titles from Skyscape that those in the cardiology field might want to check out....

Southbeach Diet on your Palm

Skyscape seems to have gone to the general health consumer market for the first time, and not concentrating on medical/health professionals alone with the release of the Southbeach Diet Onhand

The South Beach Diet™ OnHand is the perfect complement to the best-selling South Beach Diet™ book created by Dr. Arthur Agatston, M.D., preventative cardiologist and inventor of the Agatston Score. The convenience and the portability of the OnHand application allow users an easy way to track their progress and stick to their diet when they are traveling, shopping for groceries, or eating in restaurants.


I just wish to remind Asian PDA users (or really anyone who fancies Asian food!) that a PalmOS standalone version of the Asian Food Calorie Counter is available (previously this was available only as a HanDbase or MobileDB database)

This freeware app created by my buddy Peter Soong, is available for free from the Files section if you join the KVPUG Yahoo group (again membership is free, and you are welcome even if you are not from the Klang Valley!)

Monday, April 25, 2005

Easy Pulse

Taking the pulse rate may not be so convenient nowadays with digital display watches or worse still analog watches with no second hand (like mine!)
You may want to check out EasyPulse v1.0:

Description:
Need to take a manual pulse? Forgot your wrist watch? No second hand? Not so good at math? Let EasyPulse do the work of calculating the heart rate for you.
Simply count 20 beats using the start and stop and let EasyPulse determine the heart rate!


Freeware.

Not everyone is convinced...

The Philadelphia Inquirer has an article about Doctors and PDAs


Both student doctors and practicing physicians say the PDAs are no replacement for that medical standby: memory. To use the device, they say, you've got to know where to start, from the disease's cause to the drug name.
"It's just a different way to do research rather than using those 40-pound books," said Gloria Donnelly, dean of the Drexel University College of Nursing and Health Professions, which began requiring nursing students to use PDAs three years ago. "They look up the drugs and the lab values before they see a patient or review a condition."
Not everyone thinks the electronic gadgets are the wave of the medical future.
Jim Zaslavsky, a fourth-year student at the clinic with Koth, walked around with seven index cards in his pockets, along with a pamphlet-size pharmacopeia and several yellow sticky notes.
"I just don't have the time to look it up on a gadget," the orthopedic surgery student said. "If a kid breaks his arm, I just need to know what to do."


I agree that PDAs are not everything and yes, they make alot of difference compared to the 45 pound books.
I just don't understand Jim's logic (or lack of it) though . Maybe it's just ignorance. You can store much more in that PDA than a whole stack of index cards and it'll be much faster looking up the info too, Jim!

Saturday, April 23, 2005

Treo650 in Healthcare

TreoCentral has an interesting thread on this issue.
If you are a doctor with a Treo650, or considering getting one, it's worth a read - lots of real-life experiences here!

Friday, April 22, 2005

Thursday, April 21, 2005

MIMS Asia (beta) review

For a long time, medical PDA users in Asia had to contend with drug databases with a North American flavor. But now, doctors and pharmacists across Asia can access MIMS Pda and Mims Interact on their PDAs (Pocket PCs only for the time being)

The installation is rather rudimentary as you have to copy the Cab file over to your Pocket PC and then run the setup from there. This forces one to install to precious Ram and it would be better to have a proper setup and give users a choice to install onto built-in or SD/CF media. I'll be just reviewing the Product database.
(images stored in Flickr)



The splash screen prompts one to download the latest version before clicking to proceed. There is no apparent expiry date and it seems to be based on a 2004 database. As everything is stored in Ram, it eats up 2MB+ of resources.



The layout is quite nice, and the interface is tabbed - you can select to view by Brand, Generic name, Class, Manufacturer or Distributor
I find that useful as sometimes we can't quite recall the names and need to jog our memory on products from particular manufacturers or class of drugs.
The listing in this beta version is far from complete nor up-to-date as some "newer" drugs are not found.



I tried searching for less commonly used drugs like some monoclonals. This screen capture shows a search for Infliximab turning up a blank! Rituximab is also not listed. However, basiliximab can be found.




Individual drugs have more information laid out in a neat tabbed format for Indications, Dosages, Adverse reactions etc. There isn't any information on regional pricing.
You'll note the text is a little blurry. I'm afraid the application doesn't seems to support Cleartype fonts. But nevertheless it is clear enough to read though Cleartype support would be very welcome.

Conclusions:

A promising start for MIMS Asia but much remains to be done.

Pros:
At last a drug database for Asian doctors - very timely indeed since trade names here are often different
Neat design and layout, nice tabbed interface

Cons:

Sluggish performance.
Cleartype fonts not supported.
Out of date database - but then this is a demo. It remains to be seen how updates are done - hopefully automatically over Activesync and not manual reinstalls.
Rudimentary installation. Requires Cab installation. No option to install on Storage cards to save on Ram (important for Pocket PCs)
The most serious omission of all is the lack of a PalmOS version. PalmOS toting doctors still vastly outnumber Pocket PC users. If I am not mistaken, the developers of this product used Appforge since an Appforge booster module is included in the installation. It should not be difficult then to port a PalmOS version!
MIMS PDA Australia/NZ in contrast is a mature product and they have both Palm and Pocket PC versions. MIMS Asia should take a cue from their Australian counterparts and follow their excellent example on dual platform support.

Wednesday, April 20, 2005

Lexi-Comp Offers Free Calculator App

From mobileHealthData:

Hudson, Ohio-based Lexi-Comp Inc. is offering free hand-held medical calculator software to subscribers of its PDA-based suite of clinical reference applications.
The Lexi-CALC software includes calculators for body mass index; body surface area; creatinine clearance; heparin dosing; ideal body weight for adults and children; and medication concentrations.


For more information, go to lexi.com.

Tuesday, April 19, 2005

Radiology Review Manual

Radiology Review Manual 5th Ed. is now available from Skyscape

The #1 radiology board review - the Green Book - is now available in PDA format! Dr. Dähnert's Radiology Review Manual has helped thousands of readers prepare for - and successfully complete - their written boards. It's organized by body region (just like the exam) and provides extensive lists of image findings and differential diagnoses associated with specific disease entities. An outline format, a shorthand style, and a thorough index make must-know facts easy to find, review, and remember.