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• W1983552928 abstract "We begin the first Lancet Technology column with a brief look backwards. As followers of the @TheLancetTech Twitter feed will be aware, over 100 years ago The Lancet published a New Inventions column, featuring reviews of such kit as the Diamond Jubilee Portable Telephone—a battery-operated device from 1897 that might conceivably fit into a large handbag. Although New Inventions was eventually dropped, The Lancet continued to cover technology. In 1993, an item of correspondence described the transmission of fetal ultrasound images between London and San Francisco via “the international computer network, Internet”. Last year, The Lancet published the results of the WelTel Kenya1 trial, using text messaging to monitor the health of HIV patients. The Lancet Technology takes up the challenge of covering the latest, most exciting developments in technology for health. Please feel free to tweet or email me if you have anything of interest. At the moment, I'm particularly keen on global health, social networking, surgery, and gaming technology for health. Daniel Smith, a Senior Lecturer in Psychiatry at Cardiff University, UK, wondered if group psychoeducation for bipolar disorder—an intervention of proven effectiveness—could be translated into an online format. With the assistance of a fellowship from the National Institute for Health Research, and health-care learning company Smile-On, he has developed Beating Bipolar, a web-based psychoeducation and management system. Smith told me that the input from service users was essential. “It sounds like a cliché, but there is a lot you can learn from expert patients. They came up with concerns doctors may not have thought of, like how to talk to employers or family members about bipolar.” Beating Bipolar consists of eight sessions, each focused on a key area of the disorder. Interactive design is key, since patients may have problems with attention span. The user can also document their relapse signature and emergency contact details for future reference. Smith plans to develop an app that would allow the user to record a diary of mood fluctuations, and share this with carers. The aim is to empower the patient, and ensure productive consultations with psychiatric doctors and nurses. He hopes its use may ultimately extend into low-income and middle-income countries with remote populations and few mental health professionals: “It would be fantastic to be able to deliver low-cost monitoring and advice in this way.” Paediatric Emergency Drugs is a smart, simple iPhone app that is a joy to use. Launch it, key in the age or weight of your patient, and in an instant it will give you the appropriate dosages of commonly used drugs, details of frequently used infusions and boluses, tube sizes, physiological parameters, and more. It will even tell you how to make up the preparations. It arose when Shelley Riphagen and Andrew Durward, of the South Thames Paediatric Retrieval Service at the Evelina Children's Hospital, London, UK, were trying to solve the problems facing nurse-led teams in transferring patients from district general hospitals to intensive care. In response, Durward constructed a user-friendly database of the most common drugs needed. Riphagen—prompted by her son—then became interested in providing an app. The technical and business skills of Alexander Kenney of UBQO, a small software company, were instrumental in developing the Paediatric Emergency Drugs app which is now available for £1·79 (US$2·99) through the iTunes store. Riphagen told me that use of her team's database has reduced patient stabilisation time, and prevented the wastage of drugs. Talking to Riphagen, Durward, and Kenney, I was struck by how they share the same philosophy: to make the knowledge and skills of NHS doctors available to the rest of the world via simple, user-friendly systems. In the light of the fiasco of the NHS electronic patient records programme, it is heartening to see what a small, motivated group of clinicians and programmers can achieve in using IT to improve patient care. This monthSites of interestThe Lancet UK Policy Matters has a straightforward aim: to crowdsource data about the effect of health policy changes in the UK, at every level from national trends to individual patient experience. Have a look, and share your evidence.Research Raven, funded by Samaritan Health Services and run by information science expert Hope Leman, is a useful repository of information about health research funding sources, conferences, and calls for papers, as well as the delightful “Leman's Lexicon”, a glossary of life and information science terms, complete with Hilaire Belloc-like verse.Twitter suggestions@TheLancet, @TheLancetUKPM, @Oxfam, @wellcometrust, @bethlemheritage, @iMAXiCoop Sites of interest The Lancet UK Policy Matters has a straightforward aim: to crowdsource data about the effect of health policy changes in the UK, at every level from national trends to individual patient experience. Have a look, and share your evidence. Research Raven, funded by Samaritan Health Services and run by information science expert Hope Leman, is a useful repository of information about health research funding sources, conferences, and calls for papers, as well as the delightful “Leman's Lexicon”, a glossary of life and information science terms, complete with Hilaire Belloc-like verse. Twitter suggestions @TheLancet, @TheLancetUKPM, @Oxfam, @wellcometrust, @bethlemheritage, @iMAXiCoop" @default.
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• W1983552928 title "The Lancet Technology: June 2011" @default.
• W1983552928 doi "https://doi.org/10.1016/s0140-6736(11)60850-7" @default.
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