<?xml version="1.0" encoding="utf-8"?>
<rss version="2.0">
<channel>
<title>Medgadget</title>
<link>http://www.medgadget.com/</link>
<description>Internet journal of emerging medical technologies.</description>
<copyright>Copyright 2008</copyright>
<lastBuildDate>Mon, 14 Jul 2008 11:56:19 -0800</lastBuildDate>
<generator>http://www.movabletype.org/?v=3.2</generator>
<docs>http://blogs.law.harvard.edu/tech/rss</docs> 

<item>
<title>Epocrates Rx Now on iPhone</title>
<description><![CDATA[<p><img class="side" src="http://www.medgadget.com/archives/img/epocrates_iphone.png" width="207" height="379" /><strong>Epocrates </strong>has announced that its free drug and formulary application, Epocrates Rx, is finally available for the iPhone through the iTunes store.  </p>

<p>Some of the features from the product page:</p>

<blockquote><li>Adult and pediatric dosing for FDA-approved and off-label indications</li>
<li>Black box warnings, contraindications, and cautions</li>
<li>Serious and common adverse reactions, and drug interactions organized by clinical category</li>
<li>Pill pictures within the drug monograph showing you and your patients exactly what each drug looks like</li>
<li>Safety and monitoring information, such as pregnancy risk categories, lactation safety ratings, monitoring parameters and therapeutic drug levels</li>
<li>Manufacturer information, approximate retail pricing, and FDA/DEA status</li>
<li>Pharmacology information, including metabolism, excretion (i.e., half-life), drug class, and mechanism of action</li>
<li>Notes section for your personal notes</li></blockquote>

<p><b>Press release</b>: <a href="http://www.marketwatch.com/news/story/epocrates-drug-formulary-application-apple/story.aspx?guid=%7B1C74FC9A-DE0C-424D-BAD6-BD706B236CF4%7D&amp;dist=hppr">Epocrates Drug and Formulary Application on Apple App Store</a></p>

<p><strong>Product page</strong>: <a href="http://www.epocrates.com/products/rx/iphone.html">Epocrates Rx for iPhone</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/07/epocrates_rx_now_on_iphone.html</link>
<guid>http://www.medgadget.com/archives/2008/07/epocrates_rx_now_on_iphone.html</guid>
<category>Medicine</category>
<pubDate>Mon, 14 Jul 2008 11:56:19 -0800</pubDate>
</item>
<item>
<title>The Suicidality Monitoring System:  The 10-foot Pole of Clinical Trials</title>
<description><![CDATA[<p><img alt="" class="bside" src="http://www.medgadget.com/archives/img/oldphone.jpg" width="188" height="250" /><strong>eResearchTechnology</strong>, Inc. is a company that develops tools to automate and facilitate data collection for clinical trials.  Today eRT announced the availability of the Suicidality Monitoring System as part of their automated phone questionnaire system, ePRO.</p>

<p>The product standardizes the collection of subjective data to reduce bias in clinical trials.  It also promises to lower the time and cost involved in these assessments, while improving patient comfort.  The system will automatically contact a clinician if a patient reaches a certain threshold of "suicidality."  </p>

<p>Here are some more comments from the press release:</p>

<blockquote>"...The SMS models the ideal human interviewer, comprehensively and consistently covering every relevant topic while efficiently branching around irrelevant questions. Sound science requires standardization of
measurement; the SMS provides a standard of procedural reliability that surpasses the reliability of human investigators performing such assessments."

<p>"Just as the use of digital ECGs in assessing cardiac safety has become an essential part of drug development, we believe that the use of SMS in assessing suicidality will also become an integral part of the drug development process," said Jeffrey S. Litwin, M.D., eRT's Chief Medical Officer.</blockquote></p>

<p>Read the press release <a href="http://www.ert.com/press/press2008/press_release_2008_080619.html">here</a>...</p>]]></description>
<link>http://www.medgadget.com/archives/2008/06/the_suicidality_monitoring_system_the_10foot_pole_of_clinical_trials.html</link>
<guid>http://www.medgadget.com/archives/2008/06/the_suicidality_monitoring_system_the_10foot_pole_of_clinical_trials.html</guid>
<category>Psychiatry</category>
<pubDate>Thu, 19 Jun 2008 09:52:15 -0800</pubDate>
</item>
<item>
<title>Experiencing Transcranial Magnetic Stimulation</title>
<description><![CDATA[<p><img alt="" class="bside" src="http://www.medgadget.com/archives/img/0875tms1.jpg" height="253" width="260">British neuroscientists are working on miniaturizing devices that would be able to deliver high tesla fields to produce magnetic stimulation within the brain, a potential therapy for migraines, and other neurological or psychiatric disorders.</p>

<blockquote>These new brain stimulators, called DC machines, introduce very weak electrical currents. But like TMS, DC also has the same effect of changing the &quot;excitability&quot; of brain cells, either damping down their reactivity or boosting it, which can change the way that the brain responds.

<p>Although the prototype electrical stimulator costs around &pound;5000, the hope is that the costs will fall as more are used. The device is much easier to use than TMS since it does not have to be precisely positioned over the correct brain region, which is currently done with a brain scanner.</p>

<p>The electrical version simply requires two electrodes, colour coded pink and yellow, to be put on head. Then a current passes between them, through the brain.</p>

<p>The method promises to have long lasting results for up to 90 minutes.</p>

<p>&quot;This is a huge advantage of DC because TMS effects only last for a few minutes,&quot; says Prof Walsh, who expects the results of his trial next year.</blockquote></p>

<p>Roger Highfield, a science editor at the <em>Telegraph</em>, got a dose of transcranial magnetic stimulation to experience how the technology can directly influence the brain's ability to function.  In the following video Highfield's speech region of the brain is targeted, and successfully interrupted by strong magnetic fields.</p>

<center><embed src="http://services.brightcove.com/services/viewer/federated_f8/1137883380" bgcolor="#FFFFFF" flashVars="videoId=1556691972&playerId=1137883380&viewerSecureGatewayURL=https://services.brightcove.com/services/amfgateway&servicesURL=http://services.brightcove.com/services&cdnURL=http://admin.brightcove.com&domain=embed&autoStart=false&" base="http://admin.brightcove.com" name="flashObj" width="486" height="412" seamlesstabbing="false" type="application/x-shockwave-flash" swLiveConnect="true" pluginspage="http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash"></embed></center>

<p><a href="http://www.telegraph.co.uk/earth/main.jhtml?view=DETAILS&grid=&xml=/earth/2008/05/16/scibrain216.xml">More</a> from the <em>Telegraph</em>...</p>

<p><strong>Flashbacks:</strong> <a href="http://www.google.com/search?q=tms&sitesearch=medgadget.com" title="tms - Google Search">Medgadget transcranial magnetic stimulation (TMS) archives...</a></p>

<p><strong>Picture credit</strong>: Brainsway Ltd.: <a href="http://www.medgadget.com/archives/2007/01/deep_tms_techno.html" title="Deep TMS Technology by Brainsway">Deep TMS Technology by Brainsway</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/05/experiencing_transcranial_magnetic_stimulation.html</link>
<guid>http://www.medgadget.com/archives/2008/05/experiencing_transcranial_magnetic_stimulation.html</guid>
<category>Neurology</category>
<pubDate>Mon, 19 May 2008 00:00:07 -0800</pubDate>
</item>
<item>
<title>MEMENTO Memory LifeBook Concept</title>
<description><![CDATA[<p><img class="bcntr" src="http://www.medgadget.com/archives/img/memento_for_dementia.jpg" width="467" height="535" /><br />
Peter Sin Guili, a product design student at LaSalle-SIA College of the Arts in Singapore, tells <em>Medgadget</em> that he has developed an idea for a personal assistance device to help people suffering from dementia, which can help with communication, memorizing events in one's life, and keeping tabs on important to-do's and objects that need to be kept in mind.  </p>

<p><img alt="" class="bside" src="http://www.medgadget.com/archives/img/456mem3.jpg" width="300" height="200" /><br />
More about the device:</p>

<blockquote>MEMENTO Memory LifeBook is designed as a "wearable mobile product solution&quot; to serve as a multi-faceted holistic mobile memory aid device as well as providing a security safeguard for elderly individuals with mild-to-moderate dementia. The User-Centered design approach and ergonomic studies are undertaken to devise a product which is effective and meeting the needs and concerns of the target users. The product aims to allow the elderly demented users manage their lives more effectively and efficiently by providing them with the confidence and ability to carry on their day-to-day living independently as normal as possible and for as long as possible by rendering cognitive assistance in various spheres: e.g. maintaining contacts, reminiscence, effecting everyday routine tasks, keeping track of appointments, and keeping close to medication routines among others.</blockquote>
<img alt="" class="bcntr" src="http://www.medgadget.com/archives/img/456mem1.jpg" width="468" height="203" />

<p><a href="http://www.mementolifebook.c-o.in/">More info on the MEMENTO here...</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/05/memento_memory_lifebook_concept.html</link>
<guid>http://www.medgadget.com/archives/2008/05/memento_memory_lifebook_concept.html</guid>
<category>Neurology</category>
<pubDate>Mon, 12 May 2008 10:59:48 -0800</pubDate>
</item>
<item>
<title>New Data Shows that Deep Brain Stimulation Useful for Severe, Treatment Resistant Depression and OCD</title>
<description><![CDATA[<p><img class="bside" src="http://www.medgadget.com/archives/img/medtronic_soletra.jpg" width="210" height="221" />The idea that deep brain stimulation could become a useful treatment for a variety of drug resistant psychiatric disorders is not new to us or to our readers. To review, you can just take a look at many flashbacks at the end of this post. Now the news is that at the upcoming annual scientific meeting of the American Association of Neurological Surgeons (AANS), the data to be presented by Ali Rezai, M.D., a neurosurgeon at the Cleveland Clinic, will again point to usefulness of deep brain stimulation (DBS) for severe, treatment resistant depression and obsessive compulsive disorder (OCD).</p>

<p>From the statement by <strong>Medtronic</strong>:</p>

<blockquote>The data represent the largest and longest clinical experience to date with DBS for psychiatric disorders and was collected through the collaborative research efforts of several leading institutions.  All of the studies being presented used the Medtronic DBS system to stimulate a target within the brain called the ventral anterior limb of the internal capsule/ventral striatum (VC/VS), which is a central node in the neural circuits that regulate mood and anxiety.

<p>&ldquo;The data we are presenting on 43 patients is the result of more than 10 years of work across multiple institutions worldwide.  These data represent the largest number and the longest evaluation of patients with psychiatric disorders who have undergone DBS implants, including some with long-term follow up,&rdquo; said Dr. Rezai, who represented an international working group of physicians studying DBS therapy for treatment resistant OCD and depression.  &ldquo;While OCD and depression treatment with DBS require additional clinical evaluation research, our early open-label experience to date is encouraging and indicates that DBS may help severely disabled and suffering patients who have exhausted other treatment options.&rdquo;</blockquote></p>

<p><strong>Press release:</strong> <a href="http://wwwp.medtronic.com/Newsroom/NewsReleaseDetails.do?itemId=1209387710203&lang=en_US" title="Clinical Data on the Use of Medtronic’s Deep Brain Stimulation System for Psychiatric Disorders to Be Presented at International Neurosurgical Meeting">Clinical Data on the Use of Medtronic's Deep Brain Stimulation System for Psychiatric Disorders to Be Presented at International Neurosurgical Meeting...</a></p>

<p><strong>Flashbacks:</strong> <a href="http://www.medgadget.com/archives/2008/02/st_jude_begins_deep_brain_depression_trial.html" title="St. Jude Begins Trial of Deep Brain Stimulation for Depression">St. Jude Begins Trial of Deep Brain Stimulation for Depression </a>; <a href="http://www.medgadget.com/archives/2006/04/deep_brain_stim.html" title="Deep Brain Stimulation Shows Promise in Treatment of Obsessive Compulsive Disorder">Deep Brain Stimulation Shows Promise in Treatment of Obsessive Compulsive Disorder</a>; <a href="http://www.medgadget.com/archives/2007/08/deep_brain_stimulation_therapy_for_mcs.html" title="Deep Brain Stimulation Therapy for MCS">Deep Brain Stimulation Therapy for MCS</a>; <a href="http://www.medgadget.com/archives/2007/08/deep_brain_stimulation_awakens_patient.html" title="Deep Brain Stimulation Awakens Patient">Deep Brain Stimulation Awakens Patient</a>; <a href="http://www.medgadget.com/archives/2008/04/st_jude_receives_patent_for_anti_depression_neurostimulation_method.html" title="St. Jude Receives Patent for Anti Depression Neurostimulation Method">St. Jude Receives Patent for Anti Depression Neurostimulation Method</a>; <a href="http://www.medgadget.com/archives/2005/03/brain_implant_r.html" title="Brain Implant Relieves Depression">Brain Implant Relieves Depression</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/04/new_data_shows_that_deep_brain_stimulation_useful_for_severe_treatment_resistant_depression_and_ocd.html</link>
<guid>http://www.medgadget.com/archives/2008/04/new_data_shows_that_deep_brain_stimulation_useful_for_severe_treatment_resistant_depression_and_ocd.html</guid>
<category>Neurological Surgery</category>
<pubDate>Mon, 28 Apr 2008 11:31:24 -0800</pubDate>
</item>
<item>
<title>St. Jude Receives Patent for Anti Depression Neurostimulation Method</title>
<description><![CDATA[<p><img class="bside" src="http://www.medgadget.com/archives/img/libraxp.jpg" width="300" height="380" /><strong>St. Jude Medical</strong> has received a patent from the US Patent and Trademark Office for their deep brain stimulation technology that focuses on Brodmann Area 25 to treat severe, refractory depression. </p>

<blockquote>Brodmann Area 25 is a structure within the subcollosal gyrus region of the brain. It is the focus of the St. Jude Medical BROADEN(TM) (Brodmann Area 25 DEep brain Neuromodulation) study, which is evaluating whether deep brain stimulation (DBS) therapy can help people who suffer from major depressive disorder, a severe form of depression. This study is being conducted under a U.S. Food and Drug Administration (FDA) Investigational Device Exemption (IDE), which was announced in February 2008.

<p>"This patent is a cornerstone in developing our approach to deep brain stimulation for depression, which is the leading cause of disability in the U.S. among illnesses," said Chris Chavez, president of St. Jude Medical's ANS Division. "The BROADEN study provides hope for a meaningful new therapy to the millions of patients still seeking treatment for their severe depression."</p>

<p>On April 4, St. Jude Medical enrolled the first patient, a woman from Chicago, in the BROADEN study. The patient will be implanted with the Libra(R) Deep Brain Stimulation System, an investigational device, at Alexian Brothers Behavioral Health Hospital in Chicago.</blockquote></p>

<p><strong>Full patent:</strong> <a href="http://patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO1&Sect2=HITOFF&d=PALL&p=1&u=%2Fnetahtml%2FPTO%2Fsrchnum.htm&r=1&f=G&l=50&s1=7,346,395.PN.&OS=PN/7,346,395&RS=PN/7,346,395" title="Method of treating depression, mood disorders and anxiety disorders using neuromodulation">Method of treating depression, mood disorders and anxiety disorders using neuromodulation...</a></p>

<p><b>Press release</b>: <a href="http://phx.corporate-ir.net/phoenix.zhtml?c=73836&amp;p=IROL-SingleRelease_print&amp;t=NewsRelease&amp;id=1132563&amp;highlight=">St. Jude Medical Awarded U.S. Patent for Neurostimulation Therapy for Depression</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/04/st_jude_receives_patent_for_anti_depression_neurostimulation_method.html</link>
<guid>http://www.medgadget.com/archives/2008/04/st_jude_receives_patent_for_anti_depression_neurostimulation_method.html</guid>
<category>Psychiatry</category>
<pubDate>Tue, 22 Apr 2008 00:00:08 -0800</pubDate>
</item>
<item>
<title>Video Case Studies from NIAAA: Helping Patients Who Drink Too Much</title>
<description><![CDATA[<p><img alt="" class="bcntr" src="http://www.medgadget.com/archives/img/4634etoh.jpg" width="468" height="269" /><br />
The National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health (NIH), has just introduced an online course designed to better equip clinicians in diagnosis and treatment of patients with severe alcoholism. Those that complete the <em>Helping Patients Who Drink Too Much</em> course can obtain a whopping 1.5 hours of CME credits available through Medscape.</p>

<blockquote>"The video scenarios demonstrate evidence-based techniques for assessing and managing at-risk drinking and alcohol use disorders," says NIAAA Director Ting-Kai Li, M.D. "We want to make these techniques widely available to clinicians so that more people with alcohol use problems will get the help they need." Called Video Case Studies: Helping Patients Who Drink Too Much, the program is available through the NIAAA website at <a href="http://www.niaaa.nih.gov/guide">www.niaaa.nih.gov/guide</a>.</blockquote>]]></description>
<link>http://www.medgadget.com/archives/2008/04/video_case_studies_from_niaaa_helping_patients_who_drink_too_much.html</link>
<guid>http://www.medgadget.com/archives/2008/04/video_case_studies_from_niaaa_helping_patients_who_drink_too_much.html</guid>
<category>Net News</category>
<pubDate>Tue, 08 Apr 2008 10:55:09 -0800</pubDate>
</item>
<item>
<title>Virtual Reality to Fight Real Paranoia</title>
<description><![CDATA[<p><img class="bside" src="http://www.medgadget.com/archives/img/virtualparanoia.jpg" width="300" height="167" />Did the girl standing by the automatic doors just look at you?  Does she think you're strange looking?  Is something wrong with your hair?  Perhaps you're paranoid and are just thinking too much of the situation?  Well then, scientists at King's College London just designed a virtual reality simulation of a subway car to both assess and help treat social anxiety disorders.</p>

<p>From the <em>BBC</em>: </p>

<blockquote>During the four-minute ride the volunteers walked around a carriage filled with "virtual" passengers who behaved like real people.

<p>The "avatars" - computer-generated characters - breathed, looked around, and sometimes met the gaze of the participants.</p>

<p>A pre-assessment showed that those who were anxious, worried, pessimistic, or had low self-esteem, were most likely to feel paranoid.</p>

<p>Researchers also said the number of people demonstrating paranoid feelings was higher than expected.</p>

<p>One participant who experienced paranoid thoughts told the scientists: "There's something dodgy about one guy. Like he was about to do something - assault someone, plant a bomb, say something not nice to me, be aggressive." </blockquote></p>

<p>Of course the system needs to be tested against the old adage: "Just because you aren't paranoid, doesn't mean they aren't out to get you".</p>

<p><a href="http://news.bbc.co.uk/2/hi/health/7322951.stm">More with video</a> at the <em>BBC</em>...</p>

<p><b>Press release</b>: <a href="http://www.kcl.ac.uk/news/news_details.php?news_id=763&amp;year=2008">Virtual tube ride 'paranoia hope'</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/04/virtual_reality_to_fight_real_paranoia.html</link>
<guid>http://www.medgadget.com/archives/2008/04/virtual_reality_to_fight_real_paranoia.html</guid>
<category>Psychiatry</category>
<pubDate>Thu, 03 Apr 2008 11:02:22 -0800</pubDate>
</item>
<item>
<title>Using Mirrors to Treat Phantom Limb Pain</title>
<description><![CDATA[<p><img alt="" src="http://www.medgadget.com/archives/img/6555micr.jpg" width="200" height="356" class="bside" />Returning Iraq veteran amputees using an odd neural pathway to trick the brain to treat phantom limb pain...</p>

<blockquote> Dr. Jack Tsao, a Navy neurologist with the Uniform Services University, was looking for ways to help soldiers like Paupore. He remembered reading in graduate school a paper by Dr. V.S. Ramachandran that talked about an unusual treatment for amputees suffering "phantom limb pain," using a simple $20 mirror.

<p>The mirror tricks the brain into "seeing" the amputated leg, overriding mismatched nerve signals.</p>

<p>Here's how it works: The patient sits on a flat surface with his or her remaining leg straight out and then puts a 6-foot mirror lengthwise facing the limb. The patient moves the leg, flexing it, and watches the movement in the mirror. The reflection creates the illusion of two legs moving together.</blockquote></p>

<p>They say necessity is the mother of invention. While improvements in armor technology have kept more soldiers alive than ever before, many of those saved are coming home as amputees. We've explicitly <a href="http://www.medgadget.com/archives/2007/06/is_war_good_for_medicine.html">asked the question</a> before, and the <a href="http://www.medgadget.com/cgi-bin/mt-search.cgi?IncludeBlogs=3&search=iraq">number of posts we've done on the subject</a> serves as evidence: for better or worse, the Iraq and Afghanistan wars are driving major advancements in medical research and technology.</p>

<p><b>More</b> from <a href="http://www.cnn.com/2008/HEALTH/03/19/mirror.therapy/index.html?eref=rss_health">CNN</a>...</p>

<p>Photo Credit: <a href="http://www.flickr.com/photos/michiyoemi/">michiyoemi</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/03/using_mirrors_to_treat_phantom_limb_pain.html</link>
<guid>http://www.medgadget.com/archives/2008/03/using_mirrors_to_treat_phantom_limb_pain.html</guid>
<category>Military Medicine</category>
<pubDate>Tue, 25 Mar 2008 01:00:26 -0800</pubDate>
</item>
<item>
<title>Home Bi-Polar Test Kits Cause Mixed Emotions</title>
<description><![CDATA[<p><img class="bside" src="http://www.medgadget.com/archives/img/3453mag.jpg" width="250" height="168" alt="Get it?" />All too often we come across some new diagnostic methodology that researchers claim could be commercialized in just a few years. Typically these claims are the reason researchers stick to research and leave the commercialization to others (it's never as simple as they claim). However, out of San Diego we have the story of Dr. John Kelsoe, who's applying his genetic research on the genetic predictors of bipolar disorder to sell an at-home test kit for $399.</p>

<p>Not surprisingly, such a quick run to the marked has brought some dissenting opinions...</p>

<blockquote>"People are always rushing to the market on the basis of one or two studies," said Dr. Muin Khoury, director of the National Office of Public Health Genomics at the Centers for Disease Control and Prevention. "We have very little evidence that telling people their genetic information is going to make any difference."</blockquote>

<p>Kelsoe acknowledges the weaknesses of his product, but sees it more as a means to start a discussion between a patient and their doctor.</p>

<blockquote>But [Kelsoe] said his test is a vital starting point toward moving away from the notoriously tricky practice of diagnosing bipolar disorder based purely on a person's behavior.

<p>"The goal of this is to try and help doctors make an accurate diagnosis more quickly so the patient can be treated appropriately," Kelsoe said. "Anything is going to help, even if it just helps a little bit."</blockquote></p>

<p><a href="http://www.latimes.com/news/nationworld/nation/wire/ats-ap_health15mar24,1,5964164.story?page=1">More</a> from the <i> LA Times</i> and (of course) the <a href="https://psynomics.com/">product page</a> from <strong>Psynomics</strong>, Kelsoe's company.</p>]]></description>
<link>http://www.medgadget.com/archives/2008/03/home_bipolar_test_kits_cause_mixed_emotions.html</link>
<guid>http://www.medgadget.com/archives/2008/03/home_bipolar_test_kits_cause_mixed_emotions.html</guid>
<category>Society</category>
<pubDate>Tue, 25 Mar 2008 00:00:41 -0800</pubDate>
</item>


</channel>
</rss>