There’s no app for that: health apps that don’t work

iTunes Store, impresion en iPhoto y iPhone en México (Photo credit: marcopako )

 
From the 15 November 2012 article at HealthNewsReview.org

 

A report by The New England Center for Investigative Reporting – published by the Washington Post – is headlined, “Many health apps are based on flimsy science at best, and they often do not work.”

It begins:

“When the iTunes store began offering apps that used cellphone light to cure acne, federal investigators knew that hucksters had found a new spot in cyberspace.

“We realized this could be a medium for mischief,” said James Prunty, a Federal Trade Commission attorney who helped pursue the government’s only cases against health-app developers last year, shutting down two acne apps.

Since then, the Food and Drug Administration has been mired in a debate over how to oversee these high-tech products, and government officials have not pursued any other app developers for making medically dubious claims. Now, both the iTunes store and the Google Play store are riddled with health apps that experts say do not work and in some cases could even endanger people.

These apps offer quick fixes for everything from flabby abs to alcoholism, and they promise relief from pain, stress, stuttering and even ringing in the ears. Many of these apps do not follow established medical guidelines, and few have been tested through the sort of clinical research that is standard for less new-fangled treatments sold by other means, a probe by the New England Center for Investigative Reporting has found.”

 

Related articles

 

• There’s an app for anything that ails you, even if it doesn’t work (wcvb.com)
• Medical apps may actually hurt health instead of helping (reporternews.com)
• Calling shenanigans on mobile health apps that make false claims (medcitynews.com)
• FTC finds popular kids apps collect data without telling parents (mercurynews.com)

 

[Reblog] Cancer Tracking Goes Mobile – Free UMSkinCheck Mobile App

[Reblog from Taubman Health Science Center Newsblog]

Cancer Tracking Goes Mobile

July 12, 2012 by irinazey

The sun is definitely shining brightly outside – do you know how your skin is affected?

University of Michigan Medical School and University of Michigan Health System have developed a free app to photograph your skin and monitor any suspicious moles or lesions in an effort to make skin cancer screening cheaper, faster, and more convenient for the average person.

Screenshots from UMSkinCheck

Under the supervision of lead developer Dr.  Michael Sabel, UMSkinCheck walks you through a full-body skin self-exam, lets you track moles/lesions for change over time, and set up notification reminders for recurring self-exams. It also comes loaded with information on sun safety and a risk calculator to help determine individual risk based on personalized data.

Read the full story from UMHS here or download the app free from the iTunes storehere.

On a related note, from A blog I follow ,As Our Parent Age- Timely Topics for Adult Children

“Yet another friend has skin cancer. She always used sun blocking lotions, but also enjoyed staying out in the sun for long periods. (I have her permission to write this much.)
My friend tells me that she now understands that sun blocks, no matter how effective or powerful, are only one piece of a skin protection puzzle. Staying out of direct sunlight during the the most intense times of the day is another large puzzle piece.”

This is a good blog to follow, I can’t express it any better than what the author states on the about page

 “As Our Parents Age is my effort to record the experiences of loving and living with aging parents, but it is also a vehicle to help my husband and me understand and learn more about aging parent caregiving. I am highlighting interesting issues, identifying high quality web resources, and sharing memories. Other posts are on topics that my husband and I would have liked to know more about at the beginning of our foray into the aging child – aging parent phase of life.”

Related articles

• The problem with transformative technologies in medicine

  by ROB LAMBERTS, MD(KevinMD.com)
  “…Now add to this a technology which gives us the ability to see all of those undiagnosed ear infections, and we have to muster even more willpower to resist the urge to treat them all.  This is the same problem as we have encountered with PSA testing: be careful gathering data you don’t know how to handle.

  But even without considering this important objection to improved data-gathering, there is another problem which stands in the way of this type of technology: reimbursement.  It sounds great to enable people to avoid visits to the doctor’s office by having tools that previously were only accessible at an office visit.  It sounds like a very good way to save money and wasted time spent in waiting rooms with outdated magazines.  But this technology presumes that doctors will be willing to act on this information without seeing the patient in the office.  It presumes we will be willing to offer free care.  If the time I spend sifting through patient-collected data rises exponentially, the payment I get for that time cannot remain at the present level: zero.

  If our goal (as it should be) is to spend less money on unnecessary care, we will get to it much faster if we somehow give proper incentive.  Our encounter-based payment system stands in the way of any progress in this area.  The only way most of us get paid is to see people and deal with problems.  This makes doctors reluctant to offer any care outside of this setting, and puts undue pressure on intervention (to justify the encounter to the payors).  Until our system puts more value on avoiding unnecessary treatment and keeping people well we will be stuck in this struggle between patients who want to avoid seeing the doctor and doctors who can’t afford to let patients do that…..”
• Skin cancer app tracks changes head to toe (futurity.org)
• Checking For Skin Cancer? There’s An App For That (detroit.cbslocal.com)
• Skin Cancer Self Exam By Use Of Mobile App (medicalnewstoday.com)
• UMSkinCheck – Encouraging you to Take Naked Pictures of Yourself! (coolest-gadgets.com)
• Screen yourself for skin cancer with this free iOS app (news.cnet.com)
• UM Offers New Skin Cancer Mobile App (detroit.cbslocal.com)
• Screen yourself for skin cancer with this free iOS app (news.cnet.com)
• Illness Detection Add-Ons – The ‘UMSkinCheck’ App Can be a Lifesaver (TrendHunter.com) (trendhunter.com)
• Skin Cancer Symptoms (cancercenter.com)
• Skin Cancer Risk Factors (cancercenter.com)

Best Time For A Coffee Break? There’s An App For That

From the 16 February 2012 Medical News Today article

Caffeinated drinks such as coffee and soda are the pick-me-ups of choice for many people, but too much caffeine can cause nervousness and sleep problems.

Caffeine Zone software app developed by Penn State researchers, can help people determine when caffeine may give them a mental boost and when it could hurt their sleep patterns. The software takes information on caffeine use and integrates it with information on the effects of caffeine to produce a graph of how the caffeine will affect the users over time. …

…The app is available on iTunes for free with advertisements and for purchase without ads. It only works on Apple devices – the iPhone, iPod Touch and iPad.
Penn State

 

For information on how to select health apps (with links to select health apps), please visit my Health Apps Web page

Related articles

• Best time for a coffee break? There’s an app for that (eurekalert.org)
• Best time for a coffee break? There’s an app for that (esciencenews.com)
• How to optimize your caffeine intake: there’s an app for that (boingboing.net)
• Time for Coffee? Ask Your Smart Phone (psychcentral.com)
• Optimizing Your Caffeine Intake With an App (science.slashdot.org)

Medical Apps Forum – via News from the Krafty Librarian

Medical Apps Forum.

… iMedicalApps has just launched a new medical apps forum for the medical community to discuss mobile apps and technology. 

Not only will there be general discussions about various apps but they will have specialty areas for people to discuss specific issues without the post getting lost or  bogged down in the general discussion area. In addition the editors and writers on iMedicalApps will be answering questions about mobile technology in the forum.

iMedicalApps is a great resource for reading articles about medical apps for smartphones, hopefully the forum can take that information and extend it and keep it current and practical.

Related articles

• Apple Makes Finding Medical Apps for Professional A Little Easier (jflahiff.wordpress.com)
• Health and Wellness Information and Tracking Apps (jflahiff.wordpress.com)

Apple Makes Finding Medical Apps for Professional A Little Easier

From the Krafty Librarian post Apple Makes Finding Medical Apps for Professional A Little Easier.

According mobihealthnews, Apple quietly launched a new section on the AppStore directed just towards healthcare professionals.  The section which was referred to as an “iTunes Room for Healthcare,” has apps for both the iPhone and iPad intended specifically for healthcare professionals. (There appears to be about a dozen apps that are also for consumer use.)

Not only will this section be dedicated to apps for healthcare professionals but it will also internal categorization as well.  There are six categories for the medical apps: reference, educational, EMR and patient monitoring, imaging, point of care, and personal care (for consumers).  Mobihealthnews thinks that the “personal care” apps may have been included “as a means to help care providers recommend popular health apps to their patients.”

Finally!!!!!  That medical/health section had a lot of junk apps that people had to sift through to find good stuff, it is nice to see this professional section come about. My only question is how/who is adding and vetting the apps?  I hope it isn’t a free for all where app developers can just add their app if they feel like (meaning we could return to problem of chaff out numbering the wheat) but I would like it to be open enough that something that was good but accidentally left out or something newly created could be easily added.

Health and Wellness Information and Tracking Apps

Last month I completed an online medical library class on mobile resources and apps.
The class, Get Mobilized – MLA,  is over. However the content is still online and  free to all.

One week was centered on Mobile Applications and included examples of and links to personal health/wellness apps.

These examples included calorie counters, symptom checkers, and record keepers.

I included these and others in the course at my Web site Health and Medical Resources and News Selected by Janice Flahiff.
Look for them in the Health Apps section.

Related Resources

• Top Health and Fitness iPhone Apps (by Art Writ, MD)
• mobilehealth news  (an industry blog)
• [Free Webinar] What Makes a Health App Effective?
• 

Related articles

• When is a Mobile App a Mobile Medical App? (projecthealthdesign.typepad.com)
• The Growing Hipness of Mobile Wellness (futurelab.net)
• Should Mobile Medical Apps Require FDA Approval? (informationweek.com)
• Sign of the times: Johns Hopkins shuttering its medical library (zdnet.com)

Are Health Apps the Cure for Anything That Ails You?

Currently health apps do not have to pass any standards for scientific validity. In fact, some could be harmful!
This article gives an overview of current regulation and evaluation efforts by the government, medical societies, and others.

Excerpts from the Health Care Blog item  Are Health Apps the Cure for Anything That Ails You?

With about 9,000 consumer health apps currently available in the iTunes store, it seems like almost all smart phone users can download their way to better health these days.

“Apple isn’t testing apps for their scientific validity,” said Dan Cohen, a social worker who has reviewed apps for their effectiveness.

Given the stakes, it’s no surprise that the government is starting to regulate these smart phone applications. Just last month, the Federal Trade Commission brought its first cases against the makers of two health apps. Each claimed to cure acne with colored lights emitted from cell phones.

“Smart phones make our lives easier in countless ways, but unfortunately when it comes to curing acne, there’s no app for that,” the FTC chairman said, when announcing the crackdown. The agency cited the makers of AcneApp, which had sold about 11,600 downloads of its $1.99 app, and the developers of AcnePwner, which sold 3,300 downloads of its 99 cent app.

The Food and Drug Administration (FDA), meanwhile, proposed regulations this summer for apps that could be considered medical devices. The agency, which sought comments on its proposals until Oct. 19, may focus on apps that are accessories to established medical devices used by doctors, such as smart phone apps that can display X-rays.

It could also regulate apps that transform smart phones into medical devices by using sensors or other attachments. Already, the FDA has approved gadgets that turn smart phones into blood pressure-monitoring cuffs and pocket ultrasound machines.

Apps that connect to consumer devices, such as blood glucose meters, may be regulated, too, if the apps display or analyze the meters’ readings, the FDA says.

The majority of health apps will almost certainly not be considered medical devices and will escape government scrutiny. But some app developers are voluntarily going through the laborious FDA clearance process, in part, to convince the medical community that their products have real clinical value.

WellDoc, a Baltimore-based health care company, got FDA approval last year for its DiabetesManager, which provides automated diabetes coaching for patients. The app also was tested in a randomized clinical trial conducted by the University of Maryland’s medical school, which found that patients had a statistically significant improvement in their blood glucose levels after using the app for a one-year period.

Scientists have found flaws with other apps.

When a George Washington University professor conducted the first content analysis of behavior-modification apps, she discovered that few of the 47 smoking-cessation apps available in 2009 followed evidence-based health guidelines. Lorien Abroms, a public health professor, concluded that the apps had “serious weaknesses” because they did not link to quit lines or clinics or suggest ways for smokers to get social support from family and friends.

Related articles

• Smartphone Apps Can’t Cure Acne (bellasugar.com)
• FDA Proposes Health ‘App’ Guidelines (jflahiff.wordpress.com)
• FTC Charges mHealth Apps With False Advertising – No Scientific Evidence for Curing Acne So There’s Not An App for That (ducknetweb.blogspot.com)
• FTC Approves Final Settlement Orders Against Marketers Who Claimed Their Mobile Apps Could Cure Acne (ftc.gov)
• Should Mobile Medical Apps Require FDA Approval? (informationweek.com)
• FDA Review of Some Medical Apps May Be Increased (socialtimes.com)
• Is It Really FDA Approved? (everydayhealth.com)
• Mobile Medical Apps Supervision By FDA, Agency Seeking Input (medicalnewstoday.com)
• FTC: Smartphone apps do not cure acne (news.consumerreports.org)
• Can the iPad cure what ails us? (macworld.com)
• Apps for What Ails You (technologyreview.in)
• FDA will have a plan for healthcare mobile apps in 2012. In the meantime… (medcitynews.com)

“Show Off Your Apps” Winners of the NLM software development challenge

From the NLM (National Library of Medicine) Web page

Show Off Your Apps Winners And Honorable Mentions

 

The National Library of Medicine (NLM), wishes to congratulate the five winning entries in the Library’s software development challenge, “Show off Your Apps: Innovative Uses of NLM Information.” In addition, we thank all Entrants for participating in the Library’s first software development challenge!

 

Winners

 

GLAD4U

GLAD4U (Gene List Automatically Derived For You) is a new, free web-based gene retrieval and prioritization tool, which takes advantage of the NCBI’s Entrez Programming Utilities (E-utilities). Upon the submission of a query, GLAD4U retrieves the corresponding publications with eSearch before using Pubmed ID-Entrez Gene ID mapping tables provided by the NCBI to create a list of genes. A statistics-based prioritization algorithm ranks those genes into a list that is output to the user, usually within less than a minute. The GLAD4U user interface accepts any valid queries for PubMed, and its output page displays the ranked gene list and information associated with each gene, chronologically-ordered supporting publications, along with a summary of the run and links for file exports and for further functional enrichment analyses.

 

iAnatomy

Learning anatomy interactively with a touchscreen device is  dynamic and engaging. Having it as an app, makes the information available anywhere, anytime. iAnatomy is an exciting electronic anatomy atlas for iPhone/iPod touch. The images are interactive and zoomable. If a label is touched, the name of the structure is shown.  Images span from the face to the pelvis. The face and neck images and the female pelvis images are reconstructed from data from the National Library of Medicine’s Visible Human Project. iAnatomy is designed to stand on its own and does not require an ongoing internet connection. Learning is reinforced with multiple quiz modes. Latin medical terminology is also included as an option for international use.

 

KNALIJ

The KNALIJ web application addresses the challenges and opportunities posed by ‘big data’ with a new generation of information visualization tools. It offers researchers, students and health consumers alike a technology platform with capabilities to rapidly discover and gain insights from the copious amounts of information being made available from the National Libraries of Medicine (NLM), through its data repositories such as PubMed. KNALIJ recognizes the ‘connections’ linking bio-medical and life sciences research and researchers around the world, and visualizes those linkages. This makes them clear, intuitive, and even playful by providing interactive ‘information communities’ for exploration, analysis, and education.

 

NLMplus

NLMplus is an innovative semantic search and discovery application developed by WebLib LLC, a small business in Maryland. NLMplus provides enhanced access to the vast collection of health and biomedical information and services made available by the world’s largest medical library, the National Library of Medicine (NLM).

 

Quertle

Quertle is an innovative website for searching and investigating the biomedical literature. Quertle uses advanced linguistic methods to find the most relevant documents instead of traditional keyword searching, which often returns an overwhelming list of uninformative articles. Quertle is geared to active life science professionals – both researchers and health care providers – and saves them considerable time and effort in finding the literature they need.  Quertle, available on the web using any browser, simultaneously searches multiple sources of life science literature, including MEDLINE.

 

Honorable Mentions

 

BioDigital Human Platform

The BioDigital Human Platform simplifies the understanding of health topics by visualizing anatomy, conditions and treatments. Similar to how geo-browsers such as Google Earth serve as the basis for thousands of location based applications, the BioDigital Human Platform will open up entirely new ways to augment healthcare applications. From the visual representation of concepts found on health portals, to step-by-step virtual guidance for surgical planning, to EHR integration so patients can finally understand their diagnosis, the BioDigital Human Platform will meet the learning demands of 21st century medicine.

 

DailyMedPlus

DailyMedPlus is an online application providing integrated access to pharmaceutical information available from various databases provided by the National Library of Medicine (NLM).  DailyMedPlus offers a high-performance unified search engine providing ranked, highlighted and full-text search results for patients and healthcare professionals who seek updated prescribing information.  As the only product of its kind, the application supports searching NLM databases for pharmaceutical products using trade and generic names, medical conditions, indications, contra-indications, side-effects, and also allows for the searching of these products by their physical characteristics (“red round”), providing image results in an in line intuitive layout.  Users benefit from comprehensive search results of more than 90,000 products displayed in over 26,000 organized and digitally curated monographs designed for browsing on a wide variety of desktop and mobile platforms.

 

Drug Diary

Drug Diary is an iOS (iPhone / iPod Touch / iPad) application that allows users to quickly build an inventory of prescribed and OTC medications they are currently taking or have taken in the past along with information on the associated prescribers and pharmacies.  From there, they are able to take notes outlining their experiences with these medications and generate reports to share with care providers.  Data entry is made quick and easy through the use of a locally cached copy of the NLM’s RxTerms dataset and intelligent data entry screens that require little to no typing.  The app leverages the data present in RxTerms to allow one tap access to another NLM source, MedLine Plus, which is a web portal that provides detailed information on the medications in the user’s library.

 

Molecules

Molecules is a 3-D molecular modeling application for Apple’s iOS devices, including the iPad, iPhone, and iPod touch.  It pushes the limits of mobile graphics processors by using advanced techniques to make realistic renderings of molecular models.  A touch-based interface allows for intuitive manipulation of these structures, so that they can be viewed from any angle and at any scale. While originally designed for researchers to view and present biomolecule structures on the go, the most popular use of Molecules has proven to be in education.  Chemistry teachers are using this application to explain common molecular structures to their students, and biology professors are demonstrating the form and function of biomolecules.  Many students already have iOS devices of their own, so they are able to make the lesson more personal by following along on their own iPhone or iPad.  The popularity of this approach is seen in the over 1.7 million downloads of this application to date.

 

ORKOV

Orkov is a Greek term for Hippocratic Oath that medical professionals, especially, physicians take all over the world. Orkov, an iPhone App for iOS 5 platform as well as for Android OS is a productivity smart phone application for hundreds of thousands of medical researchers who are the end users of PubMed.gov data all over the world.  Orkov empowers many researchers to search and browse research abstracts and full text research articles from the repository of PubMed.gov’s over 5,000+ research journals.  Orkov utilizes publicly available web service interface of PubMed.gov.  Majority of the features of PubMed.gov are wrapped into a powerful iPhone/Andorid App that is easy to use and navigate.

Related articles

• Quertle, a Life Sciences Semantic Search Engine, Wins a National Library of Medicine Award (biojobblog.com)

Webicina – free access to curated online medical resources in social media for patients and medical professionals in over 15 languages.

Webicina provides curated medical social media resources in over 80 medical topics in over 17 languages.
It is now also available through a free iPhone application and also a free Android application 

Webicina is a free resource, with entry points at the home page for medical professionals and empowered patients

The topics for medical professionals are constantly being added. At this time they include oncology, bioinformatics, dermatology, emergency medicine, genetics, nutrition, public health, and surgery.
The topics or empowered patients are also constantly being added. At this time they include allergy, sleep, diabetes, fitness, stem cells, weight loss, and transplantation.

Each topic includes Web sites in the following areas, from carefully chosen reputable sites

• News and Information
• Blogs (websites with regular entries commonly organized in a reverse chronological order)
• Podcasts (Audio files which one can download for immediate or future listening)
• Community sites (including related Facebook groups and other forums)
• Twitter and Friendfeed
• Videos
• Mobile phones (apps and software for smartphones)
• search engines (more focused than Google, Yahoo, Bing…)
• Slideshows
• Clinical resources (medical professional section only — includes clinical cases and imaging)

Wish to keep up to date with just portions of Webicina?

Check out and sign up at the PeRSSonalized Medicine page (you may have to select a language)

Doctors Going Digital

 

http://spinabifidainfo.com/infographics/the-doctors-tech-toolbox/

 

Click here for related comments by Krafty [Medical] Librarian

 

Using Your Smartphone to Lose Weight (and other interesting things you can do with a smartphone)

Image via Wikipedia

From the May 5, 2011  Cornflower blog item (The Blog of the National Network of Libraries of Medicine Greater Midwest Region)

Today in Chicago, it is currently 48 degrees at 10:00 am.  Not exactly beach weather.  However, it will be soon time to take off those winter jackets and replace it with t-shirts and suntan lotion.  So, did you know you can use your smartphone to help you lose weight? (Not saying you need it! You look marvelous!) Duke University researchers are using Android smartphones and wireless weight scales for a weight loss study.  It’s not just that you connect with a scale wirelessly and it adds your weight to a chart on your phone; the app on your smartphone will keep track of your weight and depending how it is trending, send you messages.  Hopefully they aren’t messages like “lay off the cookies, Max!” Because I love cookies too much.  Anyway.  This article came out a few days ago and you may find it interesting: http://www.imedicalapps.com/2011/04/duke-researchers-android-phones-bluetooth-weight-scale/.

Sort of on the same wavelength about getting messages from your phone – there are a growing number of services that will communicate with you to remind you of appointments, to take medicines, or in the case above, maybe even give encouragement.  Some examples:

• Text4Baby (especially with Mother’s Day just around the corner!), http://text4baby.org/
  • Indiana University Health, Texting Teen Moms Proves to be a Convenient Source for Support
• Weight Management Text Messaging, http://www.muschealth.com/weightlosstools/weightmessage.htm
• CDC – Mobile at CDC, http://www.cdc.gov/mobile/
• Summa Health System (OH)- Baby’s First Text Message, http://www.summahealth.org/common/templates/article.asp?ID=18612
• ER Wait Times (IL), http://www.edward.org/body.cfm?id=1443 and one from CA, http://blog.cep.com/bid/38007/Hospital-launches-emergency-department-text-messaging-program

There is a Health Literacy Out Loud Podcast on this topic: http://www.healthliteracyoutloud.com/2011/04/26/health-literacy-out-loud-57-texting-important-health-messages/

Other developments:

• In Denver, Co, the hospital group Denver Health has teamed up with Microsoft and EMC on a project to send patients text message reminders about upcoming appointments in a diabetes program that aimed to help patients better self manage their condition.  They ask patients to text in their daily glucose readings.  They hope that this will improve condition management, reduce admission rates and reduce costs.  Read more about this project.
• Getting teens and tweens to be more complaint with eczema treatments with texting: http://www.skincarephysicians.com/eczemanet/texting.html

For more clinical research see the following:

• Text messaging for enhancement of testing and treatment for tuberculosis, human immunodeficiency virus, and syphilis: a survey of attitudes toward cellular phones and healthcare.
• Assessing the effectiveness of text messages as appointment reminders in a pediatric dental setting.
• Content of text messaging immunization reminders: What low-income parents want to know.

There’s more where these came from in PubMed.

What is your organization doing with mobile technologies? Does your hospital have ER wait times available via a mobile device? What about appointment reminders?

P.S. Don’t forget about the NLM “Show Off Your Apps” Contest! http://challenge.gov/NIH/132-nlm-show-off-your-apps-innovative-uses-of-nlm-information

P.P.S. (or is it P.S.S.?) Don’t forget about all of the mobile sites and apps available already from the NLM: http://www.nlm.nih.gov/mobile/

PubMed Mobile Beta & Helpful Links on Searching PubMed for BioMedical Information

From the National Library of Medicine (NLM)  Technical Bulletin article posted March 17 2011

PubMed® Mobile Beta provides a simplified mobile friendly Web interface to access PubMed***. PubMed Mobile includes the same basic search functionality and content as Standard PubMed; that is, all search terms and fields work similarly (see Figure 1).

 

Figure 1: PubMed Mobile homepage.

Simply enter your search in the search box and click “Search” (see Figure 2).

The inital (Summary) display includes the article title, first author’s name, journal title abbreviation, and year of publication.

Figure 2: PubMed Mobile Summary search results.

Click “Free Full Text” or “Review” on the Summary search results page to filter your results. Click “Next” to go to subsequent search result pages.

Click the article title to display the Abstract format (see Figure 3).

Figure 3: PubMed Mobile —
beginning of the Abstract format.

Not all data provided on the Standard PubMed Abstract format are included (for example, MeSH® vocabulary); to see complete data use the link to Standard PubMed.

Related Citations display below the abstract. On the abstract page, click “Previous” or “Next” to navigate to other citation abstracts. Click the “Back to results” link to redisplay the Summary search results (see Figure 4).

Figure 4: PubMed Mobile —
tail end of the Abstract format.

A link to Standard PubMed is available at the bottom of all PubMed Mobile pages.

PubMed Mobile does not include specialized search pages, such as Limits and Advanced search, or added features, such as My NCBI, Clipboard, or LinkOut/Outside Tool. To use these and other PubMed features, display your retrieval in Standard PubMed via the link at the bottom of the screen.

By Kathi Canese and Edward WelkerNational Center for Biotechnology Information

***PubMed is the largest indexer of the biomedical literature in the world. It can be rather intimidating to search the first few times because there are many options to refine your search in order to get tailored relevant results. Believe me, it is worth the effort!

If you would like expert personalized PubMed search advice, please do not hesitate to contact (preferably call ahead!) a  reference librarian at your local academic, medical, or public library.

Many academic and medical libraries offer some degree of personalized reference service to the public. These services are largely offered by professionals with a Masters degree in Library Science who have many years experience providing relevant research articles and other resources to a wide variety of health professionals and others. They enjoy teaching both formally and informally.

Please feel free to email me (jmflahiff at yahoo.com) with any questions. I would be happy to work on a question for up to 2 hours and reply within 3 days. No charge.

Here are some PubMed tutorials and guides

• PubMed Tutorial (National Library of Medicine)
• PubMed Online Training [Quick animated tours, Webcasts, detailed tutorial, Webcasts, and more] (National Library of Medicine)
• PubMed MeSH searching (sullivanlibrary.wordpress.com)
• PubMed Search Help Items (jflahiff.wordpress.com)
• PubMed Toxicology Subset Streamlines Biomedical Searches in the Professional Literature (jflahiff.wordpress.com

Related Articles

• PubMed Health Provides Disease and Treatment Information for Consumers (jflahiff.wordpress.com)
• Download PubMed Search Results Into a Spreadsheet with FLink (jflahiff.wordpress.com)
• How to obtain free/low cost medical articles in medical and scientific journals (jflahiff.wordpress.com)

10 of the Top Health Apps for Consumers & Professionals in 2010

From the ePharma Summit blog item

A lot has changed over the course of 2010 in the apps that HCP’s and Patients use to divulge health information. Many are continuing to get on the Mobile “Bandwagon” for the first time this year alone thanks to innovations in Smartphones and new portable tablets.

Here are 10 popular apps you should consider:

1. Medscape Medscape tops our list as the number one free medical app for medical professionals. The amount of free content provided by Medscape is absolutely mind boggling and seems to continuously grow with each update. 7,000+ drug references, 3,500+ disease clinical references, 2,500+ clinical images and procedure videos, robust drug interaction tool checker, CME activities, and more.

http://www.imedicalapps.com/2010/05/medscape-iphone-medical-app-review

http://itunes.apple.com/us/app/medscape/id321367289?mt=8

2. Micromedex This might come as a surprise to many, but after you use this prescription medical reference app you’ll understand why it ranks so high. The overall user interface of the app is simple and quick. There is minimal clutter — another reason for such a high ranking. If you need to look up a dose or some quick reference information about a drug you can accomplish this with ease.

There are no prompts to register your e-mail address, no CME activities, no icon badges, no notifications, or any other distractions. The one knock on this app is it doesn’t have a robust drug interaction checker, something Medscape and Epocrates provide. On the flip side, for residents and medical students, the app does a better job than other drug reference apps when it comes to mechanism of action information and patient teaching information. Another plus is it’s available for the iPad — which is not true of Epocrates and Medscape.

The application is a production of Thomson Reuters, a legitimate name in Healthcare.

http://itunes.apple.com/us/app/micromedex-drug-information/id390211464?mt=8

3. New England Journal of Medicine The NEJM app is clearly a must have for all health care professionals. The caveat is that when this app was released the NEJM stated it would be free for a “limited time” in the iTunes description — that was more than 5 months ago and the app still remains free, allowing you to access fantastic NEJM content customized for the mobile format. The app allows you to access the last 7 days worth of published articles, along with images of various medical conditions and videos on how to perform procedures such as LPs and chest tubes.

http://www.imedicalapps.com/2010/06/new-england-journal-of-medicine-iphone-app-free-content/

http://itunes.apple.com/us/app/nejm-this-week/id373156254?mt=8

4. Epocrates There is no denying Epocrates is one of the best medical reference tools in the mobile format. The free version of Epocrates, Epocrates Rx, provides great content: Drug monographs and health plan formularies, drug interaction tool, pill identifier, medical Calculator, and a new addition: Medical News and handpicked clinical articles.

http://www.imedicalapps.com/2010/02/epocrates-app-review-iphone-medical-app-ipod-touc/

http://itunes.apple.com/us/app/epocrates/id281935788?mt=8

5. MedCalc MedCalc once again makes it into our top free medical apps list. The creators of MedCalc have updated the app multiple times, making its user interface more robust and continuously adding medical formulas. It’s been downloaded more than a mind numbing 700,000 times, making it one of the most popular medical apps for the iPhone. The creators of the app are medical professionals and it was one of the first medical calculators to hit the iOS App Store with the introduction of the iPhone.

http://www.imedicalapps.com/2009/06/medcalc-v12/

http://itunes.apple.com/us/app/medcalc-medical-calculator/id299470331?mt=8

6. WebMD Mobile This is a free app, which helps patients to diagnose their condition, using a symptom checker. You simply enter your symptoms and the app gives you a diagnosis. There is also a first aid section, which covers everything from minor cuts to heart attacks. The app also offers information about suitable treatments

http://www.webmd.com/mobile

7) iPregnancy This is a useful application for pregnant women; it has a range of pictures of the developing baby and contains a wealth of information about pregnancy. The app also has a tool to keep track of antenatal appointments.

http://itunes.apple.com/us/app/ipregnancy-pregnancy-app/id295598816?mt=8

8) Blood pressure This app tracks blood pressure and can be used to keep a record of blood pressure over a set time period. The app can be utilized by multiple users and is easy to use. This app is ideal for those who have high blood pressure but can be beneficial for everyone, as there are often no obvious symptoms of high blood pressure.

http://www.apple.com/webapps/calculate/bloodpressure.html

9) Glucose Buddy

The Glucose Buddy app is a really useful tool for diabetics; it helps to keep track of blood sugar levels.

http://www.glucosebuddy.com/glucose_buddy_app

10) iPharmacy

iPharmacy enables you to look up medications and treatments and look for dosage instructions, side-effects and information about different drugs. The app also has information about drug interactions so you can find out about taking medications with other types of drug.

http://itunes.apple.com/us/app/ipharmacy-the-drug-medication/id348702163?mt=8

Doctors are taking to iPhone, BlackBerry and smartphone apps. According to the 2009 MDsearch.com Smartphone Survey, 53% of physician respondents own a smartphone and 63% of those physicians are using mobile medical applications. Like it or not apps are here to stay. I truly think they will help 98% of the time both as a reference or a quick way to get updated information about any topic.

HighWire Launches Six Mobile Web Sites in Collaboration with the American Heart Association

 

From the HighWire news release

Stanford, California – November 29, 2010 HighWire Press is pleased to announce the launch of the HighWire Mobile Web Interface for six American Heart Association journals. The Mobile Web Interface is a publication website optimized for the small screen of smartphone devices. This is the first of a suite of mobile products from HighWire, which includes an iPhone and iPad full text app as well as a RSS- driven iPhone app and full text Amazon Kindle support. Users accessing sites through an iPhone or Droid smartphone will be detected and automatically sent the HighWire Mobile Web interface…

Authoritative, Current Health Information Available on Mobile Devices

Looking for health information while at the doctor’s office, pharmacy, or elsewhere when all you have is a mobile device?

The following mobile Web sites & resources from the US National Library of Medicine may just provide the information you are looking for.

**MedlinePlus Mobile provides information on over 750 diseases, conditions, and wellness areas. It also provides drug information and links to health news items.

**PubMed® for Handhelds Web site is a website for searching MEDLINE® with the web browser of any mobile device.
MEDLINE® is the largest database of  scholarly biomedical citations/abstracts in the world. Links to the full text of most articles are by subscription only. Check with your local library on how to get full text of articles not available at PubMed®.

**Wireless System for Emergency Responders (WISER)****** is a software program for Palm Powered or Pocket PC devices to assist first responders in hazardous material incidents.

**NCBI Bookshelf downloadable versions of books from the NCBI Bookshelf for any mobile device.
From the National Center for Biotechnology Information.

******March 22 2011 WISER update from the National Library of Medicine (via their NLM-TOX-ENVIRO-HEALTH-L listserv)

The National Library of Medicine (NLM) Wireless Information System for Emergency Responders (WISER) 4.4 is now available. It can be downloaded to the WISER Windows, Pocket PC, and SmartPhone platforms from the WISER Web site.   http://wiser.nlm.nih.gov/

The updated online version, WebWISER, is available at  http://webwiser.nlm.nih.gov/getHomeData.do

Highlights of this version include:

1) A new, interactive Chemical Reactivity capability (WISER for Windows); users can
a) Create their own mix of chemicals.
b) See an overview of the resulting potential hazards
c) Delve into the detailed reaction behind each hazard or gas produced.

2) 19 new substances and mixtures of substances, including Crude Oil and the Corexit 9500 and Corexit 9527 dispersants.

Find more information at http://wiser.nlm.nih.gov/whats_new_4_4.html
WISER for iPhone/iPod touch 1.1 is now available from Apple’s App Store.

All WISER platforms now include:

1) The 19 new substances and mixtures of substances.

2) Data updates based on the latest information from the NLM Hazardous Substances Data Bank (HSDB), the Center for Infectious Disease Research and Policy (CIDRAP), and the U.S. Environmental Protection Agency (EPA) Acute Exposure Guideline Levels (AEGLs).

3) Many usability improvements and fixes.

You can follow the activity of the National Library of Medicine Specialized Information Services Division via Twitter (NLM_SIS). http://twitter.com/NLM_SIS

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