Development of the technology

THE SOUTHE KAZAKHSTAN STATE PHARMACEUTICAL ACADEMY

“Medical biophysics and information technologies”

Department

ABSTRACT

Theme: Use of multimedia technologies in medicine

 

Student: Abdumajitova N.

Group: 108 GM “B”

Teacher: Khalmetov Z.S.

 

 

Shymkent 2017

Plan

Introduction

1. The impact of technological innovations on our life

2. Practices will travel to the cloud

3. Telehealth

4. Tablet use and healthcare apps will continue to grow

5. MedicineandTechnology

Conclusion

The used literature



Introduction

Healthcare advances have been occurring at a rapid pace over the past two decades. Advances in technology have impacted all aspects of healthcare. These advances are not limited to only drugs and devices but may also include new surgical procedures as well as new applications of existing technology. But what impact will these changes have on medicine and overall care delivery?

Without doubt, medical technology is very important for people’s health and improvement of quality of their life. It also contributes a lot of money to the economy. There are many advantages that innovative technology brings to the table when it comes to healthcare.

 

 

The impact of technological innovations on our life:

For example, the widespread adoption of electronic health records (EHR) has resulted in significant savings in health care costs as well as improved patient health and safety. In more and more healthcare facilities, patient files are being kept in databases that can be accessed from anywhere in the facility. This doesn’t only save time but also results in better data coordination and management.

It is also technological innovation that has opened the door to more non-invasive procedures. Diagnostics have never been easier and more accurate, especially due to advancements in areas like nuclear medicine. Nowadays numerous methods of imaging allow technicians and physicians to examine a patient’s anatomy without needing invasive procedures to form a diagnosis.

Minimally invasive surgeries, especially cardiovascular and thoracic surgeries, have also become more common in recent years. The development of better instruments and more advanced technology have allowed surgeons to perform procedures in minimally invasive ways that just wasn’t possible a few years ago.

Technology can also bring hidden dangers if you aren’t careful. The internet in particular is known for this. Though some would disagree, the infinite flow of medical knowledge available online is not always a good thing. Though some websites can be a great resource for living a healthy lifestyle, but they should never be used to replace your physician. Self-diagnosis is a dangerous thing. At best you’ll scare yourself into thinking something is seriously wrong when it isn’t. At worst you’ll misdiagnose yourself and cause serious damage to your health and wellbeing. In the long term, however, it may cost you much more than you ever expected.

Predictions for How IT Will Impact Healthcare

 Undoubtedly, information technologies have had an immense impact on the current state of healthcare and their influence is only increasing. And what could we expect from the next year for the healthcare IT sector? Is it going to be a big year for upheaval in it? Current research reveals exciting possibilities as technology and healthcare continue to advance. Here’s a look at some technologies revolutionizing the medical field:

 

 

Tablet use and healthcare apps will continue to grow

 As well as doctors’ shifting from paper toward an electronic era, the use of tablets will continue to increase. Mobile devices have optimized practices throughout the country, and their capabilities are ever growing. Quoting Bill Ho, the president of Biscom (a company that provides enterprise fax and secure file-transfer technology), “Doctors and other healthcare professionals will not only be able to access patient records, but they’ll be able to sign off on treatments and prescriptions without being tethered to their offices or the hospital”. Similarly, healthcare apps are becoming increasingly popular amongst both patients and physicians. These apps allow patients to find local physicians or hospitals, learn about symptoms and treatments, and exchange healthcare questions and answers. In today’s digital age, the use of both tablets and apps for healthcare will continue to grow and flourish.

 

Practices will travel to the cloud

Many practices have chosen to take all of their digital information to the cloud while choosing an EHR system. These cloud-based EHRs are easier to integrate into a practice’s existing workflow. Cloud technology will enable healthcare providers to improve services and more easily share technology without needing to invest in hardware infrastructures and maintenance. The technology will contribute to the access and sharing of patient data and records between healthcare professionals in real-time. Patient care will become more personalized and thorough as healthcare providers can focus less on accessing data, and more on patients themselves.

 

Telehealth

Telehealth is health-related services or information being delivered through telecommunications technologies. This can range from physicians speaking amongst themselves, or to patients via the phone, to robotic surgeries being performed between facilities in different parts of the world. In a time in which medical additional payments increase in cost, many corporations have begun to encourage their employees to connect more easily with physicians through telehealth services. Also, for patients willing to pay for convenience, virtual visits via video increased in quality and accessibility. Telehealth has grown to focus not just on the curative aspects of healthcare, but also to the preventative and PROMOTIVE aspects of medicine.

 

3D printing:

California-based research company Organovo has printed human liver tissue to test drug toxicity on specific sections of the liver. Although printing organs for transplants may still be far off, this technology could be used in the near future with individual patients to test their toxicity reactions to specific drugs.

 

Artificial intelligence:

IBM’s Watson (an artificially intelligent computer system capable of answering questions posed in natural language) is just the first step toward using artificial intelligence in medicine. The supercomputer, which defeated two human champions on the quiz show “Jeopardy!”in 2011, is now being used to diagnose and manage lung cancer treatment. Imagine a computer that could evaluate and analyze a patient’s entire genome, biometric data and environmental and personal data, including diet and activity level. The quantity of information could be too much for a person to analyze efficiently, so adding an artificial intelligence component could help achieve a new level of understanding.

 

BCIs and BBIs:

As brain-computer interfaces (BCIs) become more advanced, healthcare will incorporate more complex human-computer connections. The uses range from helping people manage pain to controlling robotic limbs. Harvard University researchers recently created the first brain-to-brain interface (BBI) that allowed a human to control a rat’s tail — and another human’s movements — with his mind, proving that controlled robotic limbs have far-reaching possibilities for patients.

 

 

Robotics:

Robotics are quickly advancing medical treatment. Ekso Bionics (the company which develops and manufactures intelligently powered exoskeleton bionic devices that can enhance the strength, mobility, and endurance of soldiers and paraplegics) has already launched the first version of its exoskeleton, which enables paraplegics to stand and walk independently. This revolutionary technology allows a person who has spent 20 years in a wheelchair to stand on her own. This holds huge promise for the next generation of robotics.

Advances in technology have already made healthcare better, easier, more accurate and more efficient for physicians, patients, hospital staff and administrators. All these advances translate into one main objective: improving patient outcomes. With access to more powerful tools that are cheaper, faster and better than their predecessors, patient outcomes are certain to improve. People will become increasingly responsible for their own health. This will lead to more effective care, as people will be able to detect problems much earlier in the process. Patients will no longer put off appointments for years because personal health will be ever-present. This will reduce healthcare costs on several levels and change the type of medical professionals the industry needs most. We can’t even anticipate much of what will come after all of this, but the possibilities for technology and healthcare really are endless.

 

Uses

Surgery simulators are generally used to train medical students and surgeons in specific types of procedures without the use of animals or cadavers before working with live patients. They are best suited for two types of skills needed for surgery, eye–hand coordination and the ability to perform three dimensional actions using a two-dimensional screen as a guide. Eye–hand coordination is improved because the simulation can give both visual feedback, by way of a screen, as well as tactile feedback that simulates the manipulation of organs and tissue.

This kind of virtual reality is most often used in the training of surgeons in laparoscopic procedures, as in reality it is not possible to see the operation being performed. The simulator uses a computer screen displaying a three-dimensional graphic of the organs being operated on. Various surgical tools or gloves are connected to motion sensors and haptic or tactile feedback mechanisms where the user can physically feel the difference in simulated tissue and organs. The user can "perform surgery" upon the virtual organs by manipulating the tools, which are also displayed on the screen as the user moves them, and the tools also provide force-feedback and collision detection to indicate to the user when they are pushing on or moving some organs or tissue. By inputting data from computerized tomography (CT) and magnetic resonance imaging (MRI) scans the patient can be replicated in the virtual environment. The simulations can also provide more intensive training activity with the introduction of rare pathological cases and complications.

However, the use of these simulators has its limitations. While significant gains have been seen with their use in novices, their effectiveness diminishes as the procedure is repeated with students reaching a plateau. For more experienced surgeons, the use of these simulators have had very limited use.

 

Development of the technology

Virtual surgery as a means to simulate procedures and train surgeons grew out of the video game industry. Video games for entertainment has been one of the largest industries in the world for some time. However, as early as the 1980s, companies such as Atari began working on ideas of how to use these video environments for training people in different tasks and different professions. Younger trainees in the medical field showed greater eye–hand coordination and quick thinking abilities over those who had never played. Although graphics were extremely limited, Atari began developing several types of simulators related to health care. This type of training met with strong skepticism until studies in the mid-1980s began to show that the concept had promise.

However, the graphic and interactive limitations of video games hindered their development and usefulness until the 1990s, when companies such as Nintendo and Sony began to produce three dimensional polygon graphics to produce the concept of “virtual reality.” This improved more with the introduction of Wii systems what allowed more realistic manipulation of the virtual reality through motion sensors. Studies at this time showed that the new interaction method improved coordination and space perception. The advances also allowed the technology to move from “game” to “simulator.”DaVinci Surgical System programmed their first simulator for laparoscopic surgery in 2005, and its accuracy and design made it quickly accepted by surgeons. While most of this technology has been used for general surgical training, it has also been used to plan specific surgeries as well. The first virtual surgery (where actual surgery followed the virtual practice) was performed on 17 August 2009 when Dr. David Clarke in Halifax, Nova Scotia removed a brain tumour 24 hours after removing a simulated tumour. By 2010, numerous hospitals had some kind of simulation technology available for medical professionals, especially for the training of laparoscopic procedures.

The use of this kind of simulation technology continues to be important, especially with younger generations of medical students. These students have grown up with both entertainment video games and serious games, those developed for educational purposes, making the use of simulators both more acceptable and effective.These students have been shown to more readily benefit from this kind of training, especially in areas of laproscopic procedures and suturing.

 

Examples

The most widely used simulator for laparoscopic surgery today is the da Vinci Surgery Simulator. It is the newest way to practice these procedures that involves the surgeon in the surgery and control of the device. The simulator is a tutorial that prepares a surgeon for the real surgery at the da Vinci Surgical System. It contains real time images, identical controls of the original device and potential problems that may occur during a real surgery.

One of the more popular games/simulators has been Trauma Center, a game based around solving puzzles and problems that might occur during surgery. The objective of the game is attending to patients that have suffered accidents, broken bones, internal bleeding and trauma, as well as responding to various diagnoses and performing various surgical procedures. The objective of the game is to make the user think faster and increase their ability to solve problems at the surgical table. Surgeons and health experts say that the game is perfect to accelerate the time of decision making at the surgical desk because it is a game based on placing pressure on the user by giving the user a time limit.

The participants were tested on the Minimally Invasive Surgical Trainer-Virtual Reality (MIST-VR) 10 consecutive times within a 1-month period. Assessment of laparoscopic skills included time, errors, and economy of hand movement, measured by the simulator.

 

 


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