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Featured Presenters

mHealth Summit 2009
Thursday, October 29 – Friday, October 30, 2009

Event Co-Chair

Kristin TolleKristin Tolle, Director (with Barbara Mittleman of the National Institutes of Health)


Invited Panelists

Kristin LauterKristin Lauter, Principal Pesearcher, Microsoft Research Cryptography Group

Amit MitalAmit Mital, Corporate Vice President, Unlimited Potential Group and Startup Business Accelerator

Case Study Presenters and Awardees
of Microsoft Research Funding

Cynthia LeRouge (presenting), Jiao Ma, Joseph Flaherty
Saint Louis University

Use Smart Phones to Promote Diabetes Self-Management: Robust Elderly in Urban and Rural China 
Jiao Ma, Cynthia LeRouge, Joseph Flaherty, et al.
China is one of the countries with the largest number of people suffering from diabetes (King, Aubert, & Herman, 1998). Continuing rising in prevalence of diabetics has become a major public health problem in modern China (Cheng, 2003). Recent studies attribute the burden of diabetes to poor patient practices and limited knowledge of the clinical complexities of diabetes (Bouldin, et al. 2002). Some recent studies have indicated that cell phones can be used as a tool in care of diabetes, particularly through smart messaging systems (Kim & Jeong, 2006; Benhamu et al., 2007). China is experiencing a proliferation of mobile phone usage (China Statistical Yearbook, 2003). Though most of the rural areas in China still lack telecommunications infrastructure, dramatic migration trends are leading people out of these areas (UN, 2002). This project proposes to design and prototype an age and culturally appropriate, interactive diabetes self-management system on smart phones for robust (independent in activities of daily living) elderly population with diabetes in urban and rural China.

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Martin Masek (presenting), Alfred Tan
Edith Cowan University

Fetal Heart Rate and Activity Monitoring via Smart Phones 
Alfred Tan, Martin Masek
The project will research and develop a fetal heart rate (FHR) and activity monitoring system using smart phones running the Microsoft Mobile platform. Such system can be coupled with an inexpensive portable doppler FHR monitor to provide quality ante-natal care for expecting mothers living in remote and rural areas far away from medical care. One such remote and rural community which can benefit from our innovation in telemedicine is the Indigenous community in outback Australia. Among the Australian Indigenous community the rate of pre-term birth is significantly higher than the non-Indigenous population. It has been known that quality ante-natal care can bring about significant improvement to the survival statistics of Indigenous babies. Our innovation can help to achieve this.

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M. Sriram Iyengar
Assistant Professor, University of Texas Health Science Center at Houston

Interactive Structured Multi-modal Clinical Guidelines on Cell Phones 
M. Sriram Iyengar
In developing countries, where physician density is low and accessibility to health resources is scarce, non-physician care providers (NPCPs) are typically the sole providers of medical care to millions. In many such countries, most NPCPs have not completed high school, have very basic levels of clinical training and their performance often falls short of acceptable standards. In particular, NPCPs often do not follow standardized guidelines of care when given in paper-based form. The use of multiple modalities (voice, text, pictures, video) to impart information has been shown to enhance understanding. "GuideView" will support NPCPs by means of interactive, structured, multi-modal clinical guidelines on multiple platforms including Windows Mobile cell phones. Three GuideView compatible clinical guidelines in the areas of wound-care, musculo-skeletal trauma, and pediatric fever will be developed.

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Amnat Khamsiriwatchara
Deputy Director, (BIOPHICS) Faculty of Tropical Medicine, Mahidol University, Thailand

Application of Smart Phone in "Better Border Healthcare Program" (BBHP)Jaranit Kaewkungwal
The goal of the BBHP is to develop models for utilizing smart cell phone as health communication tool in the under-served communities along Thailand border in order to: (1) to improve maternal health focusing on antenatal care (ANC), (2) to reduce child mortality focusing on Expanded Program on Immunization (EPI), and (3) to prevent/monitor disease incidence and to ensure treatment outcomes focusing on malaria due to malaria endemic in the border area. The project will be implemented in under-served rural communities composing of approximately 4200 Thai and minority people near Thai-Myanmar border.

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Salys Sultan (presenting), Permanand Mohan
University of The West Indies, Trinidad and Tobago

Chronic non-communicable diseases (CNCDs) require lifelong, continuous medical care. Preventative care requires a different model in which current healthcare systems fall short of. A more interactive approach is required at the primary healthcare level. This presentation will focus on the use of mobile telephony as an alternative channel for the delivery of health services, in particular diabetes self-management education (DSME). This alternative channel is intended to increase the accessibility, availability and relevance of support services for patients living with diabetes. The presentation will highlight some of the research problems surrounding this area including the need for change management to ensure the sustainability of new mHealth initiatives. A case is presented that directly tests the hypothesis that “the use of mobile telephony as a platform

Poster Session Presenters

Gondy Leroy and Gianluca DeLeo (presenting)
Claremont University and Old Dominion University

The PixTalk Communication System: a Smart-phone Application and a Companion Website for the Improvement of the Communication Skills of Children with Autism 
Teachers play an important role in the effort to increase the communication skills of children with autism and determine the required teaching style. However, they do not have any tools that allow them to share ideas, data, and information, and provide objective feedback on communicative behavior of children with autism. We are developing a communication system for severe autistic children using SmartPhones to enable on-the-go communication. The project for which we are seeking support will leverage our current research and develop and test the support environment that lets teachers, therapist and parents evaluate longitudinal communication data from the SmartPhones for individual children and for groups of children, discuss findings, and complement this data with other child-specific data using modern data analysis and data mining tools. If successful, this project will help teachers in their daily activities and that will also support and encourage integration of children with autism in our society. The project will make contributions in the field of special education and software development for users with special needs.

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Daniel Fletcher and Amy Sheng (presenting on Daniel's behalf)
University of California, Berkeley

CellScope: Mobile Phone Microscopy for Disease Diagnosis and Monitoring
Effective healthcare requires reliable patient data and a trained physician to interpret the data and guide treatment. In many developing countries, bringing those two components together—reliable data and trained physicians#&151;is a tremendous challenge. Healthcare personnel are frequently under-trained and under-equipped, often facing excessive patient loads with minimal equipment. Light microscopy is one of the most important clinical tools for routine examinations. However, high-quality light microscopes commonly available in the developed world are rarer than physicians in some developing countries. We are working to turn the camera of a cell phone into a clinical-quality light microscope that can transmit images of patient samples remotely for evaluation by specialists. Such a cell phone microscope—which we call the CellScope—will address both healthcare data collection and diagnosis problems in developing countries by linking the two through wireless communication.

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Allen Cheng
University of Pittsburgh

Real-Time Cardiovascular Diseases Detection on a Smartphone
Cardiovascular Disease (CVD) is by far the leading cause of death in the world for both women and men of all ethnic backgrounds. The Electrocardiogram (ECG) is the most widely adopted clinical tool that measures and records the electrical activity of the heart from the body surface. This electrical activity is related to the impulse that travels through the heart, which determines its rate and rhythm. The overarching goal of this research seeks to establish a cell phone-based wearable ECG platform capable of performing continuous ambulatory monitoring and recording of ECG in real time, generating individualized cardio health summary report in plain language, and automatically detecting CVD signs at any place and anytime. This wearable platform is codenamed "CardioPro."

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George Polyzos
Athens University of Economics and Business, Greece

Monitoring and Modeling the Everyday Activities of the Elderly to better Support Independent Living
The world population of people over the age of 65 is growing rapidly at a rate of 800,000 per month. Recent advances in sensor technology, cellular networks and information technology promise to improve the well-being of the elderly by assisting them in their daily activities and monitoring their health status, thus enabling them to lead their lives to a larger extent independently from healthcare institutions and their caretakers. The aim of the ARCHANGEL project is to design, implement, and validate a cost-effective, secure , adaptable and interoperable framework for learning and monitoring the daily behavior of the elderly using advanced sensor networking, machine learning, and controlled interaction with caretakers. The resulting system will be based on off-the-shelf sensors and positioning-enabled cellular phones.

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David Zar (presenting), William Richard
Washington University, Saint Louis

Low-Cost, Smartphone Ultrasound Imaging Systems
Access to basic medical imaging technologies is non-existent in many developing countries and in many underserved rural and urban communities. Prenatal care via the use of even the most basic ultrasonic imaging technology, for example, could save many lives, yet available portable ultrasound systems are still expensive and complicated to operate. We have developed a family of low-cost ultrasound probes used with laptops and small-form-factor PCs, but these probes are not currently compatible with Smart Phones. We will modify low-cost USB ultrasound probes to be compatible with Smart Phones. They will enable access to an important diagnostic and screening technology in underserved rural and urban communities.

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Dimane Mpoeleng , George Anderson, Yirsaw Ayalew, Deepti Garg, Bontle Gopolang, Audrey Masizana-Katongo, Opelo Mogotlhwane, Pheto Mokotedi, Nkwebi Motlogelwa, Edwin Thuma, T. Taukobong
University of Botswana 

Digital Inclusion Healthcare Solution in Botswana: Mobile Phones Used to Access HIV/AIDS Information
In the emerging information society, access to information sources will be vital for African countries to realize their development goals in the areas of healthcare, education and social development. In healthcare, for example, access to appropriate information can improve the management of chronic conditions, such as asthma, diabetes, hypertension and HIV/AIDS and minimize visits to physicians and periods of hospitalization, thus lowering the cost of healthcare. Many African countries are today well placed to join the information society, due an emerging proliferation of information and communications technology devices, especially mobile phones, in the home and work environments. The University of Botswana project aims to develop and test an integrated internet-based healthcare information service, targeting HIV/AIDS patients. At the heart of the system is an Information Server and Intelligent Personal Information Centers designed to derive and present appropriate information for individual users.

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James Black, Liz Sonenberg, Rens Scheepers, Ahsan Khandoker, Fernando Koch
The University of Melbourne, Australia

Cell Phone Applications for Clinical Diagnostic Therapeutic and Public Health Use by Front-Line Health Workers in Developing Countries
Mozambique is, paradoxically, both one of the poorest countries in the world and one of the most rapid adopters of cell phone technology. The cell phone network reaches a large proportion of the country, and large numbers of health workers already carry them. This project will create a suite of applications that make use of cell phone processors to improve diagnostic and therapeutic options for front-line Mozambican health workers. These applications include: reference material in the cell phone’s memory; calculators for clinical decision support such as a drug dosage calculator; and a processor to analyze inputs from medical hardware sensors. The project will also document the impact of the suite of application from the perspective of front-line health workers in Mozambique.

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Permanand Mohan, Salys Sultan, Ahad Deen
The University of the West Indies, Trinidad and Tobago 

Developing a Mobile Health System for Patients in the Caribbean with Diabetes and Cardiovascular Disease: Experiences from the MediNet Project
This project is the first phase of a larger project that involves the development of a Caribbean-wide Healthcare Management System using cellular phone technology. The long term objective of the project is the development of a network that would integrate the medical resources of the entire region thereby promoting the sharing of medical expertise and resources in a region with very poor healthcare facilities; yet, having very good cellular phone infrastructure. A healthcare system known as a MediNet will be developed for Trinidad and Tobago, targeting two diseases, diabetes and cardio-vascular technology. The system will contain components that receive information from monitoring devices attached to patients and then transmit this information to a server using a cellular network. At the server, a data reasoning engine extracts all relevant information from the data captured. The alert notification component ensures that the medical officer(s) are notified depending on the severity of the case and the appropriate response action is initiated whether it is a phone call or an onsite visit. The system may also make suggestions to the patient on his/her cellular phone as a result of its reasoning processes.

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Jaranit Kaewkungwal, Amnat Khamsiriwatchara (presenting), Pratap Singhasivanon, Pongthep Meankaew, Podjadeach Khunthong, and Surasak Sawang
Mahidol University, Thailand

Application of Smart Phone in "Better Border Health Care Program (BBHP)"
The goal of the BBHP is to develop models for utilizing smart cell phone as health communication tool in the under-served communities along Thailand border in order to: (1) to improve maternal health focusing on antenatal care (ANC), (2) to reduce child mortality focusing on Expanded Program on Immunization (EPI), and (3) to prevent/monitor disease incidence and to ensure treatment outcomes focusing on malaria due to malaria endemic in the border area. The project will be implemented in under-served rural communities composing of approximately 4200 Thai and minority people near Thai-Myanmar border.

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Chris Gnaidy
Assistant Professor, University of Arizona 

Energy Consumption of Sensor Enabled Applications on Mobile Phones
The goal of this project is to design and implement an infrastructure for semi-autonomous health care monitoring applications that can monitor the patents' health for extended periods with limited access to battery recharging and cell phone reception. Many issues must be addressed to make cell phones a viable platform for remotely monitoring health care, including security, reliability, and privacy, but perhaps the most basic is energy. Cell phones are battery-operated, making energy a resource that must be managed carefully to ensure the longest running time before the battery is depleted. In a sense, all other issues are secondary – without energy, the cell phone simply will not function. In this project, we therefore focus on reducing the energy demand placed on the cell phones by remote health care monitoring.

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Gaetano Borriello, Neal Lesh (presenting)
University of Washington

Enabling Community Health Workers with Mobile Phones
Community health workers (CHWs) are playing an increasingly important role in the efforts to improve the health of rural populations in low-income countries. Our project seeks to provide mobile technologies for these CHWs using the cell phone as the primary platform. The capabilities of the platform will permit health surveys and interventions to be conducted asynchronously by lightly-trained individuals following well-established international medical protocols. We will be exploiting the camera capabilities of the platform to automatically interpret diagnostic tests conducted with an assay card. The prototype will be field tested in rural Tanzania in collaboration with BRAC.

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