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Parul Ichhpujani - Smart Resources in Ophthalmology: Applications and Social Networking

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Parul Ichhpujani Smart Resources in Ophthalmology: Applications and Social Networking
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This book provides information on how to extract the most from mobile applications and easily adapt and integrate them into daily practice. Today mobile applications that can optimize patient flow, help in examinations, perform anterior/posterior segment imaging, offer differential diagnosis and therapeutic options and even serve as patient drug reminders and councilors are easily available. Most of them have been developed by individuals and as a result lack marketing, even though they are free to download and use.

Ophthalmology has always been at the forefront of medicine when it comes to adopting the latest developments be they lasers, off-label anti-VEGF drugs or biocompatible implants. Mobile phones and tablets have infiltrated our private and professional lives and they are here to stay. As such, this book explores the endless possibilities that mobile computing offers, and introduces the vista of opportunities for providing better care, one download at a time.

As part of the series Current Practices in Ophthalmology this volume is intended for residents and fellows in-training, as well as general and specialist ophthalmologists.

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Springer Nature Singapore Pte Ltd. 2018
Parul Ichhpujani and Sahil Thakur Smart Resources in Ophthalmology Current Practices in Ophthalmology
1. What Is a Smart Device?
Parul Ichhpujani 1 and Sahil Thakur 1
(1)
Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India
A smart device is an electronic device, connected to other devices or networks via different wireless protocols such as Bluetooth, near-field communication (NFC), Wi-Fi, 3G, 4G, etc. that have the ability to operate interactively and autonomously. Currently available smart devices include smartphones, tablets and phablets, smart bands, smart watches and smart key chains. Most commonly used among the smart devices are the smartphones.
On April 3, 1973, Martin Cooper, a Motorola employee, made the first mobile handheld cellular telephone call in New York City. Since then cellular phones have evolved into small wireless computers with Bluetooth and Internet connectivity, thus appropriately labelled as smartphones . The smartphones have virtually invaded our personal and professional space.
There are a few key components necessary for a mobile phone handset to be a smartphone :
  • It should be designed for personal use rather than designed for business or commercial use.
  • It should have the ability to connect to the Internet in a constant, unrestricted way.
  • It should have the ability to install a range of applications (apps) from an external source, such as an app store.
  • It should have a high-resolution screen and a high-definition camera to facilitate high-quality video conferencing and image acquisition capability [].
Smartphones have taken the world by storm primarily due to the ease of wireless mobile computing that they offer. Every day the technology behind smart devices gets even smarter making them an indispensable part of our lives. The number of smartphone users is predicted to grow from 3.2 billion in 2015 to around 6.3 billion in 2021, with smartphone penetration rates increasing exponentially as well [].
Tablets and Phablets
A tablet computer or tablet is a mobile personal computer. The hardware and software that make the tablet work are housed in a single thin flat package. Ever since Issac Assimov described a fictional prototype in his novel Foundation, mobile computing has today come a long way. Based on operating systems like iOS, Android, Ubuntu Touch and Windows, tablets bring the easy accessibility of smartphones and powerful processing/screen size of desktop computers together in a functional and versatile package. With the ability to add accessories like keyboard, stylus and VR devices to the tablet platform, we today have a device that has potentially limitless flexibility. This is why tablets are so popular devices for medical use []. Recently, a new generation of devices have made the mobile computing market even more interesting. Smartphones with screen sizes between 5.5 in. (140 mm) and 7 in. (180 mm) and an aspect ratio of 16:9 have blurred the borders between tablets and smartphones. These phablet devices offer app developers more screen size to work with while maintaining the easy accessibility of the smartphone form factor.
Smart Device Use by Doctors: Pros and Cons
The usage of smart devices by doctors has also been increasing day by day. A survey in Ireland showed that 94.4% of junior doctors own a smartphone and on at least a daily basis used it for the purposes of work, 83.3% made or received phone calls, 87.2% sent or received texts, 52.9% used their smartphone to take work-related pictures, and 41.2% sent or received emails on their smartphone [].
Ophthalmological applications are today widely available across operating systems and can turn smartphones into sophisticated medical devices. They are useful tools for the practice of evidence-based medicine, professional and patient education, mobile clinical communication, disease self-management, remote patient monitoring or as powerful administrative tools [].
Many physicians have raised concerns about the inappropriate use of the cell phones/smartphones in letters to the editors of various academic journals and online surveys. In a 2015 survey, vast majority of the doctors (95.2%) endorsed use of smartphone. Nearly all (97.1%) carried a cell phone with them at work. While at work, only 6.3% kept their phones in silent mode, while 72.1% and 21.6% left their phones on vibrate and ring mode, respectively. Approximately half of them (56.7%) password protected their cell phone. Participants were also asked to rate how much they relied on their phones on a scale from 1 (not at all) to 5 (cant leave home without it). Most individuals (91.9%) rated their reliance a 4 (31.3%) or 5 (60.6%). The study further showed how doctors dont consider their usage unprofessional but find patient usage of phone during an interaction highly irritable [].
With the increased utility of social networking applications like WhatsApp for professional interaction, ethical issues of ownership of data, security of confidential information and need of patient consent for transmission over Internet via these applications have also cropped up []. Such microbiological data is adding up every day, and in the future it is possible that hospital administrations across the world will come forward with tougher protocols to deal with the usage of smartphones in critical areas like the intensive care units and admission wards.
We are sure of the fact that smartphones and their usage in medicine are here to stay, more so in branches like ophthalmology that are so dependent on image acquisition and its interpretation. With their expanding use into screening the population for diabetes, glaucoma and other ocular pathologies, the utility of smartphones outweighs their shortcomings []. Till we have a clearer understanding of mobile etiquette and consensus-based guidelines to use mobile phones at work are framed, all we can do is to keep up with the wireless revolution by clicking, downloading and healing.
References
Nasser FB, Trevena L. Theres an app for that: a guide for healthcare practitioners and researchers on smartphone technology. Online J Public Health Inform. 2015;7(2):e218.
Ericsson Mobility Report 2016 [cited 2017]. https://www.ericsson.com/mobility-report
Nesaratnam N, Thomas PBM, Kirollos R, Vingrys AJ, Kong GYX, Martin KR. Tablets at the bedsideiPad-based visual field test used in the diagnosis of Intrasellar Haemangiopericytoma: a case report. BMC Ophthalmol. 2017;17(1):53. Crossref
Rosen PN, Boer ER, Barbosa Gracitelli CP, Abe RY, Diniz-Filho A, Marvasti A, et al. Visual performance assessment using a mobile platform. Investig Ophthalmol Vis Sci. 2015;56(7):3177.
Holmes JM, Manh VM, Lazar EL, Beck RW, Birch EE, Kraker RT, et al. Effect of a Binocular iPad Game vs Part-Time Patching in children aged 5 to 12 years with amblyopia: a randomized clinical trial. JAMA Ophthalmol. 2016;134(12):1391400. Crossref
OConnor P, Byrne D, Butt M, Offiah G, Lydon S, Mc Inerney K, et al. Interns and their smartphones: use for clinical practice. Postgrad Med J. 2014;90(1060):759. Crossref
Payne KFB, Wharrad H, Watts K. Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): a regional survey. BMC Med Inform Decis Mak. 2012;12(1):121. Crossref
Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. J Hosp Med. 2012;7(8):5959. Crossref
Zvornicanin E, Zvornicanin J, Hadziefendic B. The use of smart phones in ophthalmology. Acta Inform Med. 2014;22(3):2069. Crossref
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